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) |
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| 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 |
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| 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 |
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| Outcomes | Glycated haemoglobin Harms |
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| 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. |