Dinglas 2015.
Study characteristics | ||
Methods | Two RCTs, individuals randomised. | |
Data | US, secondary care setting. 1) Trial 1 (mail trial): participants who had been enrolled before the introduction of this survey were sequentially randomised. Total n = 332; mean age 48.8 (SD 15.0) years; 52% females; 20% of ethnic minorities (i.e. African American, Asian, American Indian and Alaskan Native), 24% unemployed; 46% retired or disabled. 2) Trial 2 (Phone trial): non‐responders from the prior mail and those excluded from mail trial due to lack of a correct mailing address were eligible. Total n = 171; mean age 46.0 (SD 14.7) years; 51% females; 26% of ethnic minorities (i.e. African American, Asian, American Indian and Alaskan Native), 26% unemployed; 43% retired or disabled. |
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Comparisons | 1) Trial 1 (Mail trial) participants were randomised to mailed letters every two weeks until the survey was completed. Intervention group 1 received a "personal format letter" in which their mailing address and the return address were handwritten, and a traditional stamp was stamped using the envelope. Intervention group 2 received a "business format letter" in which the addresses were typed, and a commercial stamp‐machine affixed the postage. 2) Trial 2 (Phone trial): started 20 days after the end of the mail trial. These telephone calls were made once weekly by the same caller, for up to 4 weeks, until the participant was reached by telephone or the participant called back and completed the survey. Intervention group receive a personalised voice message. Control group received generic voice message. |
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Outcomes | Participant to complete the insurance survey. | |
Notes | Retention period: 1) Trial 1 (mail trial): unclear. However, every two weeks until the survey was completed, or the participant was sent a total of 4 mailings. Trial 2 (Phone trial): unclear. However, once weekly by the same caller, for up to 4 weeks |
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Risk of bias | ||
Item | Authors' judgement | Support for judgement |
Allocation concealment? | Unclear | Not discussed in the paper. |
Adequate sequence generation? | Yes | In both the mail and the phone trials, randomisation was performed by a statistician using computer‐generated random numbers with an allocation ratio of 1:1. |
Blinding of participants and personnel? | Yes | Given the nature of this study design, outcome assessment was not blinded, but participants were blinded. Unclear about the personnel. unblinding not likely to impact objective outcome |
Blinding of outcome assessment? | Yes | Given the nature of this study design, outcome assessment was not blinded. However, objective outcome, participants blinded (did not know there was a study) telephone contact was only those participants who received the scripted message, not those who were spoken to, staff have no/very limited plausible additional opportunity to influence postal response rate once questionnaires sent. |
Incomplete outcome data addressed? All outcomes | Yes | No concerns raised. |
Free of selective outcome reporting? | Yes | No concerns raised. |
Other sources of bias | Yes | No further concerns raised. |
Overall Risk of Bias | Unclear | Unclear |