Diabetes Mellitus, Type 2
Conditions
Keywords
Type 2 diabetes mellitus, Mobile Application-Based Diabetes Education, Health Coaching
Brief summary
Diabetes mellitus is increasing in incidence worldwide. The goal of management of diabetes is to achieve blood sugar control by minimizing side effects and preventing short and long term complications. Self-management becomes important in the management of diabetes mellitus. The use of mobile phone applications provides opportunities for the management of diabetics. In addition, health coaching is one of method used for empowering patients with chronic diseases, such as diabetes. This study aims to evaluate the impact of Mobile Application-Based Diabetes Education and health coaching in management of type 2 diabetes mellitus.
Detailed description
A randomized control trial, pre and post study involving 105 subjects randomized into 3 arms: * Control : received conventional education group * Intervention 1 : received conventional education group + mobile application-based diabetes education * Intervention 2 : received mobile application-based diabetes education + health coaching Conventional education group divided into 6 session, which for each session consist of 2 different topics and lasts for 60 minutes. Mobile application-based diabetes education is using DM Educorner (Diabetes Mellitus Education Corner) availablle in Google PlayStore. Education contents was delivered in articles, video and infographics. Health coaching was given by a coach, a healthcare professional who undergo training to become a coach. Health coaching delivered as face to face between subjects and coach. Laboratory examination and questionnaire collected at baseline, 3 and 6 months after intervention.
Interventions
Additional education was given using application, subjects were asked to open the application at least once a day
Health coaching was given as face to face with a coach
Sponsors
Study design
Masking description
Open label
Eligibility
Inclusion criteria
* Type 2 Diabetes Mellitus * multiple daily insulin injection (basal and rapid, or mixed) * 30 - 65 years old * HbA1c \> 8% * Using smartphone in daily lives. * Willing to follow the research by signing an informed consent
Exclusion criteria
* Patients with cognitive disease (such as dementia) * Patients with hearing or sight problem * Unable to live independently on daily basis * Patients who have disease that may affect Hba1c such as hemolytic anemia, thalassemia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline Hb1A1c at 3 months | 3 months | Glycemic control |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline 2 hours-post prandial plasma glucose at 3 months | 3 months after intervention | Glycemic control |
| Change from Baseline Total cholesterol at 3 months | 3 months after intervention | Diabetes Mellitus control |
| Change from Baseline High-density lipoprotein cholesterol (HDL-c) at 3 months | 3 months after intervention | Diabetes Mellitus control |
| Change from Baseline Low-density lipoprotein cholesterol (LDL-c) at 3 months | 3 months after intervention | Diabetes Mellitus control |
| Change from Baseline Fasting plasma glucose at 3 months | 3 months after intervention | Glycemic control |
| Mean of intake calories from food Record | at baseline, 3 months after intervention | mean calorief from diet intake in 3 days |
| Global Physical Activities Questionnaire | at baseline, 3 and 6 months after intervention | Questionnaire about physical activities in whole one week. Divided into 3 categories: low, moderate, high. Every categories describe duration and numbers of day being active during 1 weeks and not for judging it is good or worse. |
| Self-Monitoring Blood Glucose | through study completion, an average of 3 months | Notes of daily blood glucose |
| Change from Baseline Triglycerides at 3 months | 3 months after intervention | Diabetes Mellitus control |
Countries
Indonesia