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. 2014 Dec 16;2014(12):CD001488. doi: 10.1002/14651858.CD001488.pub5

Corbett 2003.

Methods RCT
Participants 40 people with type 2 diabetes mellitus randomised: intervention 20 vs control 20
Baseline risk for foot ulceration:
 70% had loss of protective sensation
 67% had impaired lower extremity circulation
 50% had a foot deformity
 Foot risk assessment: no significant differences between groups
Baseline outcome measures: no significant differences between groups
 Study setting: community‐based care, people with type 2 diabetes mellitus admitted to home care in the USA
Inclusion criteria: physically and mentally able to participate, able to read and understand English, age 18 years or older, no lower‐extremity ulcer, no history of lower‐extremity amputation
Interventions Intervention group:
 10 to 20 minutes' individualised patient education including verbal and written instructions according to participants' risk factors and foot care knowledge, self‐efficacy and reported self‐care behaviour by research nurse. Content: foot care education topics: individual risk factors, washing and drying feet, toenail care, footwear, moisturising feet, reportable foot problems. If desired: demonstration of nail trimming and problem‐solving discussion to discover alternative care solutions
Control group:
No intervention
Adherence: 19 of 20 intervention group people attended the single education session
Outcomes Primary outcomes: not reported
 Secondary outcomes: foot care knowledge score, foot care practice score, patients' self confidence scores
Duration and completion of follow‐up 6 weeks after the intervention (people were enrolled in the study already 6 weeks prior to the intervention to ensure proper baseline measurements); 35 people completed follow‐up intervention 19 vs control 16
Types of assessment Foot care knowledge assessment: 7 questions with 4 choices; foot care practice assessment: 7 questions with 4 choices; patients' self confidence assessment: 7 aspects of foot care rated on a 6‐point scale
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomly drawing labelled consent forms, the sequence having been generated by shuffling
Allocation concealment (selection bias) Low risk Consent form labels were covered by opaque stickers and randomly shuffled
Blinding (performance bias and detection bias) 
 Blinding of outcome assessors Unclear risk No information provided
Incomplete outcome data (attrition bias) 
 All outcomes High risk 35 of 40 people completed follow‐up (intervention 19 vs control 16). Reasons for missing data were not reported
 No ITT analyses were undertaken
Selective reporting (reporting bias) Low risk No study protocol available, but the trial report lists the outcomes of interest in both the methods and the results section
Other bias Unclear risk Baseline foot risk assessment: 'no significant differences between groups'
 Co‐interventions were not described
 Adherence: 19 of 20 intervention group people attended the single education session