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

Mazzuca 1990.

Methods RCT (nonequivalent control group design, randomised by clinic area) 
 Randomisation concealment: DONE 
 Follow up: 
 ‐ providers: DONE 
 ‐ patients: N/A 
 Blinded assessment: DONE Baseline: NOT CLEAR 
 Reliable outcomes: DONE 
 Protection against contamination: DONE
no unit of analysis error
Participants A general medicine clinic, Indianapolis (US). 
 99 internal medicine residents and 15 faculty internists, 98 were included (Type 2 diabetes). 
 providers ‐ 98 
 patients ‐ 2791 
 encounters ‐ 8132 
 practices ‐ 1 clinic
Interventions Intervention group: Professional intervention (distribution of educational materials + educational meetings, reminders + audit and feedback) + patient education
Control group: only received a postgraduate seminar
Length of intervention: 
 11 months
Outcomes PROCESS: 
 GHb 
 Fasting blood sugar 
 Home‐monitored blood glucose 
 Diet 
 Oral hypoglycaemic agents
PATIENT: 
 NONE
Notes National guidelines (ADA‐guidelines) 
 ‐directed at monitoring and treatment 
 ‐targets: adherence to five key program recommendations (see process outcomes)
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate