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

O'Hare 2004.

Methods Parallel randomised controlled clinical trial (RCT)
Randomisation ratio: Recruited from 6 practices, I1:C1 180 (3 practices):181 (3 practices)
Superiority design
Participants Inclusion criteria:
  • South Asian origin

  • Type 2 DM

  • At least 1 of the following risk factors: high BP, HbA1c > 7%; or total cholesterol > 5.0 mmol/L


Exclusion criteria: not stated
Diagnostic criteria: not stated
Interventions Number of study centres: 3 practices randomly assigned to intervention and 3 practices to control clusters
Treatment before study: not stated
Intervention: consisted of extra weekly diabetes clinic at primary care centres (with community diabetes input and 2 link workers with language skills). Frequency of participants' exposure to the intervention has not been stated
Control: usual care; practices were provided with protocols; no further resources were provided
Provider: diabetes nurse specialist, practice nurse, dietician—all aided by a link worker
Outcomes Outcomes reported in abstract of publication:
Primary outcome(s):
  • BP

  • HbA1c

  • Total cholesterol


Secondary outcome(s): 
 Economic evaluation (not available)
Study details Run‐in period: not stated
Study terminated before regular end: no
Publication details Language of publication: English
Funding: Pfizer; Aventis UK; Eli Lilly; NovoNordisk; Boehringer Ingleheim; Servier Laboratories UK; Takeda UK
Publication status: peer‐reviewed journal
Stated aim of study Quote from publication: "To test the hypothesis that enhanced diabetes care tailored to the needs of the South Asian community with type 2 DM, would improve risk factors for diabetic vascular complications and ultimately reduce morbidity and mortality"
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: randomly assigned by practice, not individually; does not say how this was done
Allocation concealment (selection bias) Unclear risk Comment: not explained
Blinding of participants and personnel (performance bias) 
 Objective outcomes High risk Comment: does not say whether participants blinded, personnel not blinded
Blinding of participants and personnel (performance bias) 
 Subjective outcomes Unclear risk Comment: no subjective outcomes
Blinding of outcome assessment (detection bias) 
 Lab tests: Lipids, HBA1C Unclear risk Comment: does not say whether practice personnel taking BP were blinded
Blinding of outcome assessment (detection bias) 
 Subjective outcomes Unclear risk Comment: no subjective outcomes
Incomplete outcome data (attrition bias) 
 Objective outcomes Unclear risk Comment: baseline groups similar in characteristics; 10% lost to follow‐up but does explain reasons; does not explain within‐group follow‐up data; 6 died—from which group? No ITT mentioned
Incomplete outcome data (attrition bias) 
 Subjective outcomes Unclear risk Comment: no subjective outcomes
Selective reporting (reporting bias) Unclear risk Comment: study protocol not seen
Other bias Unclear risk Comment: none