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 |
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Outcomes | PROCESS:
NONE PATIENT: HbA1 Hospitalisation/Emergency Room visits Psychological status Diabetes‐specific quality of life |
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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 |