Yoo 2009.
Study characteristics | ||
Methods |
A ubiquitous chronic disease care system using cellular phones and the internet Patient RCT, conducted in 1 university hospital and 1 public health centre, South Korea Two arms: 1. Control (control arm) and 2. Intervention (intervention arm) |
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Participants | Control arm N: 61 Intervention arm N: 62 Diabetes type: type 2 Mean age: 58.2 ± 8.8 % Male: 58.5 Longest follow‐up: 3 months |
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Interventions |
Control arm: None Intervention arm: 1) Electronic patient registry 2) Facilitated relay of clinical information 3) Patient education 4) Promotion of self‐management 5) Patient reminders |
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Outcomes | 1) HbA1c, mean % (SD) Control arm: pre 7.4 (0.9), post 7.6 (1.0) Intervention arm: pre 7.6 (0.9), post 7.1 (0.8) 2) SBP, mean mmHg (SD) Control arm: pre 137.8 (17.8), post 134.0 (13.6) Intervention arm: pre 140.2 (18.8), post 132.7 (16.2) 3) DBP, mean mmHg (SD) Control arm: pre 83.3 (10.0), post 82.2 (7.7) Intervention arm: pre 84.4 (10.0), post 80.3 (9.2) 4) LDL, mean mg/dL (SD) Control arm: pre 92.8 (27.1), post 88.9 (27.1) Intervention arm: pre 100.5 (27.1), post 85.1 (23.2) |
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Funding source | This study was funded by a grant from the Seoul R & BD Project. The development of the HSA business model and technology was sponsored by the Ministry of Commerce, Industry and Energy. | |
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) | Unclear risk | Table 1. P values provided and greater than 0.05. No education information. |
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 | 5 patients (8.1%) dropped out of the intervention group and 7 (10%) out of the control group. The characteristics of patients who did and did not drop out were similar in both the intervention and control groups. |
Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | Low risk | Objective measure of HbA1c, LDL, BP. |
Selective reporting (reporting bias) | Unclear risk | No reported protocol. Methods match outcomes reported. |
Risk of contamination (other bias) | Low risk | Remotely delivered intervention. Control participants did not have access to testing device. |
Other bias | Low risk | No evidence of other bias. |