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Assessment of Dietary compliance in Type-2 diabetes mellitus patients by sending text message reminders

Assessment of Dietary Compliance among Patients with Type II Diabetes Mellitus Receiving Text Message (SMS) Reminders for improving adherence to healthy diet in Pakistan: A Randomized Control Trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12612000538842
Enrollment
249
Registered
2012-05-21
Start date
2012-06-21
Completion date
2015-03-11
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

We Want to assess whether text messages related to dietary management of diabetes care improve the health (dietary compliance) of patients with type-II diabetes attending Aga Khan hospitals in Karachi Pakistan. We want to assess the difference in dietary compliance in patients with type-II diabetes, who were reminded through text message (SMS) vs. those not reminded. We hypothized compliance to dietary guidelines among patients with type-II diabetes, who receives electronic messages, would be different by a score of 1.5 as compare to those patients who do not receive text messages.

Interventions

Mobile Text Message Reminders:Contant of these text message reminders are gereral dietary tips, we developed these text message reminders using "American Dietetic Association Complete Food and Nutrition Guide" Cereal, starch and whole grain foods: 1.Eat plenty of cereals (preferably whole grain), including breads, pasta and rice. 2.To eat more whole grains, use a whole-grain product instead of a refined product - such as eating whole-wheat bread instead of white bread. 3.Cooked oatmeal is an i

Mobile Text Message Reminders:Contant of these text message reminders are gereral dietary tips, we developed these text message reminders using "American Dietetic Association Complete Food and Nutrition Guide" Cereal, starch and whole grain foods: 1.Eat plenty of cereals (preferably whole grain), including breads, pasta and rice. 2.To eat more whole grains, use a whole-grain product instead of a refined product - such as eating whole-wheat bread instead of white bread. 3.Cooked oatmeal is an inexpensive, healthy cereal, which lowers cholesterol also. 4.Do not use white rice, instead use brown rice. 5.Do not eat fried food e.g. French fries, fried rice and biryani. Prefer baked products. Vegetable: 1.Choose most of your foods from vegetables. These foods are loaded with nutrition, providing vitamins, and minerals 2.Keep a bowl of cut-up all kinds of vegetables on the top shelf of your refrigerator. So you will have frequently in your diet. 3.Start every meal with a salad: a mix of dark green varieties of lettuce and colorful vegetables. 4.Do not use fried vegetables. Use a nonstick frying pain to avoid oil. 5.Do not cook vegetable for a long period of time, than it will lose its nutrient. Fruits: 1.Include fresh, low sugar fruits in your diet e.g. apple, apricot, lemon, papaya, plum etc. 2.Do not eat more than one fruit at a time but you can include a variety over the whole day. 3.Try to eat fruits with skin. Do not peel the skin of apple, apricot, pear, peach and plums etc. 4.Eat small amount of grapes, mango and persimmon, overeating of these foods is non-beneficial. 5.Do not put fruits in refrigerator for long, try to eat fresh fruits. Nuts and legume: 1.Nuts are laden with fat, but the type of fat is good for our heart, (most nuts do not contain saturated fat, coconut is an exception). 2.To keep your heart and blood vessels healthy, choose plant foods, such as include nuts, legumes and olives in cooking. 3.Some legumes are beings used to improve diabetics' blood glucose control i.e. Soya beans, fava beans, guar ki phalli and same etc. 4.Daal eaten with roti or rice provides good quality protein to an individual. 5.Do not overcook beans, because they will lose the important nutrients. Fish, poultry and eggs: 1.Choose fish and skinless poultry for your diet. 2.Limit the number of eggs you eat to 2-3 per week. 3.Fish, poultry and eggs are all good sources of high-quality protein 4.Seafood (fish) is a good source of food containing healthy contents, so consume fish 1/week at least. 5.Prepare fish baked, broiled, grilled or boiled rather than breaded and fried. Dairy products: 1.Select low-fat or fat-free milk e.g. skim milk. 2.Choose low-fat and fat-free yogurt, artificially sweetened or unsweetened. 3.Many dairy products, like no sugar added, fat-free yogurt, can be eaten as a dessert 4.Do not eat butter daily in your routine. 5.Do not eat food containing high quantity of cheese like pizza's and cheese burgers. Meat products: 1.Meat and meat products: Eat sparingly, once in a week or even less than that. 2.Meat is good sources of high-quality protein, but they also come with high fats, so be careful. 3.Buy lean cuts of meat. 4.There are several ways you can reduce the fat in meat: Broil, grill, steam or roast instead of frying. 5.Chill meat broth and drippings so the fat rises and solidifies. Then it can be skimmed off the top before serving or making gravy. Sweets and drinks: 1.Sweets and cold drinks: Eat small amounts of these foods, once or less times in a week. 2.Artificial sweeteners give you the sweet taste of sugar without its calories. One packet gives the same sweetness as two teaspoons of table sugar. 3.Volunteer to bring your favorite low-sugar dessert to social functions 4.Always check every label if in any doubt about a food or drink. 5.Try to use diet drinks rather better to avoid at all. Discription: we will send 3 different messages per week for three months (12 week). A pamphlet of general dietary guidelines will be given to the patient while conducting baseline interview in the clinic face to face. And a breif counseling will be given.

Sponsors

Aga Khan University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
30 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

1. Patients of age between 30 to 70 years 2. Patients with an HbA1c more than 7 3. Cases diagnosed with type-II diabetes since 2 to 15 years 4. Those patients who have mobile phone and do not intend to change their phone number in the next six months 5. Those who can read the SMS written in Urdu and will be able to respond to it 6. Those who are on oral hypoglycemic medication only

Exclusion criteria

1. Serious chronic co-morbidities e.g. Diabetic ketosis, Severe Diabetic foot, Nephropathy, Neuropathy, Retinopathy (taking injectable hypoglycemic drugs), chronic Renal failure, Liver cirrhosis 2. Those who cannot give consent 3. Not able to understand Urdu 4. Enrolled in any other study 5. Pregnant females 6. Hearing and verbal disabilities

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026