None listed
Conditions
Brief summary
Diabetic self-management education (DSME) is a program that conducted in health care facilities for people with type 2 diabetes (T2DM). However, not all patients are able to access DSME due to barriers such as clinic work overload for nurses and patients’ inability to attend due to work commitments. Social media is increasing being used to support patients with chronic health conditions. A randomised control feasibility trial (RCT) will be conducted in two diabetes centres in KSA, Jazan region. A DSME program will be conducted via WhatsApp to evaluate the effectiveness of this intervention on glycaemic control, diabetic knowledge, self-efficacy, anxiety, depression and HRQoL. blood test and all questionnaires to be completed at baseline - called the pre-test at time zero . Four questionnaires also need to be completed at 8th week – called a post–test at time one and again four questionnaires at 3 months after the baseline–called time two. a phone interview for evaluation of the intervention will also be conducted to explore participant’s perspective and acceptability of the content, identify strengths and weakness of the intervention, and seek recommendations for future improvement.
Interventions
The Participants assigned to WhatsApp group they will be join in a WhatsApp group via WhatsApp link and they will receive diabetic education sessions via WhatsApp. Each week will have a specific theme. Text information post and photos will be sent to the WhatsApp group each week. Videos will be delivered which related to DM information, the benefit of exercise, healthy food, and foot care. The education session will not be long and will take a 1 hour each week to go through all materials. Whats
The Participants assigned to WhatsApp group they will be join in a WhatsApp group via WhatsApp link and they will receive diabetic education sessions via WhatsApp. Each week will have a specific theme. Text information post and photos will be sent to the WhatsApp group each week. Videos will be delivered which related to DM information, the benefit of exercise, healthy food, and foot care. The education session will not be long and will take a 1 hour each week to go through all materials. Whatsapp allows you to see who viewed your content. Participants not engaging with the content in the WhatsApp group will be encouraged to do so through text messages. The student researcher will send also a reminder to all participants on Wednesday during the duration of the program. Participants are encouraged to spend time reading and interacting with the intervention every week The table below summarizes educational content. The educational materials will be developed and designed specifically for this study based on the results of our qualitative study based on current material from study venue (Ministry of health (MOH),2021), literature review(Alanzi et al., 2018; Petrovski & Zivkovic, 2019), International Diabetic Guidelines (Association of diabetes care & education specialist (ADCES),American Association of Diabetes Educators, 2020; 2021). If the participants assigned into control group they will receive the usual care provided in the health facility as per MOH guidelines in Saudi Arabia and diabetes education as per their needs. A brief summary of the educational content Session Proposed contents of DSME Mode of delivery Week 1 • Welcome and orientation of the DSME intervention. • What is DM and the importance of self-management? • What is self-management and its technique? • Discuss the experience with goal setting and action plan. • WhatsApp posts • Sharing experience • Video on DM • Questions and discussion Week 2 • What problems do you have because of your diabetes? • WhatsApp posts • Sharing experience • Questions and discussion Week 3 • Discuss the importance of foot care. • Discus how to do foot assessment. • WhatsApp post • Video demonstration on foot care • Sharing experience • Questions and discussion Week 4 • What is healthy food? • How to manage your diet? • WhatsApp posts • Sharing Experience • Video on how to manage your diet • Questions and discussion Week 5 • What is the benefit of exercise? • What exercise would be beneficial for you? • WhatsApp posts • Sharing Experience • Video demonstration on exercise • Questions and discussion Week 6 • Reducing risk and coping with diabetes. • WhatsApp posts • Sharing Experience • Concluding the intervention • Questions and discussion Reference References Alanzi, T., Bah, S., Alzahrani, S., Alshammari, S., & Almunsef, F. (2018). Evaluation of a mobile social networking application for improving diabetes Type 2 knowledge: an intervention study using WhatsApp. Journal of comparative effectiveness research, 7(09), 891-899. Association of diabetes care & education specialist. (2021). Resources for People Living with Diabetes. https://www.diabeteseducator.org/living-with-diabetes/Tools-and-Resources Ministry Of Health. (2021). healthy lifestyle https://www.moh.gov.sa/awarenessplateform/HealthyLifestyle/Pages/default.aspx Petrovski, G., & Zivkovic, M. (2019). Are we ready to treat our diabetes patients using social media? Yes, we are. Journal of diabetes science and technology, 13(2), 171-175.
Sponsors
The University of Newcastle
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
• Males or females diagnosed with T2DM and regularly followed up at the diabetic centres. • Male or female aged 18 to 60 years old. • HbA1C greater than 9 % (Universally considered poor control) • Patients are willing to participate in the study and have the capacity to provide informed consent. • Agree to follow the study procedures • Can Speak and read Arabic • Can to access and use WhatsApp
Exclusion criteria
• People with T1DM or gestational diabetes • People who have participated in any other clinical trial.
Outcome results
None listed