Dale 2007.
Methods | Setting: Midlands, England. Recruitment: Participants recruited through 43 general practices in the West Midlands. Randomisation: RCT 3 arm. This study explicitly drew on the definition of peer support by Dennis as "the provision of emotional, appraisal and informational assistance by a created social network member who possesses experiential knowledge of a specific behaviour or stressor and similar characteristics as the target population" (Dennis 2003a). Peer training: Peer supporters were trained at a two day training event on motivational interviewing and listening skills. |
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Participants | 231 patients with a recent glycated haemoglobin greater than 7.4% and who had been advised of the benefit of reducing their glycated haemoglobin with or without a change in prescribed tablet based therapy. | |
Interventions | Intervention:Diabetes Specialist Nurses and peer telephone supporters attended a 2‐day training programme that focused on empowerment, motivational interviewing and active listening skills. For both intervention arms the first call was made 3 to 5 days after recruitment. Caller: Calls were made by peer supporters but timing was negotiated with the recipient and the number of calls were as often as the participant deemed necessary. Control group: No intervention. Participants were encouraged to follow medical advice given to them by their GP or practice nurse. |
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Outcomes |
Method of assessing outcome measures: paper questionnaire and clinical records. |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Low risk | Table of random numbers. |
Allocation concealment? | Low risk | A ‐ Adequate. |
Blinding? Participants | High risk | Not done. |
Blinding? Providers | High risk | Not done. |
Blinding? Outcome assessors | Low risk | Reported by authors. |
Blinding? Data analysts | Low risk | Reported by authors. |
Incomplete outcome data addressed? All outcomes | Low risk | Intention‐to‐treat analysis. |
Free of selective reporting? | Low risk | All outcomes reported. |