scholarly journals A remotely-delivered community action project to promote a diabetes lifestyle intervention programme in northwest London: basis, process and outcomes

2021 ◽  
Vol 11 (2) ◽  
pp. 250-255
Author(s):  
Sharan J Kapadia ◽  
Yu Gao ◽  
Ewa Cumming
Keyword(s):  
Diabetes Mellitus ◽  
Online Survey ◽  
Community Action ◽  
Text Messages ◽  
Teaching Evaluation ◽  
Information Leaflet ◽  
Intervention Programme ◽  
Phone Calls ◽  
Action Project

Background: The prevalence of type 2 diabetes mellitus (T2DM) in London is rising, obesity being a major driver. As part of a primary care placement, the authors (two medical students and a lead general practitioner) directly promoted the Reducing Weight with Intensive Dietary Support (REWIND) programme to patients in Northwest London and collected feedback on the promotion. Methods: The team developed and delivered three remote interventions: a redesigned patient-facing information leaflet, phone calls and text messages, and a live, interactive webinar, to directly engage patients and raise awareness about REWIND. Feedback was collected pre and post-webinar using an anonymised, online survey (essentially functioning as a ‘teaching’ evaluation). Results: Mean interest in REWIND had increased from 2.7 (pre-promotion) to 4.7 (post-promotion), knowledge about REWIND had increased from 2.1 to 4, and self-reported likelihood of enrolling had increased from 2.6 to 4.2 (P<0.01 in all cases). The reported usefulness of the leaflet and webinar was scored 3.7 and 4.4 respectively. Within two weeks of the webinar, two of these patients had joined REWIND. Conclusion: Feedback from the patients and GP revealed that the project successfully raised awareness, improved knowledge, and increased the likelihood of enrolment in REWIND. Diabetes programmes and organisations are encouraged to adapt the methods of this project to their own contexts, especially in light of COVID-19 where remote interventions will remain essential.

scholarly journals Effect of Educational Intervention Programme on Self- Management Practices of Individuals with Type 2 Diabetes Mellitus in South-East, Nigeria

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Okafor Christiana Nkiru ◽  
Ezenduka Pauline Ojinaka ◽  
Onyenekwe Chinedu Charles ◽  
Ani Kenneth Umezulike ◽  
Odira Chika Chioma H ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Educational Intervention ◽  
Management Practices ◽  
Self Management ◽  
Intervention Programme

scholarly journals 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

2019 ◽  
Vol 10 (1) ◽  
pp. 70
Author(s):  
Minerva Martínez-Mateo ◽  
Daniel García-Herrera
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Clinical Trials ◽  
Mobile Technology ◽  
Text Messages ◽  
Diabetes Mellitus Type ◽  
Type Ii ◽  
Diabetes Mellitus Type Ii ◽  
Therapeutic Adherence ◽  
Phone Calls

Objetivo: Revisar la literatura científica respecto a la efectividad de la tecnología móvil básica en la adherencia terapéutica, en los pacientes diagnosticados de diabetes mellitus tipo II (DMT2). Metodología: Revisión cuasi-sistemática, cuyos criterios de inclusión fueron: 2.012-2.018, inglés y/o español, ensayos clínicos aleatorizados y controlados, sujetos diagnosticados de DMT2, tecnología móvil básica y resultados relacionados con la adherencia terapéutica. Los estudios identificados fueron evaluados por la escala de Jadad. Resultados: Seis estudios fueron incluidos: 4 emplearon mensajes de texto y 2, llamadas telefónicas. La duración de la intervención oscilaba entre 3 y 18 meses. 1.690 sujetos diagnosticados de DMT2 fueron reclutados, de los cuales sólo 810 finalizaron los estudios. Limitaciones: Escasez de ensayos clínicos controlados y/o aleatorizados de calidad. No se han realizado estudios que incluyan los diferentes componentes de la adherencia terapéutica en relación al uso de la tecnología móvil básica. Conclusiones: El uso de la tecnología móvil básica, junto a una educación sanitaria, puede mejorar la implicación en los diferentes componentes de la adherencia terapéutica en los pacientes diagnosticados de DMT2. Implicaciones de los hallazgos principales: El uso de la tecnología móvil básica refuerza los conceptos y el seguimiento de las personas por parte de los profesionales sanitarios.Palabras clave: cumplimiento y adherencia al tratamiento; mensaje de texto; teléfono; dieta; ejercicio.Abstract Objective: To review the scientific literature regarding the effectiveness of basic mobile technology in therapeutic adherence in patients diagnosed with diabetes mellitus type II (DMT2). Methodology: Quasi-systematic review, whose inclusion criteria were: 2.012-2.018, English and/ or Spanish, randomized and controlled clinical trials, subjects diagnosed with DMT2, basic mobile technology and results related to therapeutic adherence. The identified studies were evaluated by the Jadad’s scale. Results: Six studies were included: 4 used text messages and 2, phone calls. The duration of the intervention ranged from 3 to 18 months. 1.690 subjects diagnosed with DMT2 were recruited, of whom only 810 completed the studies. Limitations: Shortage of quality controlled and/or randomized clinical trials. There have been no studies that include the different components of therapeutic adherence in relation to the use of basic mobile technology. Conclusions: The use of basic mobile technology, together with health education, can improve the implication in the different components of therapeutic adherence in patients diagnosed with DMT2. Implications of the main findings: The use of basic mobile technology reinforces the concepts and the monitoring of people by health professionals.Keywords: treatment adherence and compliance; text messaging; t elephone; diet; exercise. 

scholarly journals How smartphone usage correlates with social anxiety and loneliness

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2197 ◽  
Author(s):  
Yusong Gao ◽  
Ang Li ◽  
Tingshao Zhu ◽  
Xiaoqian Liu ◽  
Xingyun Liu
Keyword(s):  
Social Media ◽  
Social Interaction ◽  
Social Anxiety ◽  
Los Angeles ◽  
Early Detection ◽  
Online Survey ◽  
Text Messages ◽  
Daily Lives ◽  
Phone Calls ◽  
The University

Introduction:Early detection of social anxiety and loneliness might be useful to prevent substantial impairment in personal relationships. Understanding the way people use smartphones can be beneficial for implementing an early detection of social anxiety and loneliness. This paper examines different types of smartphone usage and their relationships with people with different individual levels of social anxiety or loneliness.Methods:A total of 127 Android smartphone volunteers participated in this study, all of which have agreed to install an application (MobileSens) on their smartphones, which can record user’s smartphone usage behaviors and upload the data into the server. They were instructed to complete an online survey, including the Interaction Anxiousness Scale (IAS) and the University of California Los Angeles Loneliness Scale (UCLA-LS). We then separated participants into three groups (high, middle and low) based on their scores of IAS and UCLA-LS, respectively. Finally, we acquired digital records of smartphone usage from MobileSens and examined the differences in 105 types of smartphone usage behaviors between high-score and low-score group of IAS/UCLA-LS.Results:Individuals with different scores on social anxiety or loneliness might use smartphones in different ways. For social anxiety, compared with users in low-score group, users in high-score group had less number of phone calls (incoming and outgoing) (Mann-Whitney U= 282.50∼409.00,p< 0.05), sent and received less number of text messages in the afternoon (Mann-Whitney U= 391.50∼411.50,p< 0.05), used health & fitness apps more frequently (Mann-Whitney U= 493.00,p< 0.05) and used camera apps less frequently (Mann-Whitney U= 472.00,p< 0.05). For loneliness, users in low-score group, users in high-score group had less number of phone calls (incoming and outgoing) (Mann-Whitney U= 305.00∼407.50,p< 0.05) and used following apps more frequently: health & fitness (Mann-Whitney U= 510.00,p< 0.05), system (Mann-Whitney U= 314.00,p< 0.01), phone beautify (Mann-Whitney U= 385.00,p< 0.05), web browser (Mann-Whitney U= 416.00,p< 0.05) and social media (RenRen) (Mann-Whitney >U= 388.50,p< 0.01).Discussion:The results show that individuals with social anxiety or loneliness receive less incoming calls and use healthy applications more frequently, but they do not show differences in outgoing-call-related features. Individuals with higher levels of social anxiety also receive less SMSs and use camera apps less frequently, while lonely individuals tend to use system, beautify, browser and social media (RenRen) apps more frequently.Conclusion:This paper finds that there exists certain correlation among smartphone usage and social anxiety and loneliness. The result may be useful to improve social interaction for those who lack social interaction in daily lives and may be insightful for recognizing individual levels of social anxiety and loneliness through smartphone usage behaviors.

The Effectiveness of Mobile Phone Messaging-Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis (Preprint)

2021 ◽  
Author(s):  
Mohammed Alsahli ◽  
Alaa Abd-Alrazaq ◽  
Mowafa Househ ◽  
Stathis Konstantinidis ◽  
Holly Blake
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Meta Analysis ◽  
Text Messages ◽  
Risk Of Bias ◽  
Anthropometric Measures

BACKGROUND Type 2 diabetes mellitus (T2DM) is increasing in prevalence worldwide. Physical activity (PA) is an important aspect of self-care and first-line management for T2DM. Mobile text messages (SMS) can be used to support self-management in people with T2DM, but the effectiveness of mobile text messages-based interventions in increasing physical activity is still unclear. OBJECTIVE The study aimed to assess the effectiveness of mobile phone messaging on PA in people with T2DM by summarizing and pooling the findings of previous literature. METHODS A systematic review was conducted to accomplish this objective. Search sources included 5 bibliographic databases (MEDLINE, Cochrane Library, CINAHL, Web of Science, EMBASE), the search engine “Google Scholar”, and backward and forward reference list checking of the included studies and relevant reviews. Two reviewers independently carried out the study selection, data extraction, risk of bias assessment, and quality of evidence evaluation. Results of included studies were synthesized narratively and statistically, as appropriate. RESULTS We included 6 of 541 retrieved studies. Four of the studies showed a statistically significant effect of text messages on physical activity. Although a meta-analysis of results of two studies showed a statistically significant effect (P=.05) of text messages on physical activity, the effect was not clinically important. A meta-analysis of findings of 2 studies showed a non-significant effect (P=.14) of text messages on glycaemic control. Two studies found a non-significant effect of text messages on anthropometric measures (weight and BMI). CONCLUSIONS Text messaging interventions show promise for increasing physical activity. However, it is not possible to conclude from this review whether text messages have a significant effect on physical activity, glycaemic control, or anthropometric measures among patients with T2DM. This is due to the limited number of studies, the high overall risk of bias in most of the included studies and the low quality of meta-analysed evidence. There is a need for more high-quality primary studies.

scholarly journals Influencia del envío de mensajes de texto al teléfono móvil en el control glucémico de la diabetes tipo 2 = Influence of sending messages to the mobile phone in the glycemic control of diabetes type 2

2019 ◽  
Vol 10 (2) ◽  
pp. 171
Author(s):  
Alba García-Viola
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Literature Review ◽  
Mobile Phone ◽  
Glycosylated Hemoglobin ◽  
Text Messages ◽  
Control Glucémico ◽  
Diabetes Tipo 2

Resumen: Introducción: La prevalencia de diabetes mellitus tipo 2 en adultos se ha incrementado significativamente en la última década, considerándose un problema de salud pública. Los nuevos avances tecnológicos pueden resultar de gran utilidad en el manejo de la enfermedad. Objetivos: Evaluar la evidencia científica disponible sobre el aviso mediante mensajes de texto al teléfono móvil de los pacientes diabéticos tipo 2, y determinar cómo influye en el control glucémico, en la adhesión al tratamiento, así como en los niveles de hemoglobina glicosilada (HbA1c). Metodología: Se realizó una revisión bibliográfica en la que se encontraron 12 artículos, los cuales, cumplían con los criterios de inclusión. Se consultaron las siguientes bases de datos: Pubmed, Scopus, Lilacs, Dialnet Plus y Cuiden Plus. Resultados: De acuerdo con los textos revisados, el uso de las nuevas tecnologías se asocia con una disminución de los niveles de HbA1c, una mejora de los controles glucémicos, una mayor adquisición de conocimientos sobre la enfermedad y estilo de vida, y una mayor adherencia al tratamiento terapéutico. Además, los pacientes identificaron estas intervenciones como una herramienta muy útil y motivadora. Conclusión: El envío de mensajes de texto a los pacientes con diabetes tipo 2 tiene un papel muy importante en el cuidado y manejo de la enfermedad.Palabras clave: Medios de Comunicación; Diabetes Mellitus Tipo 2; Teléfono inteligente; Mensaje de Texto; Autocontrol; Hemoglobina glicosilada.Abstract: Introduction: The prevalence of type 2 diabetes mellitus in adults has increased significantly in the last decade, being considered a public health problem. New technological advances can be very useful in the management of the disease. Objectives: To evaluate the available evidence about the warning by means of text messages to the mobile phone of the diabetic patients Type 2 and to determine how it influences in the glycemic control, in the adherence to the treatment, as well as in the levels of glycosylated hemoglobin. Methodology: A literature review was conducted where 12 articles, which met the previous established inclusion criteria, were found. The following databases were consulted for the literature review: Pubmed, Scopus, Lilacs, Dialnet Plus and Cuiden Plus. Results: According to the revised texts, the use of new technologies is associated with a decrease in HbA1c levels, improvement of glycemic controls, a greater acquisition of knowledge about the disease and lifestyle, and greater adherence to therapeutic treatment. In addition, patients identified these interventions as a very useful and motivating tool. Conclusions: Sending text messages to patients with type 2 diabetes plays a very important role in the care and management of the disease.Keywords: Communications Medium; Diabetes Mellitus Type 2; Smartphone; Text Messaging; Selfmanagement; Glycosylated hemoglobin.

scholarly journals 551 Patient Satisfaction with Telephone Consultations in A One-Stop Breast Clinic During COVID-19 Pandemic

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Phyu ◽  
R Bunza ◽  
R Vashisht ◽  
M Barkeji ◽  
D Elfadl
Keyword(s):  
Patient Satisfaction ◽  
Online Survey ◽  
Clinic Visit ◽  
Text Messages ◽  
University Hospital ◽  
Full Potential ◽  
Breast Clinic ◽  
Telephone Consultation ◽  
Phone Calls ◽  
Triple Assessment

Abstract Aim Telemedicine has gained an important role in medical practice lately, particularly in the outpatient setting. In our unit, virtual consultations were previously used for results clinics only. However, the first wave of COVID-19 pandemic necessitated change of practice to address issues of triage, infection control, cancer target times, and decreased capacity in the face of maintained demand. New patients underwent a telephone consultation followed by a clinic visit one week afterwards to complete triple assessment. We aimed to assess patient satisfaction with the phone consultation and subsequent care. Method Patients referred from general practice to the Breast Unit at West Middlesex University Hospital, who had a telephone appointment in the period 15/04/2020 to 15/07/2020, were included. The study was registered with the Clinical governance department. Patients received text messages with anonymised links to an online survey and were contacted over the telephone to explain the survey. Results 219 successful phone calls were made to eligible patients, and 126 patients responded to the survey (57.5%). 78% felt that they were able to express all or most of their concerns over the phone. 86% spent less than 2 hours in clinic. 87% felt social distancing and safety measures were adequate. More than 75% were overall satisfied with their care. Conclusions We further discuss responses to this survey. Patients were largely satisfied; however, areas of improvement were identified, and changes need to be made to ensure telemedicine is used to its full potential and is appropriately incorporated in the post COVID-19 practice.

scholarly journals Effectiveness of Diabetes Self-management Education Against Diet Behavior in Patients Type 2 Diabetes Mellitus: A Literature Review

2021 ◽  
Vol 9 (E) ◽  
pp. 364-368
Author(s):  
Suardi Suardi ◽  
Amran Razak ◽  
Ridwan Amiruddin ◽  
Hasanuddin Ishak ◽  
Ummu Salmah ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Text Messages ◽  
World Health ◽  
Self Management ◽  
Type Ii ◽  
Online Journal ◽  
The Past ◽  
Health Organization ◽  
And Control

BACKGROUND: Diabetes mellitus (DM) is a disease that describes a problem with insulin deficiency and the inability of the pancreas to produce enough insulin. The World Health Organization predicts that the number of people with DM type II in Indonesia will increase to 12 million by 2030. AIM: This study looks at Journals on diabetes selfmanagement education (DSME) on DM patients in improving dietary behavior. METHODS: This study uses an online journal database that provides free articles and journals in PDF such as: ProQuest, EBCSO, PubMed, Elsevier, Scinapse, MDPI, and Google Scholar. Literature was collected from the past 10 years, namely, 2010–2020 using the following set of keywords: “DSME,” “DSME Program Evaluation,” and “Diabetes Self-Care Education.” RESULTS: DSME intervention can improve the condition of DM patients if it is routinely carried out. In addition, the DSME intervention was able to control hemoglobin A1c levels and control blood sugar. This intervention still needs to be developed, considering that various forms of education in DM patients have been carried out such as using text messages, leaflets, illustrated pictures or leaflets, by telephone, video, handbooks, or direct education. These investigations can be developed into empirical research. CONCLUSIONS: The application of DSME interventions can help improve the conditions experienced by DM type II sufferers if it is routinely carried out.

scholarly journals Understanding acceptability in the context of text messages to encourage medication adherence in people with type 2 diabetes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Y. Kiera Bartlett ◽  
Cassandra Kenning ◽  
Jack Crosland ◽  
Nikki Newhouse ◽  
Lisa M. Miles ◽  
...  
Keyword(s):  
Online Survey ◽  
Text Message ◽  
Text Messages ◽  
Health Interventions ◽  
Mixed Methods Study ◽  
Proof Of Concept ◽  
Affective Attitude ◽  
Potential Tool ◽  
Surprising Finding

Abstract Background Acceptability is recognised as a key concept in the development of health interventions, but there has been a lack of consensus about how acceptability should be conceptualised. The theoretical framework of acceptability (TFA) provides a potential tool for understanding acceptability. It has been proposed that acceptability measured before use of an intervention (anticipated acceptability) may differ from measures taken during and after use (experienced acceptability), but thus far this distinction has not been tested for a specific intervention. This paper 1) directly compares ratings of anticipated and experienced acceptability of a text message-based intervention, 2) explores the applicability of the TFA in a technology-based intervention, and 3) uses these findings to inform suggestions for measuring acceptability over the lifespan of technology-based health interventions. Methods Data were obtained from a quantitative online survey assessing anticipated acceptability of the proposed text messages (n = 59) and a 12-week proof-of-concept mixed methods study assessing experienced acceptability while receiving the text messages (n = 48). Both quantitative ratings by return text message, and qualitative data from participant interviews were collected during the proof-of-concept study. Results The quantitative analysis showed anticipated and experienced acceptability were significantly positively correlated (rs > .4). The qualitative analysis identified four of the seven constructs of the TFA as themes (burden, intervention coherence, affective attitude and perceived effectiveness). An additional two themes were identified as having an important impact on the TFA constructs (perceptions of appropriateness and participants’ role). Three suggestions are given related to the importance of appropriateness, what may affect ratings of acceptability and what to consider when measuring acceptability. Conclusions The high correlation between anticipated and experienced acceptability was a surprising finding and could indicate that, in some cases, acceptability of an intervention can be gauged adequately from an anticipated acceptability study, prior to an expensive pilot or feasibility study. Directly exploring perceptions of appropriateness and understanding whether the acceptability described by participants is related to the intervention or the research - and is for themselves or others - is important in interpreting the results and using them to further develop interventions and predict future use.

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