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Pico Summary
PICO Question
Can Honey help alleviate cough symptoms in school age children?
Summary and Appraisal of Evidence
To answer this Pico question, two studies were reviewed. one systematic review and a clinical trial study.
Four authors: Oduwole, Meremikwu, Oyo-Ita & Udoh (2014), reviewed three small randomized control trial studies involving 568 children with diagnostic of acute cough aged one to eighteen years in an ambulatory setting. Participants were randomly chosen and sectioned into groups for the study. The purpose of this study was “to evaluate the effectiveness of honey for acute cough in children in ambulatory settings” (Page1). The authors excluded studies that involved participants with a chronic cough and also excluded studies with a sample size of less than 10 children for each intervention. One small study compared honey against placebo Cohen (2012) and the other two small studies compared honey versus dextromethorphan,
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Randomly selected participants were 160 children aged 24–60 months suffering from URI-induced cough in an outpatient setting. The purpose of the study was “to compare the effect of honey, DM, and DPH on the nightly cough and sleep quality of children and their parents.” (page 787). The study lasted just 24 hours. They started by administering surveys to the children’s parents. Questions asked were about their age, gender, duration of cough, severity of cough, sleep quality, etc. using a “Likert scale” (Page789). Participants were randomly divided into four groups. First group received natural honey, second and third group received dextromethorphan syrup, and fourth group or control group received no treatments or supportive treatment. Participants that took more than required dose of medication or less than required were excluded. “Data were analyzed by SPSS software version 11”. (Page

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