55-LB: Mobile Phone Text Message Intervention on Self-Care Activities and Food Choices among Patients with Type 2 Diabetes

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 55-LB
Author(s):  
MARTHA J. NEPPER
Keyword(s):  
Type 2 Diabetes ◽  
Mobile Phone ◽  
Text Message ◽  
Self Care ◽  
Food Choices ◽  
Text Message Intervention

scholarly journals Mobile Phone Text Message Intervention on Diabetes Self-Care Activities, Cardiovascular Disease Risk Awareness, and Food Choices among Type 2 Diabetes Patients

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1314 ◽  
Author(s):  
Martha J. Nepper ◽  
Jennifer R. McAtee ◽  
Lorey Wheeler ◽  
Weiwen Chai
Keyword(s):  
Type 2 Diabetes ◽  
Intervention Group ◽  
Text Message ◽  
Self Care ◽  
Food Choices ◽  
Text Messages ◽  
Control Group ◽  
Risk Awareness ◽  
Cvd Risk

This study examines the effects of educational text messages on diabetes self-care activities, cardiovascular disease (CVD) risk awareness, and home food availabilities related to food choices among patients with type 2 diabetes. Quasi-experimental design was used with 40 patients (58.0 ± 10.6 years) in the intervention group and 39 (55.7 ± 12.2 years) in the control group. In addition to the usual care provided for all participants, the intervention group received three educational text messages weekly for 12 weeks. Pre- and post-intervention measures were collected for both groups. Ninety-four percent of the participants receiving text messages indicated the usefulness of this program. The intervention group either maintained the same level or demonstrated small improvements in diabetes self-care activities after the intervention. Significant increases in scores of CVD risk awareness (57% increase; p = 0.04) and availabilities of fresh fruits (320% increase; p = 0.01) and fresh vegetables (250% increase; p = 0.02) in the home and weekly total (16% increase; p = 0.02) and moderate/vigorous (80% increase; p = 0.006) physical activity levels were observed for the intervention group relative to the control group. The pilot results suggest the feasibility and usefulness of the text message program for diabetes education. The study is registered with Clinical Trials.gov (NCT03039569).

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.

2020 ◽  
Author(s):  
Karen Waller ◽  
Susan Furber ◽  
Adrian Bauman ◽  
Margaret Allman-Farinelli ◽  
Paul van den Dolder ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mobile Phone ◽  
Usual Care ◽  
Text Message ◽  
Diabetes Control ◽  
Self Management ◽  
Randomised Control Trial ◽  
Control Group ◽  
Text Message Intervention

Abstract Background Mobile phone text message interventions have the potential to improve the health of people with type 2 diabetes at a population level. This study aimed to determine the effectiveness and acceptability of a mobile phone text message intervention (DTEXT) on diabetes control and self-management behaviours for Australian adults with type 2 diabetes. Methods A two-armed parallel non-blinded randomised control trial was conducted with 395 community dwelling adults with type 2 diabetes and HbA1c ≥7.0% (53 mmol/mol). Block randomisation occurred after completion of baseline measures. The control group received usual care, the intervention group received usual care and the automated six month text message intervention (daily messages for months 1-3, four messages per week for months 4-6). Pathology measures and self-report telephone surveys were assessed using intention to treat analysis. Generalised estimating equations determined between group changes in HbA1c at 3 and 6 months. Secondary outcomes included change in nutrition, physical activity, blood lipid profile, body mass index, quality of life, self-efficacy, medication adherence and program acceptability. Results No significant difference was observed between the intervention (n=197) or control group (n=198) for HbA1c at 3 months (-0.11%; CI -0.28, 0.07; d= -0.05, p=0.23) or 6 months (-0.13%; CI -0.33, 0.08; d= -0.05, p=0.22). A significant improvement in nutrition was seen with consumption of vegetables at 3 months (0.74 serves/day; 95%CI 0.34, 1.12; d =0.31, p<0.01) and 6 months (0.42 serves/day; 95% CI 0.03, 0.82; d =0.18, p=0.04); fruit at 3 months (0.21 serves/day; 95% CI 0.00, 0.41; d =0.09, p<0.05) and discretionary sweet foods at 3 months (-1.10 times/week; 95% CI -2.03, -0.16; d =-0.47, p=0.02). No other significant effects were seen at 3 months and 6 months. The intervention demonstrated high rates of acceptability (94.0%) and minimal withdrawal (1.5%). Conclusions A mobile phone text message intervention can improve some nutritional behaviours in people with type 2 diabetes, but does not significantly improve HbA1c or other health outcomes. DTEXT provides a highly accepted and potentially scalable form of self-management support that can complement existing diabetes care. Trial Registration Australian New Zealand Clinical Trials Registry, Trial ID: ACTRN12617000416392. Registered: 23 March 2017.

An Adaptive, Algorithm-based Text Message Intervention to Promote Health Behavior Adherence in Type 2 Diabetes: Treatment Development and Proof-of-Concept Trial

2021 ◽  
pp. 193229682110650
Author(s):  
Christopher M. Celano ◽  
Christina Massey ◽  
Jessica Long ◽  
Sonia Kim ◽  
Olivia Velasquez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Adaptive Algorithm ◽  
Controlled Trial ◽  
Text Message ◽  
Self Care ◽  
Well Being ◽  
Psychological Outcomes ◽  
Text Messages

Background: Most individuals with type 2 diabetes (T2D) struggle to adhere to one or more health behaviors. Text message interventions (TMIs) have the potential to improve adherence but have had mixed effects on diet and activity in T2D. We developed an eight-week, adaptive, algorithm-driven TMI to promote physical activity, diet, self-care, and well-being. Then, in a single-arm trial, we assessed its feasibility, acceptability, and preliminary efficacy in 15 individuals with T2D and suboptimal adherence. Methods: Participants received daily text messages and were asked to rate the utility of each message (0=not helpful, 10=very helpful). These ratings were used by an algorithm to select subsequent messages based on each participant’s prior ratings. We assessed intervention feasibility by rates of message transmission/response and acceptability through ratings of message utility and burden. Finally, we examined pre-post changes in diabetes self-care, diet, physical activity, and psychological outcomes and calculated effect sizes (Cohen’s d). Results: All text messages were delivered, and participants provided ratings for 79% of messages, above our a priori thresholds for feasibility. Participants rated the individual messages and overall TMI as subjectively useful (utility: 8.1 [SD=2.1] and 7.8 [SD=2.0], respectively) and not burdensome (burden: 0.8 [SD=1.8]). The intervention led to significant, medium- to large-sized improvements in self-care ( d=0.77), diet ( d=0.99), and activity ( d=0.61) but minimal change in psychological outcomes. Conclusions: The TMI was feasible and well-accepted, and it led to promising improvements in adherence-related outcomes. These findings should be confirmed in a larger randomized controlled trial.

scholarly journals Effectiveness and costs of strategies to recruit Australian adults with type 2 diabetes into a text message intervention (DTEXT) study

2021 ◽  
Author(s):  
Karen Waller ◽  
Susan Furber ◽  
Rebecca Cook ◽  
Margaret Allman-Farinelli ◽  
Stephen Colagiuri ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Text Message ◽  
Text Message Intervention

scholarly journals Going Mobile With Diabetes Support: A Randomized Study of a Text Message–Based Personalized Behavioral Intervention for Type 2 Diabetes Self-Care

2015 ◽  
Vol 28 (2) ◽  
pp. 83-91 ◽  
Author(s):  
Korey Capozza ◽  
Sarah Woolsey ◽  
Mattias Georgsson ◽  
Jeff Black ◽  
Nelly Bello ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Behavioral Intervention ◽  
Randomized Study ◽  
Text Message ◽  
Self Care

scholarly journals Smartphone-Based mHealth and Internet of Things for Diabetes Control and Self-Management

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Abolfazl Mehbodniya ◽  
A. Suresh Kumar ◽  
Kantilal Pitambar Rane ◽  
Komal Kumar Bhatia ◽  
Bhupesh Kumar Singh
Keyword(s):  
Type 2 Diabetes ◽  
Mobile Phone ◽  
Self Care ◽  
Mobile App ◽  
Self Management ◽  
The Internet ◽  
Diabetic Patients ◽  
Life Years ◽  
Diabetes Patients

In patients with chronic diseases condition, mobile health monitoring facility proves to play a significant role in providing significant assistance toward personal management. This research examined the use of smartphones by diabetes patients and their intentions to apply them for self-care and monitoring as well as management. This cross-sectional survey-based study was conducted in Jul-Aug 2021 with 200 diabetic patients (especially type 2) who were visiting specialized clinics and hospitals of Gujrat state, India. A validated questionnaire survey was designed to collect data, which included questions about demographics, information pertaining to other, use of cellphones, the Internet, and the intention to implement smartphones for diabetes monitoring, self-care, and self-management. A highest number of studied participants have mobile phone (97.5%) and smartphones (87%) and access the Internet on daily basis (83.5%). Younger participants were more inclined to use smartphone apps and have also shown more interest for continuous use in the future ( p < 0.01 ). The majority of participants used apps for nutritional planning (85.5%), to monitor glucose control (76.5%), and for scheduling of diabetes appointments on the calendar (90.5%). Recommendations to use mobile app by doctors or healthcare profession were reported by 20.5% of the participants and attitude and future intention to use mobile apps were reported by the majority of participants. The majority of type 2 diabetes patients choose to use their cellphones and the internet or mobile phone reminder system for medication as well as to plan their diets, monitor their blood sugar levels, and communicate with their doctors. The findings of this research can be used to develop strategies and implement mHealth-based therapies to assist patients with type 2 diabetes to efficiently manage their health and might contribute to reducing patients’ out-of-pocket expenditure as well as reducing disability-adjusted life years (DAILY) attributed by DM.

scholarly journals Mixed-Methods Randomized Evaluation of FAMS: A Mobile Phone-Delivered Intervention to Improve Family/Friend Involvement in Adults’ Type 2 Diabetes Self-Care

2020 ◽  
Author(s):  
Lindsay S Mayberry ◽  
Cynthia A Berg ◽  
Robert A Greevy ◽  
Lyndsay A Nelson ◽  
Erin M Bergner ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Mobile Phone ◽  
Self Efficacy ◽  
Text Messaging ◽  
Intervention Group ◽  
Self Care ◽  
Treatment As Usual ◽  
Text Messaging Intervention

Abstract Background Family and friends have both helpful and harmful effects on adults’ diabetes self-management. Family-focused Add-on to Motivate Self-care (FAMS) is a mobile phone-delivered intervention designed to improve family/friend involvement, self-efficacy, and self-care via monthly phone coaching, texts tailored to goals, and the option to invite a support person to receive texts. Purpose We sought to evaluate how FAMS was received by a diverse group of adults with Type 2 diabetes and if FAMS improved diabetes-specific family/friend involvement (increased helpful and reduced harmful), diabetes self-efficacy, and self-care (diet and physical activity). We also assessed if improvements in family/friend involvement mediated improvements in self-efficacy and self-care. Methods Participants were prospectively assigned to enhanced treatment as usual (control), an individualized text messaging intervention alone, or the individualized text messaging intervention plus FAMS for 6 months. Participants completed surveys at baseline, 3 and 6 months, and postintervention interviews. Between-group and multiple mediator analyses followed intention-to-treat principles. Results Retention, engagement, and fidelity were high. FAMS was well received and helped participants realize the value of involving family/friends in their care. Relative to control, FAMS participants had improved family/friend involvement, self-efficacy, and diet (but not physical activity) at 3 and 6 months (all ps &lt; .05). Improvements in family/friend involvement mediated effects on self-efficacy and diet for FAMS participants but not for the individualized intervention group. Conclusions The promise of effectively engaging patients’ family and friends lies in sustained long-term behavior change. This work represents a first step toward this goal by demonstrating how content targeting helpful and harmful family/friend involvement can drive short-term effects. Trial Registration Number NCT02481596.

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