Babamoto 2009.
Methods |
Parallel randomised controlled clinical trial (RCT) Randomisation ratio: 3 groups 1:1:1 Superiority design |
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Participants |
Inclusion criteria:
Exclusion criteria:
Diagnostic criteria: |
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Interventions |
Number of study centres: 3 Treatment before study: no Intervention group: a CHW‐led intervention consisting of individual education sessions at participant's home/clinic/community location and supporting telephone calls; education sessions lasted for a 10‐week period (unclear how frequent they were). CHWs were bilingual Hispanics; education sessions were tailored to participant needs—some topics may have been covered more then once, some not at all, depending on participant needs; telephone calls were made 'routinely' during this period and then for 14 weeks after the intervention (up to 6 months). The second intervention group received case management by culturally sensitive nurses Control group: received no extra contact |
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Outcomes |
Outcomes reported in abstract of publication:
Primary outcome(s): Secondary outcome(s): Outcome measures were assessed at completion of the 6‐month intervention programme |
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Study details |
Run‐in period: unclear Study terminated before regular end: no |
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Publication details |
Language of publication: English Funding: not stated Publication status: peer‐reviewed journal |
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Stated aim of study | Quote from publication: "Evaluate the relative effectiveness of a CHW intervention among Hispanic persons with newly diagnosed type 2 diabetes (compared with case management and usual care)" | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Comment: randomisation via a "random‐number table" |
Allocation concealment (selection bias) | Unclear risk | Comment: not commented upon |
Blinding of participants and personnel (performance bias) Objective outcomes | High risk | Comment: no one was blinded—participants, providers or outcome assessors |
Blinding of participants and personnel (performance bias) Subjective outcomes | High risk | Comment: no one was blinded—participants, providers or outcome assessors |
Blinding of outcome assessment (detection bias) Lab tests: Lipids, HBA1C | Unclear risk | Comment: no one was blinded—participants, providers or outcome assessors; unlikely to affect objective measurement of HbA1c, but BMI can be more subject to bias in measurement (e.g. rounding differences) |
Blinding of outcome assessment (detection bias) Subjective outcomes | High risk | Comment: no blinding |
Incomplete outcome data (attrition bias) Objective outcomes | High risk | Comment: not an ITT analysis. High attrition rate and differences between groups (43%‐50% control and 28% intervention) |
Incomplete outcome data (attrition bias) Subjective outcomes | High risk | Comment: as above |
Selective reporting (reporting bias) | Unclear risk | Comment: protocol not seen |
Other bias | Unclear risk | Comment: none |