Gutierrez 2011.
Study characteristics | ||
Methods |
Shared medical appointments in a residency clinic: an explanatory study among Hispanics with diabetes Patient RCT, conducted in a family medicine residency clinic (for underserved and uninsured indigent populations), USA Two arms: 1. Control (control arm) and 2. Shared medical appointments (intervention arm) |
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Participants | Control arm N: 53 Intervention arm N: 50 Diabetes type: type 2 Mean age: NR ± NR % Male: NR Longest follow‐up: 17 months |
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Interventions |
Control arm: None Intervention arm: 1) Team changes |
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Outcomes | 1) Aspirin, N users (%) Control arm: pre 37 (70), post 36 (68) Intervention arm: pre 29 (58), post 48 (96) 2) Retinopathy screening (eye exam), N screened (%) Control arm: pre 36 (68), post 33 (62) Intervention arm: pre 32 (64), post 46 (92) 3) Foot screening, N screened (%) Control arm: pre 45 (85), post 32 (60) Intervention arm: pre 34 (68), post 47 (94) |
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Funding source | This study was supported by the Department of Family and Community Medicine, University of Texas Southwestern Medical School Parkland Family Medicine Clinic; by a Community Action Research Experience project funded by grant D58HP08301 from the Department of Health and Human Services Health Resources and Services Administration; and by a foundation grant from the Texas Academy of Family Physicians. | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "…table of random numbers." |
Allocation concealment (selection bias) | Unclear risk | Not mentioned. |
Patient's baseline characteristics (selection bias) | Unclear risk | Characteristics mentioned in text, but no data were presented. |
Patient's baseline outcomes (selection bias) | Unclear risk | No baseline outcome measures provided. |
Incomplete outcome data (attrition bias) | Unclear risk | No mention of losses to follow‐up; cannot assume 100% follow‐up unless specifically stated. |
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | High risk | HbA1c measurement not described and outcome assessor was not blinded. |
Selective reporting (reporting bias) | Low risk | < 2005 approach used since no protocol; they report all outcomes provided in methods. |
Risk of contamination (other bias) | High risk | Quote: "Possibility of a halo effect exists, where providers participating in shared medical appointments (SMAs) could have gained new knowledge and insight that allowed them to better treat patients in the control group." |
Other bias | Low risk | Information not available. |