Methods |
DESIGN: Randomised factorial study of three types of intervention.
METHOD OF RANDOMISATION: Control group were those who presented to emergency unit on the shifts that the "asthmatic" nurse wasn't on duty. Subjects were systematically assigned to the initial intervention on the basis of when the asthmatic nurse worked. Randomisation to sequential interventions not described.
METHOD OF ALLOCATION CONCEALMENT: allocated to intervention groups or control on the basis of when the shift nurse worked thus not concealed.
OUTCOME ASSESSOR BLINDING: unclear.
WITHDRAWAL/DROPOUTS: not clearly described. |
Participants |
Eligibility Criteria:
Eligible: 588
Randomised: 289 but control group excluded from analysis [44]
Completed: Not specified
Age: mean: 34.4years; Range 18‐64 years
Sex: Male / Female ‐ 76.3% Female.
Asthma Diagnosis: Doctor
Recruitment: ER ‐ exit ‐ Johns Hopkins.
Included:
Major exclusions: 65yrs or older, chronic conditions with steroid therapy and patients admitted
Baseline: based on number of ER visits for asthma in previous year.
FEV1: Not stated
PEF Not stated,
Exacerbations Not stated. |
Interventions |
Intervention 1.
Exit Interview with asthmatic nurse who identifies herself as asthmatic
Exit Interview with asthmatic nurse who does not identify herself as asthmatic
Exit interview with other ER nurse
Intervention 2.
Booklet
Intervention 3.
Another one to one interview
Intervention 4.
Follow‐up phone call (not really included as an intervention but randomised to receive follow‐up as authors thought it might impact upon results). |
Outcomes |
ER visits |
Notes |
Controls not reported.
Questions for Authors:
1. Number of ER visits for the control group.
2. Number of ER visits for all interventions. |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Adequate sequence generation? |
High risk |
Subjects were systematically assigned to the initial intervention on the basis of when the asthmatic nurse worked |
Allocation concealment? |
High risk |
Investigator aware as to order of allocation |