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) |
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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 |
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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 |
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Outcomes | Glycated haemoglobin Systolic blood pressure Diastolic blood pressure Low‐density lipoprotein |
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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. |