Chao 2015.
Study characteristics | ||
Methods |
The effect of integrated health management model on the health of older adults with diabetes in a randomized controlled trial RCT (NA clusters and NA providers), conducted in 1) Outpatients who received clinic services from the Nanjing district hospital endocrinology department. 2) Intervention implemented by specifically trained community health service centre staff, managers and related researchers in China 2 arms: 1) Control (usual care) (control arm) and 2) Intervention (integrated health management model) (intervention arm) |
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Participants | Control arm N: 50 Intervention arm N: 50, NA, NA Diabetes type: 2 Mean age: 69.6 ± 10.2 % Male: 49 Longest follow‐up: 18 months |
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Interventions |
Control arm: (usual care) Intervention arm: (integrated health management model) 1) Case management 2) Patient education 3) Promotion of self‐management |
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Outcomes | Systolic blood pressure Diastolic blood pressure |
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Funding source | This study was funded by the National Natural Science Foundation of China (Grant Number 81273189, 30771837) | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | 100 older adults with type 2 diabetes were randomly allocated to either the management or the control group in a 1:1 ratio using a random number table. |
Allocation concealment (selection bias) | Unclear risk | Not reported. |
Patient's baseline characteristics (selection bias) | Low risk | Table 1. All P values above 0.05. The differences of general conditions and health indices between the management and the control groups were not statistically significant. This suggested that the 2 groups were balanced and comparable at the baseline level. |
Patient's baseline outcomes (selection bias) | Low risk | Table 2. All P values are above 0.05 for all objective measurement health indices. The differences of general conditions and health indices between the management and the control groups were not statistically significant. This suggested that the 2 groups were balanced and comparable at the baseline level. |
Incomplete outcome data (attrition bias) | Low risk | After 18 months, there were no dropouts. |
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | Low risk | All of our outcomes of interest are objective (SBP and DBP). |
Selective reporting (reporting bias) | Unclear risk | No registered protocol or previously published protocol. Fasting blood sugar and blood triglyceride were measured by the clinical test centre of the hospital. The authors do not report any data about triglyceride. |
Risk of contamination (other bias) | Low risk | The community health service centre staff, managers and related researchers who delivered the intervention only saw patients in the intervention arms and it looks like no communication was made with patients' physicians. |
Other bias | Low risk | No evidence of other bias. |