Brown 2006.
| Methods | STUDY DESIGN: Parallel group
LOCATION, NUMBER OF CENTRES: USA, 1 centre
DURATION OF STUDY: 6 months No blinding of outcome assessor |
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| Participants | N SCREENED: 771 N RANDOMISED: 129 M = Not reported F = Not reported BASELINE DETAILS: Primary care physician: 87%; Asthma action plan: 23%; Spacer: 57%; ICS: 78%; PEF meter: 44%; 37% were African American, 56% had moderate‐to‐severe persistent asthma, 78% on ICS at baseline INCLUSION CRITERIA: Children or adults; asthma exacerbation presenting on ED visit, have had asthma symptoms in the prior 2 weeks, or a previous hospitalisation or ED visit in the past year EXCLUSION CRITERIA: Not described | |
| Interventions | EDUCATION GROUP: Conducted by trained asthma educators and included a facilitated office visit with patient and primary care provider within 2 to 4 weeks of enrolment, a home‐visit 2 to 4 weeks thereafter Setting: Home CONTROL GROUP: Usual care, including instructions in inhaler device technique, written discharge instructions and planned follow up TREATMENT PERIOD: 2 visits up to 8 weeks post‐enrolment FOLLOW‐UP PERIOD: 6 months |
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| Outcomes | Urgent asthma visit; treatment compliance; withdrawals | |
| Notes | 39% in intervention group did not comply with any aspect of planned educational programme | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Adequate sequence generation? | Low risk | Computer‐generated random number sequences |
| Allocation concealment? | Low risk | Sealed envelopes |
| Incomplete outcome data addressed? All outcomes | Unclear risk | Described as intention‐to‐treat; no explicit description of how this population was composed |