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. 2014 Sep 4;2014(9):CD006424. doi: 10.1002/14651858.CD006424.pub3

Baradaran 2006.

Methods Parallel randomised controlled clinical trial (RCT)
Randomisation ratio: 1:1 South Asians plus white comparison control group approx 2:1
Superiority design
Participants Inclusion criteria:
  • South Asian origin

  • Diagnosis of type 2 DM

  • > 30 years of age


Exclusion criteria: not stated
Diagnostic criteria: not specified
Interventions Number of study centres: 3 general practices; 1 day care centre (originally 2 but 1 closed while the study was ongoing)
Treatment before study: not stated if previous HE
Intervention: 3 group sessions (1‐hour dietician‐led session and 1 hour and a half podiatrist‐led session) in 3 months. The intervention had a didactic component and an interactive group discussion component
Outcomes Outcomes reported in abstract of publication:
Primary outcome(s):
Changes in scores (from baseline to post intervention) for the following variables:
  • Knowledge

  • Attitudes towards seriousness

  • Attitudes towards complication

  • Practice


Secondary outcome(s): 
 Differences in changes in score in above variables (4)
Study details Run‐in period: not stated
Study terminated before regular end: no
Publication details Language of publication: English
Funding: funded in part by Iran University of Medical Sciences
Publication status: peer‐reviewed journal
Stated aim of study Quote from publication: "To develop a culturally appropriate educational intervention programme for South Asians with type 2 DM, and to assess if the intervention would improve knowledge, attitudes and practice of diabetes"
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote from publication: "The South Asian group was divided by gender, then each stratum was further divided based on their reading ability in any language.."
 Comment: not mentioned how randomly assigned to intervention/control
Allocation concealment (selection bias) Unclear risk Comment: not stated
Blinding of participants and personnel (performance bias) 
 Objective outcomes Unclear risk Comment: no objective outcomes in study
Blinding of participants and personnel (performance bias) 
 Subjective outcomes High risk Comment: unlikely because of the nature of the intervention
Blinding of outcome assessment (detection bias) 
 Lab tests: Lipids, HBA1C Unclear risk Comment: no objective outcomes
Blinding of outcome assessment (detection bias) 
 Subjective outcomes High risk Comment: not blinded because of the nature of the study
Incomplete outcome data (attrition bias) 
 Objective outcomes Unclear risk Comment: no objective outcomes
Incomplete outcome data (attrition bias) 
 Subjective outcomes Low risk Comment: analysis of those lost to follow‐up looking at their baseline data and comparability. Roughly equal control and intervention group dropout rates, similar reasons for missing data across groups
Selective reporting (reporting bias) Unclear risk Comment: no study protocol seen
Other bias Unclear risk Comment: none