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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Moreland 2006.

Methods Design: three group parallel trial 
 Purpose: examine the effect of a blood glucose monitoring manual in adults with diabetes
Participants Patients: out‐patients with diabetes 
 Baseline comparability: yes
Interventions Placebo: session of diabetes education and a blood glucose meter ('attention control') 
 Untreated: no session 
 Experimental: session of diabetes education based on a blood glucose manual and a blood glucose meter 
 (Co‐intervention: standard diabetes care)
Outcomes Frequency of blood glucose measurements 
 Glycaemic control 
 Knowledge of HbA1c 
 Affect regarding blood glucoses results
Notes We have multiplied the results by negative 1 to change the direction of the effect in the analyses.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider High risk Not described as double‐blind (placebo/manual)
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Unclear risk Not relevant (not naturally positive continuous outcomes e.g. change)
Trial size > 49? Low risk N = 149
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out > 15% or NS and unclear allocation concealment