Doucette 2009.
Methods | Design: RT Groups: intervention (extended diabetes care); control (usual care) |
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Participants | Pharmacies: 7 Pharmacy workers: 9 pharmacists ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Pharmacy user: 78 people with type 2 diabetes
Setting: unclear Country: USA |
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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
Pharmacy worker control: not applicable as control patients seen by other primary care providers ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 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.
Pharmacy user control: usual diabetes care from their primary care provider |
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Outcomes |
Pharmacy worker: not assessed ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐. Pharmacy user:
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Notes | Study/intervention name: none given Funding source: a grant from the Community Pharmacy Federation |
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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 |