The role of text messaging intervention in Inner Mongolia among patients with type 2 diabetes mellitus: a randomized controlled trial

Abstract

Background: Short messages service (SMS) provides a practical medium for delivering content to address patients to adherence to self-management. The aim of study was to design some patient-centered health education messages, evaluate the feasibility of messages, and explore the effect of this model. Methods: The messages were designed by a panel of experts, and SMS Quality Evaluation Questionnaire was used to evaluate their quality. A two-arm randomized controlled trial was conducted to evaluate the effectiveness of this management model. Participants were randomly divided into an intervention group (IG) who received evaluated messages and a control group (CG) who received regular education. The primary outcomes were changes in plasma glucose and control rates, and the secondary outcomes were improvements in diet control, physical activities, weight control, etc. Results: A total of 42 messages covering five main domains: health awareness, diet control, physical activities, living habits and weight control were designed, and the average scores of the messages were 8.0 (SD 0.7), 8.5 (SD 0.6), 7.9 (SD 1.0), 8.0 (SD 0.7), and 8.4 (SD 0.9), respectively. In the SMS intervention, 171 patients with an average age of 55.1 years were involved, including 86 in the CG and 85 in the IG. At 12 months, compared with the control group (CG), the decrease of fasting plasma glucose (FPG) (1.5 vs. 0.4, P = 0.011) and control rate (49.4% vs. 33.3%, P = 0.034), the postprandial glucose (PPG) (5.8 vs. 4.2, P = 0.009) and control rate (57.8% vs. 33.7%, P = 0.002) were better in the intervention group (IG). In terms of selfmanagement, improvements in weight control (49.3% vs. 28.2%, P = 0.031), vegetables consumption (87.3% vs. 29.0%, P < 0.001), fruits consumption (27.5% vs. 7.4%, P = 0.022), and physical activities (84.7% vs. 70.0%, P = 0.036) were better in the IG than in the CG. Conclusions: The overall quality of the messages was high. It was effective and feasible to carry out an SMS intervention to improve the behavioral habits of patients with chronic diseases in remote and undeveloped areas.

Telemedicine to deliver diabetes care in low- and middle-income countries: a systematic review and meta-analysis

“…Our included interventions varied in their strategies for the management of diabetes. We identified five modes of intervention delivery, through either smartphone apps (five studies), 14 , 37 , 47 , 50 , 51 SMS (nine studies), 13 , 30 , 36 , 39 , 42 , 46 , 49 , 53 , 54 telemetry (five studies), 32 , 38 , 40 , 48 , 52 telephone (10 studies) 13 , 15 , 18 , 27 , 29 , 33 , 40 , 41 , 44 , 48 and web-based systems including video conferencing (four studies). 31 , 35 , 43 , 45 Most studies focused on a single mode of telemedicine delivery; however, one study considered both telephone and SMS and another study investigated the use of both telephone and telemetry.…”

Pengaruh intervensi kesehatan seluler terhadap manajemen diri pada pasien dengan Diabetes Melitus Tipe 2: A systematic review

“…Aplikasi ini menyediakan pesan dan informasi yang disesuaikan, real-time, berbasis bukti yang memengaruhi perubahan perilaku dan motivasi pasien (Desveaux et al, 2016;Tricco et al, 2012). Sementara itu, MPTM memiliki keunggulan sebagai metode intervensi pesan teks yang layak dan dapat diterima dalam meningkatkan kontrol glikemik, manajemen diri, perubahan perilaku pada pasien penyakit kronis di daerah terpencil dan tertinggal (Abaza & Marschollek, 2017;Al-Ozairi et al, 2018;Boels et al, 2019;Dobson et al, 2016;Waller et al, 2019;Wang et al, 2020). Tambahan dari Becker dkk.…”

Peduli Penggunaan Insulin

“…Sebuah penelitian untuk mengedukasi responden melalui pesan singkat (SMS) juga telah berhasil meningkatkan kepatuhan peserta, terkait kepedulian terhadap kesehatan, mengendalikan diet, melakukan aktifitas fisik, gaya hidup dan mengendalikan berat badan. Hasilnya dari 171 peserta yang dibagi dalam dua kelompok, intervensi dan control, hasilnya terjadi perubahan perilaku pada kelompok intervensi menjadi lebih baik (Wang et al, 2020) . Konseling juga merupakan bentuk Pendidikan kesehatan, pernah dilakukan terhadap siswa SMA di Bandung Barat untuk pencegahan HIV/AIDs, dan hasilnya menunjukkan adanya penigkatan pengetahuan secara signifikan (Ami Kamila & Anzhar Ismail, 2020).…”