Liu 2012.
Study characteristics | ||
Methods |
Effectiveness of using group visit model to support diabetes patient self‐management in rural communities of Shanghai: a randomized controlled trial RCT (NA clusters and NA providers), conducted in 1) The trial was undertaken in 2 rural communities in Songjiang District, Shanghai, China. New community diabetes care service provided by the community health centre. 2) 8 general practice team members (general practitioners, diabetes specialists and community nurses) from the 2 community health centres delivered the intervention. In China. 2 arms: 1. Control (usual care) (control arm) and 2. Intervention (group visit programme) (intervention arm) |
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Participants | Control arm N: 89 Intervention arm N: 119, NA, NA Diabetes type: 2 Mean age: 62.20 ± NR % Male: 37.97 Longest follow‐up: 12 months |
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Interventions |
Control arm: (usual care) Intervention arm: (group visit programme) 1) Case management 2) Team change 3) Patient education 4) Promotion of self‐management 5) Patient reminders |
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Outcomes | Systolic blood pressure Diastolic blood pressure |
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Funding source | The development of the Chinese diabetes group visit programme was supported by grants from the Initiative for Cardiovascular Health Research in Developing Countries (IC‐HEALTH) (ICH/DIA/PDG/O6/03) | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation and allocation to study group were carried out by using a random number table. Randomisation was conducted at each of the 2 rural communities separately. |
Allocation concealment (selection bias) | Unclear risk | Not reported. |
Patient's baseline characteristics (selection bias) | Low risk | Table 3. No P values reported, but the only significant difference was for hypertension prevalence (outcome). |
Patient's baseline outcomes (selection bias) | High risk | Table 4. P values above 0.05 for systolic and diastolic blood pressure, but the prevalence of hypertension was significantly different between those in the intervention and control groups (P = 0.02). |
Incomplete outcome data (attrition bias) | High risk | They lost 11 out of 89 patients (12.4%) in the control group and 21 out of 119 (17.6%) in the intervention group. High and unbalanced numbers. Reasons reported and some are unbalanced (moved out and unknown). |
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | Low risk | Our outcomes of interest were objectively measured (SBP and DBP). |
Selective reporting (reporting bias) | Unclear risk | Retrospectively registered protocol. Results match methods. |
Risk of contamination (other bias) | Unclear risk | Not clear if GPs involved in the intervention also followed patients in the control group. |
Other bias | Low risk | No evidence of other bias. |