Gabbay 2013.
| Study characteristics | ||
| Methods |
Diabetes nurse case management and motivational interviewing for change (dynamic): results of a 2‐year randomized controlled pragmatic trial Patient RCT, conducted in 12 primary care clinics within 2 health systems in Central Pennsylvania (Penn State Milton S. Hershey Medical Center and Reading Hospital), USA Two arms: 1. Control (control arm) and 2. Treatment (intervention arm) |
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| Participants | Control arm N: 271 Intervention arm N: 274 Diabetes type: type 2 Mean age: NR ± NR % Male: NR Longest follow‐up: 24 months |
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| Interventions |
Control arm: None Intervention arm: 1) Case management 2) Team changes 3) Patient reminders |
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| Outcomes | 1) Retinopathy screening (eye exam), N screened (%) Control arm: pre NR (NR), post 56 (24) Intervention arm: pre NR (NR), post 64 (34) 2) Foot screening, N screened (%) Control arm: pre NR (NR), post 33 (14) Intervention arm: pre NR (NR), post 41 (22) 3) Renal screening (Nephropathy), N screened (%) Control arm: pre NR (NR), post 198 (85) Intervention arm: pre NR (NR), post 173 (92) 4) HbA1c, mean % (SD) Control arm: pre 9.1 (2.3), post 8.0 (1.8) Intervention arm: pre 8.8 (2.4), post 7.8 (1.7) 5) SBP, mean mmHg (SD) Control arm: pre 142.0 (20.5), post 135.0 (18.2) Intervention arm: pre 145.0 (18.8), post 131.0 (15.9) 6) DBP, mean mmHg (SD) Control arm: pre 78.0 (11.5), post 74.0 (11.0) Intervention arm: pre 80.0 (12.6), post 74.0 (11.4) 7) LDL, mean mg/dL (SD) Control arm: pre 127.0 (45.6), post 100.0 (35.5) Intervention arm: pre 128.0 (39.7), post 102.0 (35.6) |
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| Funding source | This study was supported by a grant from National Institutes of Health and National Institute of Diabetes and Digestive and Kidney Diseases grant R18‐DK067495 | |
| Notes | — | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | Information not available. |
| Allocation concealment (selection bias) | Unclear risk | Information not available. |
| Patient's baseline characteristics (selection bias) | Low risk | Information not available. |
| Patient's baseline outcomes (selection bias) | Low risk | Information not available. |
| Incomplete outcome data (attrition bias) | High risk | Information not available. |
| Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | Unclear risk | Information not available. |
| Selective reporting (reporting bias) | Low risk | Information not available. |
| Risk of contamination (other bias) | High risk | Information not available. |
| Other bias | Low risk | No evidence of other bias |