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

Shahid 2015.

Study characteristics
Methods Mobile phone intervention to improve diabetes care in rural areas of Pakistan: a randomized controlled trial
RCT (NA clusters and NA providers), conducted in 1) Outpatient services of Department of Endocrinology, Liaquat National Hospital (LNH). 2) The intervention involved the principal Investigator (from the Department of Endocrinology) and diabetes educationist. In Pakistan.
2 arms: 1. Control (usual care) (control arm) and 2. Intervention (mobile phone) (intervention arm)
Participants Control arm N: 220
Intervention arm N: 220, NA, NA
Diabetes type: 2
Mean age: 49.08 ± 1.67
% Male: 61.4
Longest follow‐up: 4 months
Interventions Control arm: (usual care)
1) Facilitated relay of clinical information
2) Patient education
3) Promotion of self‐management
Intervention arm: (mobile phone)
1) Case management
2) Facilitated relay of clinical information
3) Patient education
Promotion of self‐management
Outcomes Glycated haemoglobin
Systolic blood pressure
Diastolic blood pressure
Low‐density lipoprotein
Hypertension control
Funding source Not reported
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported. Patients were randomly distributed in the intervention and non‐intervention groups based on gender.
Allocation concealment (selection bias) Unclear risk Nothing reported about concealment.
Patient's baseline characteristics (selection bias) Low risk Table I, all P values above 0.05.
Patient's baseline outcomes (selection bias) High risk Table II: P values under 0.05 for diastolic blood pressure, number of patients with hypertension and medication intake.
Incomplete outcome data (attrition bias) Unclear risk Loss to follow‐up not addressed.
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) Low risk Our outcomes of interest are all objective (HbA1c, SBP, DBP, patients with hypertension and LDL). Before randomisation into groups, baseline data were taken by the staff of the clinic, however, it was not possible to blind the patients and the clinicians to the allocation groups.
Selective reporting (reporting bias) Unclear risk No registered protocol or previously published protocol. Results match methods.
Risk of contamination (other bias) Low risk Patients never saw each other. Intervention made individually by phone.
Other bias Low risk No evidence of other bias.