Cohen 2019.
| Study characteristics | ||
| Methods |
Pharmacist‐led telehealth disease management for patients with diabetes and depression RCT (NA clusters and NA providers), conducted in 1) Providence VA Medical Center, Providence RI. Remote Teleheath study. 2) Pharmacists in United States of America 2 arms: 1) Control (nurse‐led telehealth/usual care) (control arm) and 2) Intervention (pharmacist‐led telehealth) (intervention arm) |
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| Participants | Control arm N: 15 Intervention arm N: 15, NA, NA Diabetes type: 3 Mean age: 61.8 ± 9.6 % Male: 93.35 Longest follow‐up: 6 months |
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| Interventions |
Control arm: (nurse‐led telehealth/usual care) 1) Case management 2) Team change 3) Electronic patient registry 4) Clinician reminder 5) Facilitated relay of clinical information 6) Promotion of self‐management 7) Patient reminders Intervention arm: (pharmacist‐led telehealth) 1) Case management 2) Team change 3) Electronic patient registry 4) Clinician reminder 5) Facilitated relay of clinical information 6) Patient education Promotion of self‐management 7) Patient reminders |
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| Outcomes | Glycated haemoglobin | |
| Funding source | The author(s) disclosed receipt of the following financial support for the research, authorship and/or publication of this article: this work was supported by the Federal Services Junior Investigator Research Grant Program – American Health‐System Pharmacy | |
| Notes | — | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Participants were assigned to the pharmacist‐led telehealth arm or the usual care with nurse‐led telehealth arm via a coin toss. |
| Allocation concealment (selection bias) | Low risk | Coin toss. No way to manipulate. |
| Patient's baseline characteristics (selection bias) | Low risk | Table 1. P values greater than 0.05. |
| Patient's baseline outcomes (selection bias) | High risk | Table 1. BP measurements significantly different; HbA1c was P = 0.05. |
| Incomplete outcome data (attrition bias) | Low risk | 1 lost in control, 2 lost in intervention. |
| 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 published protocol; methods match outcomes. |
| Risk of contamination (other bias) | Unclear risk | Nurses and pharmacists worked in the same clinic together. |
| Other bias | Unclear risk | The depression scoring system used was changed midway through the study. The study initially used PHQ‐9, but was modified and changed to the CES‐D scale to capture depression changes more easily. This resulted in less comparable depression scores in each group. |