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. 2002 Jul 22;2002(3):CD001117. doi: 10.1002/14651858.CD001117

Kotses 1995.

Methods DESIGN: Randomised Controlled Trial 
 METHOD OF RANDOMISATION: the word "random" stated ; method not described. 
 METHOD OF ALLOCATION CONCEALMENT: not described. 
 OUTCOME ASSESSOR BLINDING: not stated. 
 WITHDRAWAL/DROPOUTS: all subjects accounted for.
Participants Eligible: 126 
 Randomised: 85 
 Completed: 76 (Intervention 36; Control 40) 
 Age: Overall mean: 49.8 yrs (sd 12.4) Range: 27 to 70 yrs 
 Sex: Male / Female 27/49 
 Asthma Diagnosis: as per American Thoracic Society 
 Recruitment: participants whose asthma was generally under control 
 Diseases Included: not specified 
 Major exclusions: Fixed airways, concurrent uncontrolled medical conditions, occupational asthma, drug abuse, obesity, low weight, cognitive or intellectual deficits. 
 Baseline: 
 FEV1: Patients described their asthma as moderate to severe. 
 PEF: am (intervention 331+/‐ 92; control 333 +/‐ 123.7) 
 Exacerbations: not stated
Interventions Setting: not specified (? allergy clinic) 
 Type: Education and self monitoring of peak flow and symptoms 
 Control: No special education. Controls kept an asthma diary (symptoms and PEF) for 6 months on a daily basis and again for 2 weeks prior to the 12 months follow‐up. 
 Duration: 7 x 90 minute training sessions 1/week over 7 weeks.
Outcomes Knowledge, Hospitalisation, ER visits, doctor visits, PEF ‐ evening daily average, quality of life (Beck Depression Inventory, Quality of Well‐Being Scale), Wheeze, Exacerbations, Breathing difficulty, Coughing, Chest tightness.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk Information not available (Cochrane Grade B)