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

Marrero 1995.

Methods RCT (randomised by patient) 
 Randomisation concealment: NOT CLEAR 
 Follow up: 
 ‐ providers: N/A 
 ‐ patients: NOT CLEAR 
 Blinded assessment: DONE for HbA1, diabetes‐specific quality of life, psychological status 
 NOT CLEAR for hospitalisation/emergency room visits 
 Baseline: DONE for HbA1 
 NOT CLEAR for diabetes‐specific quality of life, psychological status 
 hospitalisation/emergency room visits 
 Reliable outcomes: DONE for HbA1, diabetes‐specific quality of life, psychological status 
 NOT CLEAR for hospitalisation/emergency room visits 
 Protection against contamination: NOT CLEAR
Participants Paediatric diabetes clinic, Indianapolis (US) 
 Recruitment was conducted during routine visits in which patients and their families were approached (Type 1 diabetes) 
 providers ‐ ? (nurse 
 practitioners) 
 patients ‐ 106 
 practices ‐ 1 clinic
Interventions Intervention group: 
 Professional intervention (distribution of educational materials + patient mediated interventions (a telecommunication system was used to assist in outpatient management)) + organisational intervention (skill mix changes 
 (nurse practitioners reviewed data on self‐monitoring of blood glucose and made insulin adjustments) + case management + changes in facilities and equipment 
 (modem+glucose reflectance meters with memory) + changes in medical record systems)
Control group: usual care
Length of intervention: 
 1 year
Outcomes PROCESS: 
 NONE
PATIENT: 
 HbA1 
 Hospitalisation/Emergency Room visits 
 Psychological status Diabetes‐specific quality of life
Notes Local developed algorithms 
 ‐directed at monitoring and treatment 
 ‐targets: glycaemic control
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear