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. 2002 Jan 21;2002(1):CD001005. doi: 10.1002/14651858.CD001005

Maiman 1979.

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