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. 2000 Oct 23;2000(4):CD001481. doi: 10.1002/14651858.CD001481

Kinmonth 1998.

Methods RCT (pragmatic parallel group design, randomisation by practices) 
 Randomisation concealment: DONE 
 Follow up: 
 ‐ providers: DONE 
 ‐ patients: NOT DONE 
 Blinded assessment: DONE 
 Baseline: DONE for BMI, blood pressure, 
 NOT CLEAR HbA1c, total cholesterol, triglyceride, urinary albumin/Creatinine 
 Reliable outcomes: DONE for laboratory outcomes 
 NOT CLEAR for blood pressure, BMI 
 Protection against contamination: DONE
no unit of analysis error, because patients' results were corrected for clustering at practice level
Participants 41 practices of 245 eligible practices in a health region in southern England. 245/467 of all practice teams were eligible. 360 of 522 patients were eligible for inclusion. 250 patients completed the study (Type 2 diabetes). 
 providers ‐ 43 doctors 
 supported by 64 
 nurses 
 patients ‐ 360 
 practices ‐ 41
Interventions Intervention group: 
 Professional intervention (distribution of educational materials + educational meetings (training in patient centred care)) + patient education (booklet for patients)
Control group: 
 received no training in patient centred care but were also offered special support sessions focusing on use of guidelines and materials
Length of intervention: 
 1 year
Outcomes PROCESS: 
 NONE
PATIENT: 
 HbA1c 
 Total cholesterol 
 Triglyceride 
 BMI 
 Systolic blood pressure 
 Diastolic blood pressure 
 Urinary albumin/Creatinine
Quality of life
Depressed Wellbeing
Wellbeing overall 
 Subscales 
 Depression 
 Anxiety 
 Energy 
 Positive wellbeing
Notes National guidelines 
 ‐directed at monitoring and treatment 
 ‐targets: clinical, social and psychological outcomes
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate