Hanauer 2009.
Methods | RCT (2 arms, study duration 3 months) | |
Participants | Diabetes patients (aged 12 to 25 yrs) on insulin treatment (n = 40). | |
Interventions | The Computerized Automated Reminder Diabetes System (CARDS) includes a web‐based module and a messaging/reminder module designed to run autonomously. Participants log into the system via a secure website where they can customize their schedule for reminder messages, and view, edit, and print their blood glucose (BG) diaries. Participants can opt to receive two daily factoids: one related to diabetes education/nutrition and one with trivia. At a pre‐set time, CARDS sends a reminder to check the BG either by cell phone text message (intervention) or by email (control). After a user submits a BG value, regardless of the result, (s)he receives positive feedback. If the submitted BG value is out of range, CARDS provides a warning to take appropriate action according to the healthcare team's recommendations, and then recheck the BG. | |
Outcomes | Primary outcomes: Number of BG results submitted. Secondary outcomes: HbA1c (%). |
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Participants were "randomized to receive reminders either via cell phone text messaging or by e‐mail". No further information on the method or randomisation was presented. |
Allocation concealment (selection bias) | Unclear risk | No information on concealment. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Data presented for all patients randomised. Presumably no loss to follow‐up. |
Selective reporting (reporting bias) | Unclear risk | Study protocol was not available but data presented match the outcome measures described in the methods section. Likely free of selective reporting. |
Other bias | Low risk | There were no significant differences between the email (control) and cell phone (intervention) groups at baseline; no other sources of bias were identified. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Blinding of participants was not possible due to nature of the intervention. Blinding of researchers was not discussed, but likely not done. Unlikely to influence outcome measures. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No information on blinding of outcome assessment. |