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. 2019 Dec 6;2019(12):CD011207. doi: 10.1002/14651858.CD011207.pub2

Ali 2012.

Methods Design: RT
Groups: intervention (diabetes education); control (usual care)
Participants Pharmacies: 2
Pharmacy workers: pharmacists 3
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Pharrmacy users: 48 people with type 2 diabetes
  • mean age: control 66.8 ± 10.2 years; intervention 66.4 ± 12.7 years

  • % female: control 43.5%; intervention 56.5%


Setting: unsure
Country: UK
Interventions Pharmacy worker‐directed intervention: 8‐hour training programme involving workshop sessions with a consultant diabetologist and diabetes specialist nurse
TDF: knowledge
Pharmacy worker control: it appears the same pharmacists delivered both control and intervention treatments
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Pharmacy user‐directed intervention: patients received a programme of education about diabetes, its treatment and associated cardiovascular risk factors.
  • Delivered by: pharmacists

  • Type: self‐management, behaviour change, education materials

  • Mode of delivery: individual face‐to‐face

  • TDF: knowledge

  • Duration: 6 sessions over 12 months (every month for the first 2 months, and then every 3 months until month 12; a total of six appointments)

  • Follow up: 12 months (i.e. end of intervention)


Pharmacy user control: usual care
Outcomes Pharmacy worker: not assessed
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Pharmacy user:
  • Clinical: BMI, SBP/DBP, blood glucose, HbA1c, LDL, HDL, triglycerides, total cholesterol

  • Psychological health: not assessed

  • Behavioural: not assessed

  • Quality of life: Diabetes Quality of Life Brief Clinical Inventory (DQOL), Health Status (Short Form‐36)

  • Process: Satisfaction with Information received about Medicines (SIMS); Patients' concerns and necessities about their medicines (Beliefs about Medication Questionnaire (BMQ); Diabetes Knowledge Test (DKT))

  • Costs/resources: emergency hospital visits or admissions (diary)

Notes Study/intervention name: none reported
Funding source: Department of Health, UK; Merck Sharp, Dohme Ltd
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation conducted by a computer‐generated randomised list.
Allocation concealment (selection bias) Low risk List held by the researcher at the School of Pharmacy, eliminating the potential influence of pharmacists on the randomisation.
Baseline outcome measures similar Low risk No difference in primary outcomes, some secondary outcomes not used in current analysis were significantly different
Baseline characteristics similar Low risk No differences
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No incomplete data
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported
Protection against contamination High risk Control and intervention participants randomised within same pharmacy
Selective reporting (reporting bias) Unclear risk Some selective reporting; assessed questionnaires at 5 months but did not report, data on medication use not included, but no significant differences reported.
Other bias Low risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not reported