Samtia 2013.
| Study characteristics | ||
| Methods |
A multifactorial intervention to enhance adherence to medications and disease‐related knowledge in type 2 diabetic patients in Southern Punjab, Pakistan RCT (NA clusters and NA providers), conducted in 1) Carried out for a 5‐month period in selected diabetes clinics in southern Punjab (Nishter Hospital Multan and DHQ Hospital Layyah), 2) Five pharmacists were the part of the study team in Pakistan 2 arms: 1. Control (usual care) (control arm) and 2. Intervention (pharmacist led predefined care) (intervention arm) |
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| Participants | Control arm N: 170 Intervention arm N: 178, NA, NA Diabetes type: 2 Mean age: 44.24 ± NR % Male: 50.55 Longest follow‐up: 5 months |
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| Interventions |
Control arm: (usual care) Intervention arm: (pharmacist‐led predefined care) 1) Case management 2) Patient education 3) Promotion of self‐management |
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| Outcomes | Glycated haemoglobin Smoking status |
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| Funding source | Not reported | |
| Notes | — | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | Not reported. |
| Allocation concealment (selection bias) | Unclear risk | Not reported. |
| Patient's baseline characteristics (selection bias) | Low risk | Table 1, data looks similar. |
| Patient's baseline outcomes (selection bias) | Unclear risk | Table 1, data looks similar. |
| Incomplete outcome data (attrition bias) | Low risk | Almost all the patients included completed the study (control group: 168/170 and intervention group: 174/178). Reasons for dropout were mainly non‐affordability of medication and travelling costs to keep hospital appointments. Lack of motivation and one patient died during follow‐up. |
| Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | High risk | Self‐report. Patients included in both control and intervention groups were asked to perform fasting blood sugar tests every 4 weeks at 0, 4, 8, 12, 16 and 20 weeks. Patients were asked to test their HbA1c values at the start and at the end of the study. Self‐reporting approach was used to assess adherence to medications. Knowledge regarding disease, self‐monitoring and lifestyle modifications were assessed on no basis at the start and end of the study. |
| Selective reporting (reporting bias) | Unclear risk | No protocol registered. Methods match outcomes. |
| Risk of contamination (other bias) | Unclear risk | Unclear whether intervention pharmacists interacted with control patients. |
| Other bias | Low risk | None identified. |