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. 2023 May 31;2023(5):CD014513. doi: 10.1002/14651858.CD014513

Alanzi 2018.

Study characteristics
Methods Evaluation of the effectiveness of mobile diabetes management system with social networking and cognitive behavioural therapy (CBT) for T2D
RCT (NA clusters and NA providers), conducted in 1) All participants were from a clinic in Saudi Arabia‐Damman. 2) Mobile diabetes management system operated remotely through the SANAD system. Figure 1 shows that diabetic nurses and CBT therapists were involved in the delivery of the intervention. In Saudi Arabia.
2 arms: 1) Control (conventional diabetes treatment) (control arm) and 2) Intervention (SANAD system) (intervention arm)
Participants Control arm N: 10
Intervention arm N: 10, NA, NA
Diabetes type: 2
Mean age: NR ± 6.45
% Male: 75
Longest follow‐up: 6 months
Interventions Control arm: (conventional diabetes treatment)
Intervention arm: (SANAD system)
1) Electronic patient registry
2) Patient education
Outcomes 1) Glycated haemoglobin
Funding source No information of funding source. "Some of the limitations of this study that may affect internal and external validity include the small sample size (n = 20), which was due to limited funding" 
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported.
Patient's baseline characteristics (selection bias) Low risk See Table 1, education lower in control group, but all other characteristics balanced. 
Patient's baseline outcomes (selection bias) Low risk Table 1) Baseline HbA1c P value > 0.05
Incomplete outcome data (attrition bias) Low risk 1 patient lost in the intervention group (1/10 or 10%). None lost in the control group.
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) Low risk Objective measure for HbA1c.
Selective reporting (reporting bias) Unclear risk No registered protocol. Methods match outcomes.
Risk of contamination (other bias) Unclear risk Patient randomised. Both groups were monitored by the same staff. Unlikely that the control group received the SANAD intervention.
Other bias Low risk No evidence of other bias.