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

De Greef 2011.

Study characteristics
Methods Increasing physical activity in Belgian type 2 diabetes patients: a three arm randomized controlled trial
Patient RCT, conducted in 3 Belgian general practices, Belgium
Three arms: 1. Control group (control arm), 2. Group counselling (intervention arm 1) and 3. Individual consultation (intervention arm 2)
Participants Control arm N: 24
Intervention arm 1 N: 21
Intervention arm 2 N: 22
Diabetes type: type 2
Mean age: 67.4 ± 9.3
% Male: 70.0
Longest follow‐up: 3 months
Interventions Control arm:
None
Intervention arm 1:
1) Case management
2) Facilitated relay of clinical information
3) Patient education
4) Promotion of self‐management
Intervention arm 2:
1) Facilitated relay of clinical information
2) Patient education
3) Promotion of self‐management
Outcomes 1) HbA1c, mean % (SD)
Control arm: pre 7.0 (0.9), post 6.9 (0.8)
Intervention arm 1: pre 7.1 (1.4), post 6.9 (1.2)
Intervention arm 2: pre 7.2 (0.7), post 6.9 (0.6)
Funding source NA
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "…via computerized random numbers."
Allocation concealment (selection bias) Unclear risk Quote: "Randomization was concealed in sealed enveloped until the point of allocation…". Opaque envelopes?
Patient's baseline characteristics (selection bias) High risk BMI (P ≤ 0.05), waist circumference (P ≤ 0.01), DBP (P ≤ 0.05).
Patient's baseline outcomes (selection bias) Low risk Information not available.
Incomplete outcome data (attrition bias) Low risk Lost to follow‐up was < 10%, all for medical reasons.
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) Low risk General practitioners were the ones who collected outcome data and they were not blinded to allocation of treatment arms.
HbA1c: Adams haemoglobin A1c procedure.
Selective reporting (reporting bias) High risk Did not assess SBP, DBP (as stated in protocol) and various other outcomes including DEXA (Dual‐Energy X‐ray Absorptiometry) scan.
Risk of contamination (other bias) Low risk Information not available.
Other bias Low risk Information not available.