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

Gillani 2016.

Study characteristics
Methods Determining effective diabetic care; a multicentre ‐ longitudinal interventional study
RCT (NA clusters and NA providers), conducted in 1) outpatient department (OPD) for diabetic treatment, All the type 2 diabetes patients registered more than 6 months with diabetic clinics in Pulau Pinang and general hospital Penang were recruited. 2) Participants (in the telemonitoring intervention) received feedback upon receipt of transmission from the study co‐ordinator; a registered pharmacist provide once weekly visit to participant (in pharmacist intervention arm) home for monitoring and evaluation (also provide counselling). In Malaysia
3 arms: 1. Control (usual care) (control arm) and 2. Intervention (tele‐monitoring) (intervention arm)3. Intervention (pharmacist) (other arm)
Participants Control arm N: 50
Intervention arm N: 50, 50, NA
Diabetes type: 2
Mean age: 53 ± 13.86
% Male: 56.67
Longest follow‐up: 6 months
Interventions Control arm: (usual care)
Intervention arm: (tele‐monitoring)
1) Electronic patient registry
2) Facilitated relay of clinical information
3) Promotion of self‐management
Intervention arm: (pharmacist)
1) Case management
2) Team change
3) Facilitated relay of clinical information
4) Patient education
Outcomes Glycated haemoglobin
Harms
Funding source NR
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Systemic random sampling technique is used to distribute the participants to the arms.
Allocation concealment (selection bias) Unclear risk Not reported.
Patient's baseline characteristics (selection bias) Low risk Initial baseline comparison showed "No significant difference" between the 2 intervention arms and control group. Table 1 P values support this.
Patient's baseline outcomes (selection bias) Low risk Initial baseline comparison showed "No significant difference" between the 2 intervention arms and control group. Table 1 P values support this.
Incomplete outcome data (attrition bias) Unclear risk Sample size was calculated to account for a 20% loss to follow‐up, however no discussion about dropout was made, and no post values were provided.
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) Unclear risk Objective measure via glucometer for HbA1c, subjective for harms.
Selective reporting (reporting bias) Unclear risk No protocol registered. Outcomes match methods description.
Risk of contamination (other bias) Low risk Patient randomised. Unlikely that control group received intervention.
Other bias Low risk None identified.