The effect of a mobile application on the foot care of individuals with type 2 diabetes: A randomised controlled study

2020 ◽  
pp. 001789692098161
Author(s):  
Berna Dincer ◽  
Nefise Bahçecik
Keyword(s):  
Type 2 Diabetes ◽  
Diabetic Foot ◽  
Self Efficacy ◽  
Mobile Application ◽  
Control Group ◽  
Foot Care ◽  
Care Education ◽  
Randomised Controlled ◽  
Experimental Group

Objective: This study aimed to develop an animation-supported Mobile Diabetic Foot Care Education (M-DFCE) application for use by individuals with type 2 diabetes and identify its effects on knowledge, self-efficacy and foot care behaviour. Design: Randomised, controlled experimental study. Setting and Method: The study was carried out between October 2016 and September 2017. The sample consisted of 130 individuals with diabetes (65 in the experimental group and 65 in the control group). The experimental group received M-DFCE. Data were collected using the Patient Assessment Form, the Diabetes Foot Knowledge Questionnaire, the Diabetic Foot Care Self-Efficacy Scale and the Foot Self-Care Behaviour Scale. Differences between the groups were examined using Student’s t, Mann–Whitney U, Wilcoxon Signed Rank and Paired Sample tests. Results: Although there was no difference between the groups at initial evaluation, individuals in the experimental group who received animation-supported M-DFCE had significantly higher knowledge, self-efficacy and foot care behaviour levels than the control group. Conclusion: The animation-supported mobile application developed for foot care education was effective in increasing the individuals’ knowledge, self-efficacy and behaviour with respect to foot care.

scholarly journals EFFECTS OF DIABETIC CAMP ON SELF EFFICACY AMONG MIDDLE-AGED AND ELDERL Y PEOPLE WITH TYPE 2 DIABETES MELLITUS

2021 ◽  
Author(s):  
Junaidy Rustam
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Elderly People ◽  
Self Efficacy ◽  
Control Group ◽  
Middle Aged ◽  
Type 2 Dm ◽  
Experimental Group

Introduction: The benefits of Diabetic Camp as known can be applied to promote knowledge and self management among diabetes people. Nevertheless, empirical data of its effect on diabetes self-efficacy are still limited, especially on middle aged and elderly people with type 2 Diabetes Mellitus. Objectives: The purpose of this intervention study was to investigate the change of self-efficacy among middle-aged and elderly people living with type 2 DM after attending camp. Methods: A quasi-experimental study was used. Eighty-four participants were recruited form two public health center in Bukittnggi City West Sumatra Indonesia were randomly assigned into either the experimental group (n=42) or control group (n=42) by matching technique based on gender , age, and duration of illness. The experimental group participated in diabetic camp for two days continuing with weekly follow up for over 1 month while those in the control group participated in routine activities. Outcome was measured by using Self-efficacy Questionnaire for Diabetes at the first day before receiving the intervention as pretest data, and on the four weeks after the intervention was completed as the posttest data. The reliability of the Self-efficacy Questionnaire for Diabetes with Cronbach's alpha coefficient was 0.81. Descriptive and inferential statistics were performed to analyze the data. Results: Mean of self-efficacy score in the experimental group after receiving the intervention was significantly higher than those in the control group (t =4.27; p<0.05). The mean of self-efficacy score after receiving the intervention in the experimental group was increased significantly from before receiving the intervention (t = 8.15; p<0.05). Conclusions: The results showed that Diabetic camp was effective in promoting self-efficacy of middle-aged and elderly people with type 2 DM. Thus, this diabetes care program can be recommended for practice

scholarly journals INCREASING SELF-EFFICACY TO REGULATE EXERCISE IN ADULT PATIENTS WITH TYPE 2 DIABETES MELLITUS

2018 ◽  
Vol 4 (6) ◽  
pp. 596-601
Author(s):  
Rinco Siregar ◽  
Sunantha Stongpat ◽  
Boontuan Wattanakul
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Physical Exercise ◽  
Self Efficacy ◽  
Routine Care ◽  
Adult Patients ◽  
Control Group ◽  
Experimental Group

Background: Self-efficacy has been described as dominan factor associated with physical exercise in adult patients with type 2 diabetes mellitus, but to improve self-efficacy to regulate exercise of adult patients with type 2 diabetes mellitus is a challenge for health workers.Objective: This study was to determine the effect of exercise consultation program on self - efficacy to regulate exercise adults’ patients of type 2 diabetes mellitus.Methods: A quasi-experimental study with two comparison groups was purposively designed for pre-test and post-test procedures. Sixty-one patients of type 2 diabetes mellitus were allocated into the experimental group (31 patients) and the control group (29 patients). While the experimental group received the exercise consultation for 12 weeks and routine care, the control group received routine care only. Comparative assessments on differences in self-efficacy to regulate exercise were examined both within and between groups using paired or unpaired t-test.Results: After receiving exercise consultation program, self-efficacy to regulate exercise significantly increased within the experimental group (p < .05), but there was no significant change with in the control group.  Between groups, there was a significant difference self-efficacy to regulate exercise in adult patients with type 2 diabetes mellitus (p < .05).Conclusion: The exercise consultation program could increase self-efficacy to promote the physical exercise among adults patients of type 2 diabetes mellitus.

The Impact of Mobile Health use on the Self-Care of Patients with Type 2 Diabetes: A Protocol for a Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Lucija Gosak ◽  
Majda Pajnkihar ◽  
Gregor Štiglic
Keyword(s):  
Type 2 Diabetes ◽  
Family Medicine ◽  
Mobile Applications ◽  
Mobile Application ◽  
Controlled Trial ◽  
Self Care ◽  
The Self ◽  
Control Group ◽  
The Impact

BACKGROUND Chronic diseases are an important public health issue worldwide and affect an individual's quality of life. Due to the alarming rise in type 2 diabetes, healthcare, which was previously largely focused primarily on diagnosis and treatment of the disease, is increasingly focused on prevention and self-care. Patients who adhere to a constant and strict treatment regimen (physical activity, diet, medication) and regularly monitor their health, maintain self-care and health, prevent exacerbation of the disease and prevent complications of diabetes (retinopathy, diabetic feet). Many innovative devices that have become increasingly present in patient health care in recent years, such as mobile applications, are available to patients to maintain consistency in monitoring their health status. Mobile applications make it easier for individuals to monitor their self-care, monitor illness, and make it easier to follow instructions regarding disease control. OBJECTIVE The study aim is to determine the impact of mobile application use on self-care in patients with type 2 diabetes. The aim of the study is also to evaluate and test the usefulness of the forDiabetes application as a tool to improve the self-care of individuals with type 2 diabetes. METHODS We will perform a double-blind randomized controlled trial. The study will include individuals over the age of 18 who have been diagnosed and have regulated type 2 diabetes, who have already received oral treatment and are being treated in family medicine practice. Also, individuals included in the study should not have any acute complications due to the consequences of type 2 diabetes. During the study, they should be able to use an Android or iOS mobile phone and a blood glucose meter. With the help of simple randomization, individuals will be divided into an intervention and a control group. Individuals in the intervention group will use the forDiabetes mobile app to monitor their self-care for type 2 diabetes. Individuals in the control group will not receive a special intervention. Data will be collected using the “Self-care of Diabetes Inventory” questionnaire and a “Brief Illness Perception Questionnaire”. Blood sugar, blood pressure, HbA1c, and weight measurements will be monitored using the calibrated instruments during the study by the nurses employed in family medicine practice. Data will be collected at the beginning of the study and after the patient visit to the family medicine practice. RESULTS The expected results as a result of using the mobile application forDiabetes are the impact on the level of self-care, the impact on the perception of the disease, blood sugar levels, blood pressure, HbA1c, and the measured body weight of the patient. CONCLUSIONS The research contributes to greater visibility and usability of mobile applications for self-care of patients with type 2 diabetes and makes aware of the possible use of innovative methods. CLINICALTRIAL NCT04999189

scholarly journals Effectiveness of foot care education among people with type 2 diabetes in rural Puducherry, India

2014 ◽  
Vol 18 (1) ◽  
pp. 106 ◽  
Author(s):  
Suman Saurabh ◽  
Sonali Sarkar ◽  
Kalaiselvi Selvaraj ◽  
SitanshuSekhar Kar ◽  
SGanesh Kumar ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Foot Care ◽  
Care Education

scholarly journals Effectiveness of ginger in reducing metabolic levels in people with diabetes: a randomized clinical trial

2020 ◽  
Vol 28 ◽  
Author(s):  
Gerdane Celene Nunes Carvalho ◽  
José Claudio Garcia Lira-Neto ◽  
Márcio Flávio Moura de Araújo ◽  
Roberto Wagner Júnior Freire de Freitas ◽  
Maria Lúcia Zanetti ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Clinical Trial ◽  
Blood Sugar ◽  
Zingiber Officinale ◽  
Secondary Outcome ◽  
Control Group ◽  
Double Blind ◽  
Experimental Group ◽  
Hba1c Levels

Objective: to evaluate the effectiveness of ginge (Zingiber officinale) in reducing blood sugar and lipid levels in people with type 2 diabetes. Method: a randomized and double-blind clinical trial conducted with people with type 2 diabetes in primary care facilities. The study included individuals aged between 20 and 80 years old, using oral antidiabetic drugs and with HbA1c levels between 6.0% and 10%. The participants were paired 1:1, allocated in two distinct groups, and randomized in blocks, based on their HbA1c levels. In the experimental group, the participants used 1.2g of ginger and, in the control group, 1.2g of placebo, daily for 90 days. The primary outcome was a reduction in fasting blood sugar and HbA1c, and the secondary outcome was a reduction in lipids and HOMA-IR. 103 individuals completed the study, 47 in the experimental group and 56 in the control group. Results: the participants in the experimental group showed a greater reduction in the blood glucose and total cholesterol values compared to the control group. Conclusion: the use of ginger can help in the treatment of people with diabetes, and data support the inclusion of this herbal drug in the clinical practice of nurses. RBR-2rt2wy

scholarly journals Hubungan Perilaku Perawatan Kaki dengan Terjadinya Komplikasi Luka Kaki Diabetes pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Tuntungan Kota Medan

2018 ◽  
Vol 1 (1) ◽  
pp. 124-131
Author(s):  
Rina Amelia
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Center ◽  
Diabetic Foot ◽  
Foot Care ◽  
Chi Square ◽  
Public Health Center

Diabetes merupakan peyakit kronis yang disebabkan karena kekurangan atau tidak efektifnya insulin yang dihasilkan. WHO memperkirakan jumlah penduduk dunia yang menderita diabetes pada tahun 2030 akan meningkat paling sedikit menjadi 366 juta. Indonesia menempati urutan keempat terbanyak dengan prevalensi 8,6% dari seluruh penduduk. Diabetes akan menjadi masalah yang serius apabila telah terjadi komplikasi, salah satu komplikasi adalah luka kaki diabetes (diabetic foot). Komplikasi luka kaki diabetes menjadi penyebab lamanya hospitalisasi dan amputasi lebih dari 90% ekstremitas bawah pada penderita diabetes. Tujuan penelitian adalah untuk menganalisis hubungan perilakuperawatan kaki dengan terjadinya komplikasi luka kaki diabetes pada pasienDM tipe 2di Puskesmas Tuntungan Medan. Disain penelitian adalah analitik dengan pendekatan cross sectional. Populasi penelitian adalah seluruh penderita DM tipe 2 yang datang ke Puskesmas Tuntungan Medan dengan sampel sebanyak 83 orang (consecutive sampling). Instrumen penilaian perilaku perawatan kaki yang digunakan adalah Questions determining the knowledge and practice about foot careyang terdiri dari 15 item pertanyaan. Analisis data menggunakan uji statistik chi square. Hasil penelitian menunjukkansebanyak 48 orang pasien diabetes (57,8%) memiliki perilaku yang buruk terhadap perawatan kaki, sebanyak 29 orang (349%) mempunyai riwayat komplikasi luka kaki dibetes (ulkus). Hasil analisis chi square menunjukkan terdapat hubungan antara perilaku perawatan kaki diabetes dengan kejadian komplikasi luka kaki diabetes pada pasien DM tipe 2 di Puskesmas Tuntungan Medan (p<0.05). Perilaku perawatan kaki sangat berperan terhadap terjadinya luka kaki diabetes. Untuk membentuk perilaku yang baik dibutuhkan edukasi oleh dokter maupun oleh petugas kesehatan kepada pasien diabetes. Diabetes is a chronic disease caused by lack or ineffectiveness of insulin. WHO estimates that the world population with diabetes in 2030 will increase to at least 366 million people. Indonesia is the world’s fourth most populated country and its prevalence of diabetes is 8.6% of the entire population. Diabetes will be a serious problem once complications occurrs. One of the complications is diabetic foot.  diabetic foot  caused a longer length of hospital stay and more than 90% leads to the amputation of the lower limb . The objective of this study was to analyze the relationship between diabetic foot care behaviors and the diabetic foot complications in patients with type 2 diabetes mellitus at Tuntungan Public Health Center in Medan. This study employed an analytic study  with cross sectional approach. The population of this study was all patients with type 2 diabetes mellitus who came to Tuntungan Public Health Center in Medan  and 83 patients were recruited as samples (consecutive sampling). The research used a questionnaires with 15 questions   to collect data of knowledge and foot care behaviour. Data were analyzed using chi square test. The results showed that 48 diabetic patients (57.8%) demonstrated poor behavior towards foot care, 29 patients (349%) had a history of diabetic foot ulcer complications. The results of the chi square analysis showed that there was a significant relationship between diabetic foot care behavior and diabetic foot complications in patients with type 2 Diabetes Mellitus at Tuntungan Public Health Center in Medan (p <0.05). It was concluded that foot care behavior had a high correlation with the incidence of diabetic foot. It is recommended that doctors and health staffs educate diabetic patients to perform good foot care behaviors.

scholarly journals Meningkatkan motivasi dan efikasi diri penderita diabetes tipe 2 dalam pencegahan kaki diabetik menggunakan dukungan kelompok

2020 ◽  
Vol 13 (4) ◽  
pp. 292-300
Author(s):  
Suyanto Suyanto ◽  
Dwi Sulistyowati
Keyword(s):  
Diabetic Foot ◽  
Self Efficacy ◽  
Foot Ulcers ◽  
P Value ◽  
Diabetic Foot Ulcers ◽  
Group Support ◽  
Foot Care ◽  
Type 2 Diabetics ◽  
Before And After

Improving motivation and self-efication of type 2 diabetics in prevention of diabetic foot ulcers and infections using group supportBackground: Management of DM (Diabetics) patients according to expectations requires a variety of support, one of them is group support such as the Persadia Club as an organization that helps people with diabetes to manage disease conditions become more controlled. Through group support, motivation and self-efficacy which are important factors in diabetes care behavior will increase. Thus the main action in the prevention of diabetic foot in the form of routine foot care will be carried out by the person with diabetes optimally.Purpose: To determine the effect of group support on motivation and self-efficacy of type 2 diabetics in prevention of diabetic foot ulcers and infectionsMethods: The study design was a quasi-experimental one pre group test one group method to see if there were differences in motivation and self-efficacy in diabetic foot care before and after group support. The study was conducted in May to August 2019 at the Surakarta City Persada Club as a population and a sample of 135 respondentResults: Research shows that there are differences in the self-efficacy of people with diabetes before and after getting group support with p value = 0,000. Thus the hypothesis that the influence of group support on self-efficacy is accepted. Furthermore, the results obtained that there are differences in motivation to take preventive measures for diabetes feet between before and after group support is given with a p value = 0,000. This means that the hypothesis that there is an influence of group support on motivation for diabetic foot prevention.Conclusion: As a suggestion, it is expected that people with diabetes through the Persadia club will always be supported so that their motivation and efficacy is high so that the diabetic foot care measures will be optimally carried out. Keywords: Motivation; Self-Efication; Type 2 Diabetics; Prevention; Diabetic Foot Ulcers and Infections; Group SupportPendahuluan: Pengelolaan pasien DM (Diabetisi) yang sesuai harapan memerlukan berbagai dukungan salah satu diantaranya yaitu dukungan kelompok seperti Club persadia sebagai organisasi yang membantu para diabetisi untuk mengelola kondisi penyakit  menjadi lebih terkontrol. Melalui dukungan kelompok  maka motivasi dan efikasi diri yang merupakan faktor penting dalam perilaku perawatan diabetes akan meningkat. Dengan demikian tindakan utama dalam  pencegahan kaki diabetik berupa tindakan perawatan kaki secara rutin akan dilakukan para diabetisi dengan optimal.Tujuan: Untuk mengetahui pengaruh dukungan kelompok terhadap motivasi dan efikasi diri  penderita diabetes tipe 2 dalam pencegahan kaki diabetikMetode : Rancangan penelitian berupa kuasi eksperimen dengan metode pre post test one group untuk melihat apakah terdapat perbedaan  motivasi dan  efikasi diri dalam tindakan perawatan kaki diabetik sebelum dan sesudah mendapat dukungan kelompok.  Penelitian dilakukan pada bulan Mei hingga Agustus 2019 pada Club Persadia Kota Surakarta  sebagai populasi dan diambil sampel sebanyak 135 respondenHasil: Penelitian menunjukkan bahwa terdapat perbedaan efikasi diri para diabetisi sebelum dan sesudah mendapt dukungan kelompok dengan p value = 0,000,  Dengan demikian hipotesis terdapat pengaruh dukungan kelompok terhadap efikasi diri diterima. Selanjutnya diperoleh hasil bahwa terdapat perbedaan motivasi melakukan tindakan perawatan pencegahan kaki diabetes antara sebelum dan sesudah diberikan dukungan kelompok dengan nilai p value= 0,000.  Hal ini berarti hipotesis terdapat pengaruh dukungan kelompok terhadap motivasi tindakan perawatan pencegahan kaki diabetis.Simpulan: Sebagai saran diharapkan para diabetisi melalui club Persadia selalu diberi dukungan agar motivasi dan efikasi dirinya tinggi sehingga tindakan perawatan kaki diabetik akan optimal dilakukan

scholarly journals Qatar Diabetes Mobile Application Trial (QDMAT): An Open-Label Randomised Controlled Trial To Examine The Impact of Using A Mobile Application To Improve Diabetes Care In Type 2 Diabetes Mellitus – A Study Protocol

2021 ◽  
Author(s):  
Noor Suleiman ◽  
Meis Alkasem ◽  
Zaina Al Amer ◽  
Obada Salameh ◽  
Noora Al-Thani ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Mobile Application ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Self Management ◽  
Open Label ◽  
Randomised Controlled

Abstract BackgroundMobile health (mHealth) is increasingly advocated for diabetes management. It is unclear if mobile applications are effective in improving glycaemic control, clinical outcomes, quality of life and overall patient satisfaction in patients with diabetes. A new mobile application was specifically built for people with diabetes with the help of the local expertise. The objective of the study was to evaluate the effectiveness of the mobile App.MethodsThe planned study is an ongoing open-label randomised controlled trial in which insulin-treated adults with type 2 diabetes mellitus (T2DM) will be randomised 1:1 to the use of this diabetes application versus current standard care. The primary outcome will be the difference in mean HbA1c from baseline at 6 months. Other outcome measures include anthropometric measures, hypoglycaemic events, medication adjustments, number of clinical interactions and missed appointments, and patient perceptions of their disease and diabetes self-management. The study will randomise 180 subjects ( for assessment of the primary outcome. DiscussionWe hypothesise that the diabetes-specific mobile application will improve glycaemic control, increase patient empowerment for self-management of diabetes and improve interaction between patients and healthcare providers. If QDMAT demonstrates this, it will inform clinical services for the future self-management of T2DM.Trial Registration,ClinicalTrials.gov Identifier: NCT03998267) Registered on 26 June 2019

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