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Randomized Controlled Trial
. 2021 Nov 24;65(6):695-703.
doi: 10.20945/2359-3997000000390. Epub 2021 Jul 16.

Educating diabetic patients through an SMS intervention: a randomized controlled trial at a Brazilian public hospital

Viviane Moura Aceti  1 , Rodolpho Vianna Santoro  2 , Luis Guillermo Coca Velarde  3 , Diego Nunes Brandão  2 , Rubens Antunes da Cruz Filho  4 , Giselle F Taboada  5
Affiliations
Randomized Controlled Trial

Educating diabetic patients through an SMS intervention: a randomized controlled trial at a Brazilian public hospital

Viviane Moura Aceti et al. Arch Endocrinol Metab. .

Abstract

Objective: Diabetes mellitus (DM) has a high healthcare system cost worldwide. Educational strategies are important to improve self-care and control this disease. This study aimed to evaluate satisfaction and clinical efficacy of a Short Message Service (SMS) educational intervention in self-care and nutrition at a Brazilian university hospital.

Methods: We conducted a trial of educational intervention and assigned eligible patients with DM to either receive weekly educational SMS for 6 months (intervention group [IG]) or no SMS at all (control group). A satisfaction questionnaire was applied before and after the intervention in both groups. Laboratory (fasting glucose, hemoglobin [Hb] A1c, total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein) and clinical (blood pressure) data were also collected. Data were analyzed using nonparametric tests with the Statistical Package for the Social Sciences.

Results: We included 128 patients (64 in each group). Responses to the satisfaction questionnaire with self-care and healthcare professionals from 112 patients revealed an improvement in the perception of receiving information regarding helpful eating habits and in healthy eating behavior and an improvement in satisfaction with their diabetes care in the IG. In the post-intervention period, improved systolic blood pressure and HbA1c levels were observed in the IG as illustrated by delta % (post-intervention minus pre-intervention data divided by pre-intervention data multiplied by 100) reductions of 2.3% and 3.9%, respectively.

Conclusion: SMS intervention was useful as an educational tool for improving satisfaction and glycemic and blood pressure control of patients with DM observed at a Brazilian university hospital.

Keywords: Diabetes mellitus; SMS; health education; self-care.

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Conflict of interest statement

Disclosure: no potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1. Patient sample selected: Brazil, 2018-2019
See this image and copyright information in PMC

References

    1. World Health Organization Classification of Diabetes Mellitus, 2019. [March 10, 2020]. Available from: https://apps.who.int/iris/bitstream/handle/10665/325182/9789241515702-en....
    1. International Diabetes Federation . IDF Diabetes Atlas. 9th ed. Brussels: IDF; 2019. [March 10, 2020]. Available from: http://www.diabetesatlas.org.
    1. Bahia LR, da Rosa MQM, Araujo DV, Correia MG, Dos Rosa RDS, Duncan BB, et al. Economic burden of diabetes in Brazil in 2014. Diabetol Metab Syndr. 2019;11:54–54. - PMC - PubMed
    1. Rosa MQM, Rosa RDS, Correia MG, Araujo DV, Bahia LR, Toscano CM. Disease and Economic Burden of Hospitalizations Attributable to Diabetes Mellitus and Its Complications: A Nationwide Study in Brazil. Int J Environ Res Public Health. 2018;15(2):294–294. - PMC - PubMed
    1. Nundy S, Dick JJ, Chou CH, Nocon RS, Chin MH, Peek ME. Mobile phone diabetes project led to improved glycemic control and net savings for Chicago plan participants. Health Aff (Millwood) 2014;33(2):265–272. - PMC - PubMed

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