Smith 2006.
Methods | STUDY DESIGN: Parallel group randomised controlled trial
LOCATION, NUMBER OF CENTRES: Urban ED in USA
DURATION OF STUDY: 2 weeks Outcome assessors were blinded |
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Participants | N SCREENED: Not reported N RANDOMISED: 92 N COMPLETED: 86 M = 54 F = 38 MEAN AGE: 6.5 years BASELINE DETAILS: 90% African American; 97% Medicaid INCLUSION CRITERIA: 2 to 12 years of age; Medicaid or no insurance cover; presenting to ED requiring bronchodilator therapy for acute asthma EXCLUSION CRITERIA: Admission to hospital during index ED visit; chronic illness other than asthma; no working telephone in the home; participation in another asthma study; no primary care physician; parents unable to communicate effectively in English | |
Interventions | EDUCATION GROUP: Parental coaching during ED visit and monetary incentive. Coach asked questions of parent regarding perceptions of ED visit and discussed advantages of follow up with PCP. Coach included discussion of barriers to follow up. Setting: Hospital CONTROL GROUP: Usual care TREATMENT PERIOD: In ED. Both groups were reminded of importance of follow‐up with PCP. FOLLOW‐UP PERIOD: 2 weeks |
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Outcomes | Scheduled attendance at PCP; unscheduled attendance at PCP office with acute asthma | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Low risk | Computer‐generated randomisation schedule. |
Allocation concealment? | Unclear risk | Information not available |
Incomplete outcome data addressed? All outcomes | High risk | Available case |