Impact of Digital Health Education among Patients with Type 2 Diabetes Mellitus

Authors

  • Vinoth Gnana Chellaiyan Chettinad Academy of Research and Education, Chennai
  • Jenniferbritto J Chettinad Academy of Research and Education, Chennai
  • Jerry Alfred Chettinad Academy of Research and Education, Chennai

DOI:

https://doi.org/10.55489/njcm.1332022394

Keywords:

Short message services, health education, type 2 Diabetes Mellitus

Abstract

Background: Effective delivery of health education is critical to achieving the goal of controlled diabetes. The objective was to assess the impact of health education among patients with Type 2 Diabetes mellitus.

Materials and Methods: This study was quasi-experimental done with type 2 diabetes mellitus of tertiary care hospital.100 diabetes patients were included and randomized into two groups to receive health education material and standard care. The intervention consisted of health education intervention via text messages and images. The glycemic parameters were assessed before and at the end of 3 months of intervention. Paired t-tests were applied.

Results: Mean (SD) of HbA1c before the start of the intervention among the patients with intervention and control arm were 10.1(±0.9) and10.6 (±0.3) respectively. There was a significant difference in FBS, PPBS and HbA1c- (198(±14) vs 112(±6), 277(±50) vs 151(±16) and 10.1(±0.9) vs 7.2(±0.9) in the intervention group before and after the intervention (p-value <0.05).No significant difference was found in the control arm.

Conclusion: There was a significant difference in the group that received health education intervention compared to the standard therapy group. Thus, well-designed health education delivery could maintain better glycemic control in patients with uncomplicated type 2 diabetes mellitus.

References

Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019 Nov;157:107843. https://doi.org/10.1016/j.diabres.2019.107843

Anjana RM, Deepa M, Pradeepa R, Mahanta J, Narain K, Das HK, et al. Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR-INDIAB population-based cross-sectional study. Lancet Diabetes Endocrinol. 2017;5(8):585-96. doi: 10.1016/S2213-8587(17)30174-2. https://doi.org/10.1016/S2213-8587(17)30174-2

Tripathy JP. Burden and risk factors of diabetes and hyperglycemia in India: findings from the Global Burden of Disease Study 2016. Diabetes Metab Syndr Obes. 2018 Jul 31;11:381-387. doi: 10.2147/DMSO.S157376. . https://doi.org/10.2147/DMSO.S157376

Ramachandran A, Snehalatha C. Current scenario of diabetes in India. J Diabetes. 2009 Mar;1(1):18-28. doi:10.1111/j.1753-0407.2008.00004.x. https://doi.org/10.1111/j.1753-0407.2008.00004.x

Chandra P, Gogate B, Gogate P, Thite N, Mutha A, Walimbe A. Economic burden of diabetes in urban indians. Open Ophthalmol J. 2014 Dec 31;8:91-4. doi:10.2174/1874364101408010091. https://doi.org/10.2174/1874364101408010091

Schlienger J-L. Complications du diabète de type 2. Presse Médicale. 2013 May;42(5):839-48. https://doi.org/10.1016/j.lpm.2013.02.313

Fry JP, Neff RA. Periodic prompts and reminders in health promotion and health behavior interventions: systematic review. J Med Internet Res. 2009 May 14;11(2):e16. doi: 10.2196/jmir.1138. https://doi.org/10.2196/jmir.1138

Effectiveness of Health Reminders for Better Patient Outcomes [Internet]. [cited 2021 Oct 13]. Available from: https://www.patientbond.com/blog/how-effective-are-health-reminders-in-improving-patient-health-outcome.

WHO. News. COVID-19 significantly impacts health services for noncommunicable diseases.2020. Available at https://www.who.int/news/item/01-06-2020-covid-19-significantly-impacts-health-services-for-noncommunicable-diseases. Last accessed on 12 July 2021

Gregg EW, Chen H, Wagenknecht LE, Clark JM, Delahanty LM, Bantle J, et al. Association of an Intensive Lifestyle Intervention With Remission of Type 2 Diabetes. JAMA. 2012 Dec 19;308(23):2489. doi: 10.1001/jama.2012.67929. https://doi.org/10.1001/jama.2012.67929

Nethan S, Sinha D, Mehrotra R. Non Communicable Disease Risk Factors and their Trends in India. Asian Pac J Cancer Prev. 2017 Jul 27;18(7):2005-2010. doi:10.22034/APJCP.2017.18.7.2005.

Wang B, Li R, Lu Z, Huang Y. Does comorbidity increase the risk of patients with COVID-19: evidence from meta-analysis. Aging (Albany NY). 2020 Apr 8;12(7):6049-6057. doi:10.18632/aging.103000. https://doi.org/10.18632/aging.103000

John O, Gummidi B, Tewari A, Muliyil JP, Ghosh A, Sehgal M, et al. Study to test and operationalize preventive approaches for CKD of undetermined etiology in Andhra Pradesh, India. Kidney Int Rep. 2019;4:1412-9. doi:10.1016/j.ekir.2019.06.003. https://doi.org/10.1016/j.ekir.2019.06.003

Hawthorne K, Robles Y, Cannings-John R, Edwards AG. Culturally appropriate health education for type 2 diabetes mellitus in ethnic minority groups. In: The Cochrane Collaboration, editor. Cochrane Database of Systematic Reviews [Internet]. Chichester, UK: John Wiley & Sons, Ltd; 2008 [cited 2021 Oct 16]. p. CD006424.pub2. Available from: https://doi.wiley.com/10.1002/14651858.CD006424.pub2 https://doi.org/10.1002/14651858.CD006424.pub2

Chawla SS, Kaur S, Bharti A, Garg R, Kaur M, Soin D, et al. Impact of health education on knowledge, attitude, practices and glycemic control in type 2 diabetes mellitus. J Fam Med Prim Care. 2019;8(1):261. doi: 10.4103/jfmpc.jfmpc_228_18.. https://doi.org/10.4103/jfmpc.jfmpc_228_18

Ahmed M, Degwy H, Ali M, Hegazy N. The effect of educational intervention on knowledge, attitude and glycemic control in patients with type 2 diabetes mellitus. Int J Community Med Public Health. 2015;302-7. https://doi.org/10.18203/2394-6040.ijcmph20150487

Schectman JM, Nadkarni MM, Voss JD. The Association Between Diabetes Metabolic Control and Drug Adherence in an Indigent Population. Diabetes Care. 2002;25(6):1015-21. https://doi.org/10.2337/diacare.25.6.1015

Lo WT, Ki‐Yan Mak D, Ming‐Cheuk Wong M, Chan O, Mo‐Ching Chui E, Wai‐Sau Chung D, et al. Achieving better outcomes for schizophrenia patients in Hong Kong: Strategies for improving treatment adherence. CNS Neurosci Ther. 2021 Mar;27(S1):12-9. https://doi.org/10.1111/cns.13375

Hibbard JH, Greene J. What The Evidence Shows About Patient Activation: Better Health Outcomes And Care Experiences; Fewer Data On Costs. Health Aff (Millwood). 2013 Feb;32(2):207-14. https://doi.org/10.1377/hlthaff.2012.1061

Bendtsen M, Müssener U, Linderoth C, Thomas K A Mobile Health Intervention for Mental Health Promotion Among University Students: Randomized Controlled Trial JMIR Mhealth Uhealth 2020;8(3):e17208 doi: 10.2196/17208 https://doi.org/10.2196/17208

Szilagyi PG, Bordley C, Vann JC, Chelminski A, Kraus RM, Margolis PA, Rodewald LE. Effect of patient reminder/recall interventions on immunization rates: A review. JAMA. 2000 Oct 11;284(14):1820-7. doi: 10.1001/jama.284.14.1820. https://doi.org/10.1001/jama.284.14.1820

Macharia WM, Leon G, Rowe BH, Stephenson BJ, Haynes RB. An overview of interventions to improve compliance with appointment keeping for medical services. JAMA. 1992 Apr 1;267(13):1813-7. PMID: 1532036. https://doi.org/10.1001/jama.267.13.1813

Schwebel FJ, Larimer ME. Using text message reminders in health care services: A narrative literature review. Internet Interv. 2018 Jun 21;13:82-104. doi:10.1016/j.invent.2018.06.002. https://doi.org/10.1016/j.invent.2018.06.002

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Published

2022-03-31

How to Cite

1.
Chellaiyan VG, Jenniferbritto J, Alfred J. Impact of Digital Health Education among Patients with Type 2 Diabetes Mellitus. Natl J Community Med [Internet]. 2022 Mar. 31 [cited 2024 Mar. 29];13(03):171-4. Available from: https://njcmindia.com/index.php/file/article/view/394

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Original Research Articles