The effect of diabetes education and short message service reminders on metabolic control and disease management in patients with type 2 diabetes mellitus

      Highlights

      • Diabetes education and short message reminders are effective for metabolic control indicators.
      • Diabetes education and short message reminders are effective for the blood pressure and body mass index.
      • Diabetes education and short message reminders are effective for the diabetes self-care activities.
      • Diabetes education and short message reminders are effective for the well-being status.

      Abstract

      Aim

      The aim of this study was to evaluate the effect of diabetes education and short message service reminders on metabolic control and disease management in patients with type 2 diabetes mellitus who were registered in a family health center and who were using oral antidiabetics.

      Methods

      This pre-test and post-test control group interventional study was conducted between 2017 and 2019. For one-way analysis of variance, effect size = 0.40, α = 0.05 and 80% power for each group was considered to be appropriate for 48 participants. Considering probability of losses during the study, 101 patients with type-2 DM were selected to include in the study. At the beginning of the study of all the patients, metabolic (HbA1c, FBS, triglycerides, cholesterol, HDL, LDL), anthropometric (BMI), blood pressure (BP) and scales assessments were performed. The Follow-Up Form for Patients with Diabetes, Diabetes Self-Care Scale (DSCS) and World Health Organization (WHO) (5) Goodness Scale were used as data collection tools. In the study, the structured group-based education program consisting of five modules was given to the intervention group in two sessions. Immediately after the education program, short message reminders about diabetes management were sent twice a week for a six-month period to intervention group. During the study, each group was invited to the family health center to perform the third- and sixth-month evaluations. Data were analyzed by SPSS version 19. In the study, categorical variables were evaluated with Chi-squared test. The differences of the groups over time were evaluated using the Friedman test and binary comparisons of differences by Wilcoxon test. The changes among groups over time were evaluated by Mann–Whitney test.

      Results

      In the evaluations for the third and sixth months, it was found that there was a statistically significant difference between the intervention and control groups in terms of HbA1c, fasting blood sugar, lipid values (except triglycerides), blood pressure, body mass index and the scales results (p < 0.001).

      Conclusion

      Diabetes education and SMS reminders sent for six months were effective in improving metabolic control and disease management in patients with type 2 diabetes mellitus.

      Keywords

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      References

      1. International Diabetes Federation (IDF) Diabetes Atlas. 9th ed., 2019. (Cited 2019), available at: https://www.diabetesatlas.org/en/.

      2. International Diabetes Federation (IDF) Diabetes Atlas, 1st ed., 2000. (Cited 2018), available at: http://www.idf.org/webdata/docs/Diabetes%20Atlas%20Executive %20Summary.pdf.

        • Jeffrey B.
        • Bagala M.
        • Creighton A.
        • et al.
        Mobile phone applications and their use in the self-management of type 2 diabetes mellitus: a qualitative study among app users and non-app users.
        Diabetol. Metab. Syndr. 2019; 16: 84
        • Abaza H.
        • Marschollek M.
        SMS education for the promotion of diabetes self-management in low & middle income countries: a pilot randomized controlled trial in Egypt.
        BMC Public Health. 2017; 17: 962
        • Chamany S.
        • Walker E.A.
        • Schechter C.B.
        • et al.
        Telephone intervention to improve diabetes control: a randomized trial in the New York City A1c registry.
        Am. J. Prev. Med. 2015; 49: 832-841
        • Fortmann A.L.
        • Gallo L.C.
        • Garcia M.I.
        • et al.
        Dulce digital: an mHealth SMS-based intervention improves glycemic control in hispanics with type 2 diabetes.
        Diabetes Care. 2017; 40: 1349-1355
        • Peimani M.
        • Rambod C.
        • Omidvar M.
        • et al.
        Effectiveness of short message service-based intervention (SMS) on self-care in type 2 diabetes: a feasibility study.
        Prim. Care Diabetes. 2016; 10: 251-258
        • Zolfaghari M.
        • Mousavifar A.
        • Pedram S.
        • Haghani H.
        The impact of nurse short message services and telephone follow-ups on diabetic adherence: which one is more effective?.
        JCN. 2011; 21: 1922-1931
        • Huang L.
        • Yan Z.
        • Huang H.
        The effect of short message service intervention on glycemic control in diabetes: a systematic review and meta-analysis.
        Postgrad. Med. 2019; 131: 566-571
        • Car J.
        • Gurol-Urganci I.
        • de Jongh T.
        • Vodopivec-Jamsek V.
        • Atun R.
        Mobile phone messaging reminders for attendance at healthcare appointments.
        Cochrane Database Syst. Rev. JNC. 2012; 11: 1922-1931
        • Çelik S.
        • Cosansu G.
        • Erdogan S.
        • Kahraman A.
        • Isik Ş.
        • Bayrak G.
        • et al.
        Using mobile phone text messages to improve insulin injection technique and glycaemic control in patients with diabetes mellitus: a multi-centre study in Turkey.
        JNC. 2015; 24: 1525-1533
        • Sezgin H.
        • Çınar S.
        Follow-up of patients with type 2 diabetes via cell phone: randomized controlled trial.
        MÜSBED. 2013; 3: 173-183
        • McGloin H.
        • Timmins F.
        • Coates V.
        • Boore J.
        A case study approach to the examination of a telephone-based health coaching intervention in facilitating behavior change for adults with type 2 diabetes.
        J. Clin. Nurs. 2015; 24: 1246-1257
        • Lee N.P.
        • Fisher W.P.
        Evaluation of the diabetes self-care scale.
        J. Appl. Meas. 2005; 6: 366-381
        • Karakurt P.
        • Kaşıkçı M.
        Validity and reliability of the Turkish version of the diabetes self-care scale.
        Int. J. Diabetes Dev. Ctries. 2015; 35: 148-156
      3. Educational Guide and Training Sets for Adult Diabetics. (Cited 2019), available at: http://beslenme.gov.tr/index.php?lang=tr&page=527/.

        • Holcomb L.S.
        A taxonomic integrative review of short message service (SMS) methodology: a framework for improved diabetic outcomes.
        J. Diabetes Sci. Technol. 2015; 9: 1321-1326
        • Zhuang Q.
        • Chen F.
        • Wang T.
        Effectiveness of short message service intervention to improve glycated hemoglobin control and medication adherence in type-2 diabetes: a meta-analysis of prospective studies.
        Prim. Care Diab. 2019;
      4. World Health Organization, Regional Office for the Eastern Mediterranean. Health Education for People with Diabetes. 1996. (Cited 2019), available at: http://applications.emro.who.int/dsaf/dsa508.pdf?ua=1.

        • Zheng F.
        • Liu S.
        • Liu Y.
        • Deng L.
        Effects of an outpatient diabetes self-management education on patients with type 2 diabetes in China: a randomized controlled trial.
        J. Diabetes Res. 2019; 17: 1073-1131
        • Iranagh R.S.
        • Hemmati M.M.
        The effect of family based telephone follow-up on self-care of patients with diabetes.
        J. Holist. Nurs. Midwifery. 2018; 28: 84-91
        • Quinn C.C.
        • Shardell M.D.
        • Terrin M.L.
        • Barr E.A.
        • Park D.
        • Shaikh F.
        Mobile diabetes intervention for glycemic control in 45- to 64-year-old persons with type 2 diabetes.
        JAG. 2016; 35: 227-243
        • Ruiz-González I.
        • Fernández-Alcántara M.
        • Guardia-Archilla T.
        • Rodriguez-Morales S.
        • Molina A.
        • Casares D.
        • De los Santos-Roig M.
        Long-term effects of an intensive-practical diabetes education program on HbA1c and self-care.
        Appl. Nurs. Res. 2015; 31: 13-18
        • Al-Shahrani A.M.
        • Hassan A.
        • Al-Rubeaan K.A.
        • Al Sharqawi A.H.
        • Ahmad N.A.
        Effects of diabetes education program on metabolic control among Saudi type 2 diabetic patients.
        Pak. J. Med. Sci. 2012; 28: 925-930
        • Aliha J.M.
        • Asgari M.
        • Khayeri F.
        • Ramazani M.
        • Farajzadegan Z.
        • Javaheri J.
        Group education and nurse-telephone follow-up effects on blood glucose control and adherence to treatment in type 2 diabetes patients.
        Int. J. Prev. Med. 2013; 4: 797-802
        • Franciosi M.
        • Lucisano G.
        • Pellegrini F.
        • Cantarello A.
        • Consoli A.
        • Cucco L.
        • Ghidelli R.
        • Sartore G.
        • Sciangula L.
        • Nicolucci A.
        ROSES Study Group ROSES: role of self-monitoring of blood glucose and intensive education in patients with type 2 diabetes not receiving insulin. A pilot randomized clinical trial.
        Diabet. Med. 2011; 28: 789-796
        • Çınar F.İ.
        • Akbayrak N.
        • Çınar M.
        • Karadurmuş N.
        • Şahin N.
        • Doğru T.
        • Sönmez A.
        • Tosun N.
        • Kılıç S.
        The effectiveness of nurse-led telephone follow-up in patients with type 2 diabetes mellitus.
        Turk. J. Endocrinol. Metab. 2010; 14: 1-5
        • Shrader S.P.
        • Martin A.
        • Cogdill B.
        Effect of group diabetes selfmanagement education classes on clinical outcomes and patient satisfaction in a family medicine clinic.
        J. Pharm. Technol. 2013; 29: 35-39
      5. Guide to diagnosis, treatment and follow-up of diabetes mellitus and complications, 2019. (Cited 2019), available at: http://temd.org.tr/admin/uploads/tbl_kilavuz/201908190958542019tbl_kilavuzb48da47363.pdf.

        • Rossi M.C.
        • Nicolucci A.
        • Lucisano G.
        • Pellegrini F.
        • Di B.P.
        • Miselli V.
        • Anichini R.
        • Vespasiani G.
        • Did S.G.
        Impact of the “Diabetes Interactive Diary” telemedicine system on metabolic control, risk of hypoglycemia, and quality of life: a randomized clinical trial in type 1 diabetes.
        Diabetes Technol. Ther. 2013; 15: 670-679