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

Kong 2019.

Study characteristics
Methods Effectiveness of the chronic care model in type 2 diabetes management in a community health service center in china: a group randomized experimental study
Clustered RCT (12 clusters and NR providers), conducted in 1) Zhaohui Community Health Service Center in Hangzhou, Zhejiang province, China. The community health service centre covers 12 communities with a geographic area of 3.03 square kilometres. 2) Each team included a responsible physician, a health manager and a public health assistant. In China.
2 arms: 1. Control (conventional care) (control arm) and 2. Intervention (chronic care model) (intervention arm)
Participants Control arm N: 150
Intervention arm N: 150, NA, NA
Diabetes type: 2
Mean age: 70.25 ± 11
% Male: 42.62
Longest follow‐up: 9 months
Interventions Control arm: (conventional care)
1) Clinician reminder
Intervention arm: (chronic care model)
1) Team change
2) Electronic patient registry
3) Clinician education
4) Clinician reminder
5) Facilitated relay of clinical information
6) Promotion of self‐management
Outcomes Glycated haemoglobin
Systolic blood pressure
Diastolic blood pressure
Low‐density lipoprotein
Funding source This study was supported by the National Natural Science Foundation of China (number: 70603024), the Zhejiang Provincial Natural Science Foundation (number: LY16G030005) and the Fundamental Research Funds for the Central Universities of China
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported.
Allocation concealment (selection bias) Low risk Cluster‐RCT, community allocation.
Provider's baseline characteristics (selection bias) Unclear risk Not reported.
Patient's baseline characteristics (selection bias) High risk Table 1. P values for diabetes duration and marital status were less than 0.05. Age had a P value of 0.05 between groups.
Patient's baseline outcomes (selection bias) Low risk Table 1. P values provided and greater than 0.05.
Incomplete outcome data (attrition bias) Low risk Figure 1. 12/136 lost in control group, 8/142 lost in intervention group. No reasons for loss provided.
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) Low risk Objective measure for HbA1c, BP, LDL.
Selective reporting (reporting bias) Unclear risk No registered protocol. Methods match outcomes.
Risk of contamination (other bias) Low risk Cluster‐randomised. Community allocated.
Other bias Low risk None identified.