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. 2009 Apr 15;2009(2):CD001290. doi: 10.1002/14651858.CD001290.pub2

Cowie 2002.

Methods STUDY DESIGN: Parallel group randomised controlled trial 
 LOCATION, NUMBER OF CENTRES: Canada, ED records from hospitals in Alberta 
 DURATION OF STUDY: 12 months
No blinding of outcome assessor
Participants N SCREENED: 254 
 N RANDOMISED: 130 (of which 93 attended initial assessment); 3‐month data reported for 79 participants (intervention: 32; control: 47) 
 N COMPLETED: 62 
 M = 18 
 F = 44 
 MEAN AGE: 17 years 
 BASELINE DETAILS: ICS use: 75%; mean SABA use per day: 4 puffs; FEV1 predicted: 81% 
 INCLUSION CRITERIA: 15 to 20 years; attendance at ED with asthma; 
 EXCLUSION CRITERIA: Not reported
Interventions EDUCATION GROUP: YAAP ‐ Young Adult Asthma Programme (one‐off visit to central site where therapists assessed inhaler device technique, information provided on asthma, emphasis on ICS & bronchodilators; exposure to risk factors +/‐ action plan
Setting: Community
CONTROL GROUP: Control: basic advice on inhaler technique delivered at some site as intervention but scheduled at different times
TREATMENT PERIOD: 90 to 120 minute session 
 FOLLOW‐UP PERIOD: 12 months
Outcomes ED use; hospital admission; use of maintenance therapy; quality of life; withdrawal
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Computer‐generated randomisation schedule
Allocation concealment? Low risk Consecutively numbered sealed envelopes
Incomplete outcome data addressed? 
 All outcomes High risk Available case