None listed
Conditions
Brief summary
Diabetes is a national health priority due to its increasing prevalence and the costly consequences of poor control, particularly for Maori. Better diabetes control results in fewer long-term complications such as blindness, amputations, and heart disease. Mobile phone-based interventions have potential to support people to self-manage their diabetes and improve their communications with their healthcare team. This study will look at the benefits of a text message-based program (SMS4BG) developed by the National Institute for Health Innovation and Waitemata DHB for people with poorly-controlled diabetes. One thousand volunteers will be randomly assigned to receive either usual care alone or usual care plus the mHealth program to use for up to 9 months. The primary outcome will be change in HbA1c level from baseline to 9 months. This research will allow DHBs to make informed decisions on the use of technology-based support for self-management.
Interventions
The intervention is a m-health diabetes self-management support program. Participants will receive an individually tailored package of text messages via their mobile phone to increase diabetes self-management. The dose and duration of messaging is tailored to the patients preferences ranging from 3 months to 9 months and from 2 messages per week to multiple messages per day.
The text messages are informational and motivational messages on a range of topics relevant to diabetes self-management.
The intervention is a m-health diabetes self-management support program. Participants will receive an individually tailored package of text messages via their mobile phone to increase diabetes self-management. The dose and duration of messaging is tailored to the patients preferences ranging from 3 months to 9 months and from 2 messages per week to multiple messages per day. The text messages are informational and motivational messages on a range of topics relevant to diabetes self-management. Topics include: General diabetes information, diabetes management tips, nutrition/diet, exercise, young adults with diabetes, stress and mood management, smoking, foot care as well as optional blood glucose monitoring reminders. Participants who choose to respond to messages with their blood glucose test results will be able to view a graph of these results either by logging into a website or by opting to have their graph mailed to them. The messages are tailored based on participant demographics (e.g. ethnicity and age), preferences (e.g. timing of messages, module choice, frequency of reminders) personal characteristics (e.g. motivations) and clinical characteristics (e.g. foot risk category, treatment). Tailoring information is obtained from those participants randomized to the intervention group during the baseline phone interview with a research assistant (approximately 20-30minutes).
Sponsors
University of Auckland
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Aged 16 years or older 2. Have type 1 or type 2 diabetes 3. Have an HbA1c>65mmol/mol within the preceding 9 months 4. Have a mobile phone that can be used for this program 5. Provides informed consent 6. Able to read English
Exclusion criteria
1. Not available for the duration of the programme 2. Unable to use a mobile phone due to physical disabilities affecting eyesight or dexterity and do not have a carer who wishes to use the mobile tools on their behalf.
Outcome results
None listed