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. 2021 Jul 29;15(7):e0009601. doi: 10.1371/journal.pntd.0009601

Table 2. Study strengths and potential limitations.

Citation 1st author, publication year Study strengths Study limitations
[27] Degener C.M. 2014 • Clusters paired on baseline mosquito density with intervention randomly assigned to one cluster per pair.
• Outcomes measured clearly and reliably.
• Trial design and statistical methods appear appropriate.
• Active case finding.
• Lack of baseline dengue seroprevalence data.
• Reduced household intervention participation rates toward end of study (decreased from 60.5% to 36%).
• Low dengue transmission during the study period.
• The low rate of dengue and high Culex catch rates may have led to false reassurance with subsequent relaxing of anti-dengue measures.
• Unclear how many households used BG-traps continuously; trapped mosquitoes may have been lost during power cuts and eaten by ants entering the catch bag.
• Contamination risk from migrating mosquitoes; minimum distance between clusters of 250 metres.
[8] Andersson N. 2015 • High community engagement achieved by involving community members, creating community-led campaigns.
• Randomisation used to assign intervention.
• Outcomes measured clearly and reliably.
• Trial design and statistical methods appear appropriate.
• Active case finding.
• Non-participation bias among wealthier people.
• Security issues reduced intervention participants’ engagement with researchers.
• Sharing the baseline results with participants in the control and intervention arms may have mobilised both groups to perform anti-dengue control measures.
• Entomology evaluators were not blinded.
• Intensive government anti-dengue campaigns reduced the difference between study arms.
• Two non-participating clusters were included in the intervention arm in the data analysis.
• Contamination risk from migrating mosquitoes.
[22] Syafruddin D. 2014 • Randomisation used to assign intervention.
• Outcomes measured clearly and reliably.
• Active case finding.
• Placebo controlled.
• Four burning spatial repellent coils per house each night was not practical to implement.
• The two participating villages (each with an intervention and control arm) had very different baseline malaria rates (heterogeneity).
• Few clusters (N = 4 in total).
• Possible contamination from mosquitoes in the intervention cluster being diverted to the control cluster in each village, no buffer zones.
[28] Degener C.M. 2015 • Clusters paired on baseline mosquito density with intervention randomly assigned to one cluster per pair.
• Outcomes measured clearly and reliably.
• Trial design and statistical methods appear appropriate.
• Intervention and control arms were similar at baseline.
• Active case finding.
• No buffer zones, small cluster size (possible contamination).
• Possibly low mosquito trapping efficiency.
• Post intervention increase in mosquito numbers observed with a decrease in mosquito numbers observed in control clusters.
• Low participation rate among intervention cluster households.
• Possibly too few traps used per intervention house.
• Intervention participants may have relaxed anti-dengue measures having felt reassured by the MosquiTRAP traps (false reassurance).
• Fewer control participants in serological survey.
• Dengue virus IgM not evaluated at baseline.
• The study was performed during a time of low dengue transmission.
[23] Yapabandara AM. 2001 • 1.5km buffer zones between clusters.
• Passive case surveillance but access to primary care enhanced.
• Clusters stratified on baseline malaria incidence with intervention randomly assigned to half the clusters in each strata.
• Outcomes measured clearly and reliably.
• Trial design and statistical methods appear appropriate.
• High community engagement.
• Contamination risk from migrating mosquitoes and people–highly mobile human population.
• Area is not representative of other parts of Sri Lanka.
[24] Yapabandara AM. 2004 • 1.5km buffer zones between clusters.
• Passive case surveillance but access to primary care enhanced.
• Clusters stratified on baseline malaria incidence with intervention randomly assigned to half the clusters in each strata.
• Outcomes measured clearly and reliably.
• Trial design and statistical methods appear appropriate.
• High community engagement.
• Large study area which was representative of other parts of Sri Lanka.
• Residual house spraying with lambdacyhalothrin occurred in both study arms during the study period (in June and November each year) as part of a government campaign, and this may have diluted the intervention effect.
• Pyriproxyfen was not applied to paddy fields.
• Contamination risk from migrating mosquitoes and people–highly mobile human population.
[25] Sluydts V. 2016 • Clusters stratified by malaria endemicity and population size at baseline with intervention randomly assigned to half the clusters in each strata.
• High community engagement.
• Active case finding.
• Primary outcomes measured clearly and reliably.
• Insufficient statistical power to show an effect from the intervention.
• Medical treatment for malaria cases may have reduced case numbers detected at future survey points.
• Possible poor compliance with topical repellent use (maybe as low as 15% compliance) in the intervention arm with no direct confirmation of entomological endpoint (reduced blood feeding).
• Contamination risk from migrating mosquitoes.
[26] Hill N. 2007 • Active case finding.
• High compliance (98.5%) with the study intervention in the placebo arm and the intervention arm.
• Similar loss to follow up across both study arms.
• Randomisation used to assign intervention to households.
• Outcomes measured clearly and reliably.
• Trial design and statistical methods appear appropriate.
• High community engagement.
• Placebo controlled.
• An unexpected round of outdoor fogging with lambdacyhalothrin was performed by some health districts governments mid-way through the trial, affecting some clusters in both study arms.
• Low incidence of P. falciparum observed during the study period.
• Contamination risk from migrating mosquitoes.
• No direct assessment of repellent effectiveness (such as through reduced feeding by mosquitoes)