Use of Short Message Services (SMS) for the Management of Type 2 Diabetes Mellitus: A Randomized Controlled Trial

Abstract

Objectives. The primary objective is to determine if 3 times a week SMS will improve adherence to diet and exercise. The secondary objective is to determine the mean change in body weight, body mass index and glycosylated hemoglobin A1c (HbA1c).Methodology. This is an open-randomized controlled trial conducted for 6 months which included 104 subjects. Z test of two proportions was used to determine difference in dietary and exercise adherence. Mean change in body weight, BMI and HbA1c were also determined.Results. After 3 months, significant difference is observed in mean HbA1c (SMS= 7.13 + 0.99, control= 7.53 + 0.91, p=0.034). At 6 months, significant difference is seen in mean number of meals/day (SMS=2.61 + 0.63, control= 2.29 + 0.72, p= 0.018), mean number of minutes/exercise (SMS= 37.40 + 14.87, control=31.44 + 10.82, p= 0.021) and mean HbA1c (SMS=6.99 + 0.86, control= 7.34 + 0.90, p= 0.0452).Conclusion. The use of SMS as an adjunct to the standard of DM care improved adherence to diet after 6 months in terms of mean number of meals, improved adherence to exercise after 6 months in terms of mean number of minutes/exercise and significant reduction in HbA1c levels after 3 and 6 months.

Effectiveness and acceptability of a text message intervention (DTEXT) on diabetes control and self-management for people with type 2 diabetes: A randomized controlled trial.

“…To the best of our knowledge, DTEXT is the rst text message intervention for people with type 2 diabetes to measure and show these nutritional outcomes. The only other two text message studies reporting nutritional change for people with type 2 diabetes show that improvements in the number of meals eaten per day (30) and the availability of having fresh fruit and vegetables available in the home (31) can be improved when receiving 3 messages per week.…”

“…Again, control group participants also showed physical activity improvements. The pool of evidence for physical activity outcomes from type 2 diabetes text message programs is small and inconclusive, with one study reporting similar ndings to DTEXT (32), and another reporting a signi cant improvement (30). The study with signi cance sent text message 3 times per week for 6 months, with additional support provided through monthly follow up with a diabetes educator and a calendar to record daily compliance with exercise guidelines.…”

Adherencia terapéutica en pacientes con diabetes mellitus tipo II y el uso de la tecnología móvil básica: una revisión sistemática = Therapeutic adherence in patients with diabetes mellitus type II and use of basic mobile technology: a systematic review

“…Seis estudios (Agboola et al, 2016;Bogner et al, 2012;Goode et al, 2015;Tamban et al, 2013;Vervloet, 2014;Vervloet et al, 2012) fueron incluidos en la revisión cuasisistemática. Todos ellos eran ensayos clínicos controlados y/o aleatorios.…”

“…Tres estudios estaban enfocados en pacientes diagnosticados de DMT2 que tuvieran prescrito antidiabéticos orales (Bogner et al, 2012;Vervloet, 2014;Vervloet et al, 2012). Tres estudios estaban enfocados al ejercicio físico en pacientes con DMT2 (Agboola et al, 2016;Goode et al, 2015;Tamban et al, 2013). Finalmente, dos incluyeron la dieta (Goode et al, 2015;Tamban et al, 2013).…”

“…Tres estudios estaban enfocados al ejercicio físico en pacientes con DMT2 (Agboola et al, 2016;Goode et al, 2015;Tamban et al, 2013). Finalmente, dos incluyeron la dieta (Goode et al, 2015;Tamban et al, 2013). Ninguno incluyó todas las variables para determinar la adherencia terapéutica.…”