The effect of electronic reminders on risk management among diabetic patients in low resourced settings

Adjei, DN; Agyemang, Charles; Dasah, J.B.; Kuranchie, P.; Amoah, Albert

doi:10.1016/j.jdiacomp.2015.05.008

Cited by 14 publications

(25 citation statements)

References 12 publications

(12 reference statements)

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“…A randomized control (RCT) study in Ghana [ 71 ] evaluating the effect of electronic reminders on risk management among diabetic patients proved this intervention successful in increasing adherence to medical appointments and reducing FBG in the intervention group. The establishment of peer-support groups has also proven effective in increasing diabetic patients' adherence to treatment and in improving clinical outcomes, as demonstrated by a RCT in Cameroon [ 72 ], by a retrospective study in Kenya [ 44 ], and in the setting of a diabetes camp for children in Cameroon [ 73 ].…”

Section: Resultsmentioning

confidence: 99%

Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

Nuche-Berenguer

Kupfer

2018

Journal of Diabetes Research

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Background Effective health systems are needed to care for the coming surge of diabetics in sub-Saharan Africa (SSA). Objective We conducted a systematic review of literature to determine the capacity of SSA health systems to manage diabetes. Methodology We used three different databases (Embase, Scopus, and PubMed) to search for studies, published from 2004 to 2017, on diabetes care in SSA. Results Fifty-five articles met the inclusion criteria, covering the different aspects related to diabetes care such as availability of drugs and diagnostic tools, the capacity of healthcare workers, and the integration of diabetes care into HIV and TB platforms. Conclusion Although chronic care health systems in SSA have developed significantly in the last decade, the capacity for managing diabetes remains in its infancy. We identified pilot projects to enhance these capacities. The scale-up of these pilot interventions and the integration of diabetes care into existing robust chronic disease platforms may be a feasible approach to begin to tackle the upcoming pandemic in diabetes. Nonetheless, much more work needs to be done to address the health system-wide deficiencies in diabetes care. More research is also needed to determine how to integrate diabetes care into the healthcare system in SSA.

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Section: Resultsmentioning

confidence: 99%

Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

Nuche-Berenguer

Kupfer

2018

Journal of Diabetes Research

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“…Some interventions involved a collaboration between patient and health care provider and were delivered face-to-face (Ammentorp et al, 2013;Pyatak et al, 2018). The remaining interventions used technology (Adjei et al, 2015;Celik et al, 2015;Dobson et al, 2018;Klingensmith et al, 2013;Martinez-Sarriegui et al, 2011;Mulvaney et al, 2018;Petry et al, 2015;Wong et al, 2017). The comprehensive interventions were tailored to individuals within their life situations and involved habits and routines.…”

Section: T1dmentioning

confidence: 99%

Habit and Routine Interventions with Emerging Adults with Diabetes: An Integrative Review

et al. 2021

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Although theoretical and empirical writings on habits and routines are a promising body of science to guide interventions, little is known about such interventions among emerging adults with type 1 diabetes. Thus, an integrative review was conducted to describe interventions in relation to habits and routines, their influence on outcomes, and users’ perspectives. A medical librarian conducted a search. Teams screened titles, abstracts, and articles based upon predefined criteria. Evidence from the final 11 articles was synthesized. A minority of investigators explicitly articulated habits and routines theoretical underpinnings as part of the interventions. However, text messaging or feedback via technology used in other interventions could be implicitly linked to habits and routines. For the most part, these interventions positively influenced diabetes self-management-related behaviors and health outcomes. In general, the interventions were perceived positively by users. Future research is advocated using habit and routine theoretical underpinnings to guide interventions.

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“…Typical characteristics of these mhealth technologies include recording of dosing events, storage of records, audiovisual reminders, digital displays, real-time monitoring and performance feedback. A trial in Ghana demonstrated that web-based SMS reminders substantially improved patient adherence to diabetic care and their clinical outcomes [6]. Recent studies have included electronic monitors (e-monitors) as they deliver detailed, precise, and objective data on daily adherence within a real-world setting [7–10].…”

Section: Introductionmentioning

confidence: 99%

Protocol for a randomised controlled trial to evaluate the effectiveness of improving tuberculosis patients’ treatment adherence via electronic monitors and an app versus usual care in Tibet

Wei

Hicks

Pasang

et al. 2019

Trials

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Background Treatment non-adherence is a serious challenge to effective tuberculosis (TB) control in Tibet. In this study we will pilot and evaluate the effectiveness of using new electronic monitors (e-monitors) and a smartphone app to improve treatment adherence among new pulmonary TB patients in Tibet. Methods We will use a multicentre, parallel-group, individually randomised controlled, superiority trial with blinded outcome evaluation and unblinded treatment. We will randomise new pulmonary TB outpatients (aged ≥ 15 years old and free from communication impairment) from Shigatse, Tibet to either the intervention or control arm in a 1:1 ratio at the time of their diagnosis. All patients will be treated according to the World Health Organisation standard 6-month TB treatment regimen and the China National TB programme guidelines. Intervention arm patients will be given their medication via e-monitors that have automatic voice reminders, and record medication adherence data and share it with health staff via Cloud connection. Intervention patients will also be encouraged to receive smartphone-based video-observed treatment if their adherence is problematic. Control arm patients will receive their medication in e-monitors that will collect medication adherence history, but will have their reminder function deactivated and are not linked to the app. The primary outcome is the rate of poor adherence, measured monthly during treatment as a binary indicator where poor adherence means missing ≥ 20% of doses in a month. We will conduct a qualitative process evaluation to explore operational questions regarding acceptability, cultural appropriateness and burden of technology use, as well as a cost-effectiveness analysis and an analysis of the long-term effects of the intervention on TB control. Discussion Our study is one of the first trials to evaluate the use of e-monitors and smartphone apps for customised treatment support in low- and middle-income countries (LMICs). All intervention activities are designed to be embedded into routine TB care with strong local ownership. Through the trial we intend to understand the feasibility of our intervention, its effectiveness, its cost-effectiveness and its long-term impacts to inform future scale-up in remote areas of China and other LMICs. Trial registration Current Controlled Trials, ID: ISRCTN52132803 . Registered on 9 November 2018. Electronic supplementary material The online version of this article (10.1186/s13063-019-3364-x) contains supplementary material, which is available to authorized users.

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The effect of electronic reminders on risk management among diabetic patients in low resourced settings

Cited by 14 publications

References 12 publications

Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

Habit and Routine Interventions with Emerging Adults with Diabetes: An Integrative Review

Protocol for a randomised controlled trial to evaluate the effectiveness of improving tuberculosis patients’ treatment adherence via electronic monitors and an app versus usual care in Tibet

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