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

Doucette 2009.

Methods Design: RT
Groups: intervention (extended diabetes care); control (usual care)
Participants Pharmacies: 7
Pharmacy workers: 9 pharmacists
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Pharmacy user: 78 people with type 2 diabetes
  • Mean age: intervention 58.7 ± 13.3 years; control 61.2 ± 10.9 years

  • % female: intervention 21%; control 22%


Setting: unclear
Country: USA
Interventions Pharmacy worker‐directed intervention: participating pharmacists received training in diabetes management and study protocol. Both self‐study and live programs included discussion of mock cases. Skills training in monitoring blood pressure, using a blood glucose meter, filling an insulin syringe, and administering an insulin injection
  • Delivered by: unclear

  • Type: education materials, self‐management

  • Mode of delivery: self‐study and live training

  • TDF: knowledge, skills

  • Duration: self‐study component was 15 hours, but length of live program was not stated.

  • Follow‐up: not stated


Pharmacy worker control: not applicable as control patients seen by other primary care providers
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Pharmacy user‐directed intervention: patients had already received 2 diabetes education sessions, then received extended diabetes care, discussed medications, clinical goals, and self‐care activities; pharmacists recommended medication changes to physicians when appropriate.
  • Delivered by: pharmacists

  • Type: self‐management; disease management

  • Mode of delivery: individual face‐to‐face

  • TDF: knowledge, goals

  • Duration: intervention 12 months; number of interventions: up to 4 (quarterly)

  • Follow‐up: 12 months (end of intervention)


Pharmacy user control: usual diabetes care from their primary care provider
Outcomes Pharmacy worker: not assessed
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Pharmacy user:
  • Clinical: HA1c; LDL‐C; SBP; DBP; BMI

  • Psychological health: not assessed

  • Behavioural: The Summary of diabetes self care activities measure (SDSCA)

  • Quality of life: not assessed

  • Process: not assessed

  • Costs: not assessed

Notes Study/intervention name: none given
Funding source: a grant from the Community Pharmacy Federation
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Unclear, no information provided on method of randomisation
Allocation concealment (selection bias) Unclear risk Unclear, not stated
Baseline outcome measures similar Low risk No differences
Baseline characteristics similar Low risk Minimal differences
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk No intention‐to‐treat analysis. Some patients did not present for final data collection, and 2 intervention patients did not meet pharmacist.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not stated
Protection against contamination Unclear risk Recruitment at patient level, from same centre, unclear if patients attended different pharmacies
Selective reporting (reporting bias) Low risk Paper seemed to report all relevant outcomes.
Other bias Unclear risk Nothing noted
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not blinded