Skip to main content
. 2023 Jan 30;2023(1):CD006207. doi: 10.1002/14651858.CD006207.pub6

Miyaki 2011.

Study characteristics
Methods A quasi‐cluster‐RCT
Participants A total of 15,134 assigned to intervention (N = 6634 workers) and control (N = 8500 workers)
Inclusion criteria: all general employees (aged 19 to 72 years in 2009) of 2 sibling companies of a major car industry in Kanagawa Prefecture, Japan. All workers who regularly reported to the workplace were included, regardless of treatment for chronic diseases.
All employees have the same health insurance plan and were followed up in the same way.
Interventions Quote: "The intervention involved asking workers whose family members developed an influenza‐like illness (ILI) to stay at home. If any co‐habiting family members showed signs of influenza‐like illness (ILI), employees ... were asked to stay at home voluntarily until 5 days has passed since the resolution of the ILS symptoms or 2 days after alleviation of fever." See Table 4 for details.
Outcomes Workroom: influenza A test kit (rapid test)
Effectiveness: assess the effectiveness of household quarantine in reducing the incidence of influenza A H1N1. ILI was defined as a body temperature greater than 38 °C or more than 1 °C above the normal temperature accompanied with more than 2 of these symptoms: nasal mucus, pharyngeal pain, cough, chills or heat sensation
Safety: the incidence of influenza A H1N1 amongst workers who were told to stay home if a family member developed ILI was higher (relative risk of 2.17; P < 0.001) compared to control group. No other safety measures/harms reported.
Compliance: quote: "our intervention was not compulsory; we only asked the employees to leave the workplace for a while on full pay, and we succeeded in getting all workers’ agreement. In our case, explaining that the home waiting policy might be beneficial to the whole workers and help to avoid stopping the manufacturing lines (explaining it is for the benefit of the public) and guaranteeing payment during the leave (financial support) helped them to obey our request."
Notes Period study conducted: 1 July 2009 to 19 February 2010
Unfunded
There are no conflicts of interest to declare.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information given.
Allocation concealment (selection bias) Unclear risk No information given.
Blinding of participants and personnel (performance bias)
All outcomes Low risk The nature of the intervention (stay at home) was confirmed in the intervention group, where all workers agree as they were financially supported during absences due to ILI.
Blinding of outcome assessment (detection bias)
All outcomes Low risk "Company doctors diagnosed the disease through a positive result of an influenza A test or clinical symptoms", but not clear if they were blinded to assignment; however, the diagnostic process is meticulous and objectively confirmed.
Incomplete outcome data (attrition bias)
All outcomes Low risk All cases are included in the analysis, and none were lost to follow‐up.
Selective reporting (reporting bias) Unclear risk Although all outcomes of interest are clearly specified, described, and followed up, and text and numbers checked out well and based on the outcome stated for the study, there is no published protocol to match the planned vs the reported outcomes.