Bateman 2000.
Methods |
Study design: 12‐month parallel RCT Setting: practices in South Africa |
|
Participants |
Population: 135 participants were randomised to telemonitoring (68) or to control (67) Baseline characteristics Mean age (SD): NR % male: NR Inclusion criteria: people with moderate or severe asthma who had direct asthma‐related expenditure of > USD 150 during the preceding year Exclusion criteria: NR |
|
Interventions |
Intervention: PAP, a comprehensive computerised interactive guideline‐based clinical decision support system to which patients are linked telephonically by modem to permit daily monitoring of home spirometry and other clinical details by a healthcare coordinator. PAP provides the practitioner with regular status reviews and treatment recommendations, along with education for patients Control: Patients remained under the usual care of practitioners |
|
Outcomes | Quality of life (Juniper scale), healthcare utilisation, direct costs of care | |
Notes |
Funding: NR No full paper available, only conference abstract |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Described as randomised, but method used to generate the random sequence not described |
Allocation concealment (selection bias) | Unclear risk | No information regarding allocation concealment |
Blinding of participants and personnel (performance bias) Objective outcomes | Low risk | It would not have been possible to hide allocation from participants and personnel, but it is unlikely that this would have introduced bias for objective outcomes (e.g. number of people having exacerbations) |
Blinding of participants and personnel (performance bias) Subjective outcomes | High risk | Subjective outcomes such as quality of life and symptom scales filled in by participants or personnel may have been subject to performance bias |
Blinding of outcome assessment (detection bias) All outcomes | High risk | It would have been possible to blind outcome assessors, but no information suggests this was done |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Dropout not reported |
Selective reporting (reporting bias) | High risk | Only an abstract was available with minimal information about methods and no useable outcome data relevant to the review |
Other bias | Low risk | None noted |