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

Keogh 2011.

Study characteristics
Methods Psychological family intervention for poorly controlled type 2 diabetes
Patient RCT, conducted in a specialist diabetes clinic at a large suburban hospital, Ireland
Two arms: 1. Control (control arm) and 2. Intervention (intervention arm)
Participants Control arm N: 61
Intervention arm N: 60
Diabetes type: type 2
Mean age: NR ± NR
% Male: NR
Longest follow‐up: 6 months
Interventions Control arm:
None
Intervention arm:
1) Case management
2) Promotion of self‐management
Outcomes 1) HbA1c, mean % (SD)
Control arm: pre 9.3 (1.1), post 8.8 (1.4)
Intervention arm: pre 9.1 (1.0), post 8.4 (1.0)
2) SBP, mean mmHg (SD)
Control arm: pre 138.0 (17.9), post 135.9 (16.5)
Intervention arm: pre 139.5 (19.2), post 139.7 (20.8)
3) DBP, mean mmHg (SD)
Control arm: pre 77.7 (10.6), post 77.0 (9.9)
Intervention arm: pre 76.0 (9.7), post 75.4 (10.3)
4) Smoking cessation, N smokers (%)
Control arm: pre 13 (28), post 12 (27)
Intervention arm: pre 5 (12), post 3 (7)
Funding source This study was funded by the Irish Health Research Board, project grant RP/2005/178
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "…remote computer‐generated random number sequence."
Allocation concealment (selection bias) Unclear risk They talk about concealment but only the fact that the participants did not know their allocation until they began the study. However, the actual process of concealment was not described.
Patient's baseline characteristics (selection bias) Unclear risk In text not in table.
Patient's baseline outcomes (selection bias) Low risk Information not available.
Incomplete outcome data (attrition bias) High risk Per‐protocol analysis, baseline based on those randomised, but numbers and reasons for loss to follow‐up not balanced.
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) Low risk Quote: "Outcome assessors were blinded to group allocation."
Primary outcome: HbA1c, secondary: SBP.
Selective reporting (reporting bias) Low risk < 2005 approach used since no protocol; methods match outcomes.
Risk of contamination (other bias) Low risk Information not available.
Other bias Low risk None identified.