Effectiveness of Digital Health Interventions in Managing Glycated Haemoglobin: A Randomized Controlled Trial

Authors

  • Qasim Abbas Khyoosh Al-Eqabi Middle Technical University, Iraq
  • Shatha Mahmood Niazy Middle Technical University, Iraq
  • Mohammed Malih Radhi College of Health & Medical Techniques-Kufa, Al-Furat Al-Awsat Technical University, Iraq https://orcid.org/0000-0002-2914-0897

Keywords:

Digital Health, Glycated Haemoglobin, Diabetes Mellitus

Abstract

Background: Digital health interventions, such as mobile apps and wearable devices, have emerged as potential tools to help individuals manage glycemic control. By comparing the outcomes of participants using digital health tools with those following traditional methods of diabetes management. The study aimed to evaluate the impact of digital interventions on Managing Glycated Haemoglobin control.

Methodology: A randomized, controlled trial was conducted at the Babylon Diabetes and Endocrinology Center/ Iraq. Participants were selected based on established inclusion and exclusion criteria and were assigned to either the intervention or control groups through randomization. The intervention group received a medication management app specifically designed for smartphones. Data were collected over six months through three tests and analyzed using SPSS-20.

Results: The study found no significant difference in HbA1c levels between the intervention and control groups during the pre-test period. However, significant differences emerged at both post-test I (after 3 months) and post-test II (after 6 months), with the intervention group showing a significant decrease in HbA1c levels from pre-test to both post-test I and post-test II.

Conclusions: The study underscores the need to use digital health interventions in diabetes management to improve the quality of patient care. Decision-makers can improve the quality of blood sugar control and overall health by keeping up with such smart applications.

References

Qassim WJ, Yasir AA, Radhi MM. Assessment of Self Hardness and its Relationship to Treatment Acceptance for Patients with Diabetes Mellitus at Diabetic Center in Hilla City/Iraq. Journal of Pharmaceutical Sciences and Research. 2018;10(1):142-5.

Motala AA, Mbanya JC, Ramaiya K, Pirie FJ, Ekoru K. Type 2 diabetes mellitus in sub-Saharan Africa: challenges and opportunities. Nature Reviews Endocrinology. 2022 Apr;18(4):219-29. Doi: https://doi.org/10.1038/s41574-021-00613-y PMid:34983969

Boye KS, Thieu VT, Lage MJ, Miller H, Paczkowski R. The association between sustained HbA1c control and long-term complications among individuals with type 2 diabetes: a retrospective study. Advances in Therapy. 2022 May;39(5):2208-21. Doi: https://doi.org/10.1007/s12325-022-02106-4 PMid:35316502 PMCid:PMC9056490

Al-Sahouri A, Merrell J, Snelgrove S. Barriers to good glycemic control levels and adherence to diabetes management plan in adults with Type-2 diabetes in Jordan: a literature review. Patient preference and adherence. 2019 May 3:675-93. Doi: https://doi.org/10.2147/PPA.S198828 PMid:31118591 PMCid:PMC6507072

Malih Radhi M, Zair Balat K. Health Literacy and Its Association With Medication Adherence in Patients With Hypertension: A Mediating Role of Social Support. Iranian Rehabilitation Journal. 2024 Mar 10;22(1):117-28. Doi: https://doi.org/10.32598/irj.22.1.1989.1

Shan R, Sarkar S, Martin SS. Digital health technology and mobile devices for the management of diabetes mellitus: state of the art. Diabetologia. 2019 Jun;62(6):877-87. Doi: https://doi.org/10.1007/s00125-019-4864-7 PMid:30963188

Radhi MM, Niazy SM, Abed SN. Individual-related factors associated with treatment adherence among hypertensive patients. Journal of Public Health in Africa. 2023 Jun 6;14(6): 161-167. Doi: https://doi.org/10.4081/jphia.2023.2466 PMid:37538940 PMCid:PMC10395365

Radhi MM. Degree of Disease Acceptance and Health Seeking Behaviors for Type 2 Diabetic Patients at Diabetic Center in Hilla City. Medico-Legal Update. 2020 Apr 1;20(2): 853-858. Doi: https://doi.org/10.37506/mlu.v20i2.1347

Bassi G, Mancinelli E, Dell'Arciprete G, Rizzi S, Gabrielli S, Salcuni S. Efficacy of eHealth interventions for adults with diabetes: a systematic review and meta-analysis. International journal of environmental research and public health. 2021 Aug 26;18(17):8982. Doi: https://doi.org/10.3390/ijerph18178982 PMid:34501572 PMCid:PMC8431552

Menti D, Limbert C, Lyrakos G. Investigating the effectiveness of theory-based interventions for improving treatment adherence of patients with type 2 Diabetes Mellitus: A systematic review of Randomised Controlled Clinical Trials. Journal of Health and Social Sciences. 2019 May 30;4(3):313-30.

Mehdinia A, Loripoor M, Dehghan M, Heidari S. The Effect of Pillbox Use on Medication Adherence Among Elderly Patients: A Randomized Controlled Trial. Disease and Diagnosis. 2020 Mar 30;9(1):38-43. Doi: https://doi.org/10.34172/iejm.2020.07

Yasir AA, Qassim WJ, Radhi MM. Assessment the feeling of psychological loneliness among wives of martyrs in the light of some social variables in Babylon Governorate/Iraq. Journal of Pharmaceutical Sciences and Research. 2018;10(1):40-4.

Agrawal SN. Glycosylated haemoglobin (HbA1c): An indispensible tool in the management of diabetes mellitus. GJMR. 2018;18(C1):1-5.

Poorcheraghi H, Negarandeh R, Pashaeypoor S, Jorian J. Effect of using a mobile drug management application on medication adherence and hospital readmission among elderly patients with polypharmacy: a randomized controlled trial. BMC Health Services Research. 2023 Nov 2;23(1):1192. Doi: https://doi.org/10.1186/s12913-023-10177-4 PMid:37919712 PMCid:PMC10621100

Zhong S, Jiang J, Liu H, Pan Y. Effect of emerging digital technologies and methodologies combined with incentives on HbA1c in patients with type 2 diabetes mellitus: study protocol for a parallel, open randomized controlled trial. Trials. 2024 Feb 1;25(1):100. Doi: https://doi.org/10.1186/s13063-024-07950-z PMid:38303057 PMCid:PMC10835894

JL GR. New digital healthcare technologies. Medicina clinica. 2019 Sep 2;154(7):257-9. Doi: https://doi.org/10.1016/j.medcle.2019.07.007

Yang Q, Hatch D, Crowley MJ, Lewinski AA, Vaughn J, Steinberg D, Vorderstrasse A, Jiang M, Shaw RJ. Digital phenotyping self-monitoring behaviors for individuals with type 2 diabetes mellitus: observational study using latent class growth analysis. JMIR mHealth and uHealth. 2020 Jun 11;8(6):e17730. Doi: https://doi.org/10.2196/17730 PMid:32525492 PMCid:PMC7317630

Kaufman N, Ferrin C, Sugrue D. Using digital health technology to prevent and treat diabetes. Diabetes technology & therapeutics. 2019 Feb 1;21(S1):S-79. Doi: https://doi.org/10.1089/dia.2019.2506 PMid:30785320

Zimmermann G, Venkatesan A, Rawlings K, Scahill MD. Improved glycemic control with a digital health intervention in adults with type 2 diabetes: retrospective study. JMIR diabetes. 2021 Jun 2;6(2):e28033. Doi: https://doi.org/10.2196/28033 PMid:34075880 PMCid:PMC8209528

Pal K, Dack C, Ross J, Michie S, May C, Stevenson F, Farmer A, Yardley L, Barnard M, Murray E. Digital health interventions for adults with type 2 diabetes: qualitative study of patient perspectives on diabetes self-management education and support. Journal of medical Internet research. 2018 Feb 20;20(2):e40. Doi: https://doi.org/10.2196/jmir.8439 PMid:29463488 PMCid:PMC5931778

Kerr D, King F, Klonoff DC. Digital health interventions for diabetes: everything to gain and nothing to lose. Diabetes Spectrum. 2019 Aug 1;32(3):226-30. Doi: https://doi.org/10.2337/ds18-0085 PMid:31462878 PMCid:PMC6695261

Dack C, Ross J, Stevenson F, Pal K, Gubert E, Michie S, Yardley L, Barnard M, May C, Farmer A, Wood B. A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes. Internet Interventions. 2019 Sep 1;17:100241. Doi: https://doi.org/10.1016/j.invent.2019.100241 PMid:31372349 PMCid:PMC6660456

Mannoubi C, Kairy D, Menezes KV, Desroches S, Layani G, Vachon B. The Key Digital Tool Features of Complex Telehealth Interventions Used for Type 2 Diabetes Self-Management and Monitoring With Health Professional Involvement: Scoping Review. JMIR Medical Informatics. 2024 Mar 13;12:e46699. Doi: https://doi.org/10.2196/46699 PMid:38477979 PMCid:PMC10973964

Quinn CC, Butler EC, Swasey KK, Shardell MD, Terrin MD, Barr EA, Gruber-Baldini AL. Mobile diabetes intervention study of patient engagement and impact on blood glucose: mixed methods analysis. JMIR mHealth and uHealth. 2018 Feb 2;6(2):e9265. Doi: https://doi.org/10.2196/mhealth.9265 PMid:29396389 PMCid:PMC5816260

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Published

2024-09-01

How to Cite

1.
Qasim Abbas Khyoosh Al-Eqabi, Shatha Mahmood Niazy, Radhi MM. Effectiveness of Digital Health Interventions in Managing Glycated Haemoglobin: A Randomized Controlled Trial. Natl J Community Med [Internet]. 2024 Sep. 1 [cited 2024 Sep. 14];15(09):747-53. Available from: https://njcmindia.com/index.php/file/article/view/4442

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Original Research Articles