Bender 2015.
Study characteristics | ||
Methods |
Design: parallel, individually randomised controlled trial Duration: endpoint at 104 weeks Setting: recruited from Kaiser Permanente Colorado ‐ 18 primary care and 2 special care and 2 hospitals; trial carried out in the United States |
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Participants |
Population: 1187 children were randomised to receive speech recognition reminders for overdue medication (n = 590) or usual care (n = 597) Age: range from 3 to 12 years. Mean age in reminders group was 8.2 years; SD: 0.13. Mean age in usual care group was 8.1 years; SD: 0.13. Proportion of male participants: reminders group was 67.3% male; usual care group was 67.1% male Proportion of white ethnic participants: reminders group was 43.3% white; usual care group was 44.1% white Inclusion criteria: persistent asthma; 1 or more ICS script in last 6 months; enrolled in Kaiser Permanente Colorado for 1 year prior Exclusion criteria: life‐threatening co‐morbidity; sibling enrolled in study; parent decline; ICS prescribed to betaken intermittently or as required; medication not bought at KPCO pharmacy Percentage withdrawn: Withdrawal from reminders group was 23.39%; withdrawal from usual care group was 25.13% Allowed medication: none recorded Disallowed medication: none recorded |
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Interventions |
Reminders group: speech recognition reminders for overdue medication group with 1 to 3 calls depending on whether patient has overdue medication or historically has. Two‐way interaction with patient. No adherence feedback. No co‐interventions used (one digital component involved only). Not a theory‐based intervention. No in‐person component. Usual care group: usual care |
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Outcomes |
Primary: Adherence (ICS proportion of days covered over 24 months) Secondary: Beta‐agonist use, oral steroid use, asthma‐related primary health care visits, ED visits, hospitalisations, after‐hours visits on weekends or weekdays, asthma related visits, parent satisfaction questionnaire |
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Notes |
Type of publication: peer‐reviewed Funding: not stated COI: none |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | States that it was randomised but no information about process |
Allocation concealment (selection bias) | Unclear risk | Unclear what method of concealment was used |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | No blinding described but unlikely to have influenced outcome |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | No blinding described but unlikely to impact the outcome |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Intention‐to‐treat analysis performed |
Selective reporting (reporting bias) | Low risk | Study protocol available; results specified as per methods |