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Journal of Diabetes & Metabolic Disorders

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01-12-2019 | Care | Research article

Effect of mobile learning (application) on self-care behaviors and blood glucose of type 2 diabetic patients

Authors: Manizhe Hooshmandja, Aeen Mohammadi, Alireza Esteghamti, Khadije Aliabadi, Mohammadreza Nili

Published in: Journal of Diabetes & Metabolic Disorders | Issue 2/2019

Abstract

Purpose

More than 70% of the health expenditure is related to chronic diseases. Therefore, an efficient managerial program can markedly reduce medical and administrative costs and benefit both patients and service providers. The use of mobile technologies can be very helpful in this regard. This study was conducted to determine the effect of mobile learning (application) on self-care behaviors and blood glucose control of type 2 diabetic patients attending the Diabetes Clinic of Imam Khomeini Hospital Complex.

Methods

This interventional, quasi-experimental study was conducted on 51 diabetic patients. The patients were randomly assigned to case and control groups, and a specifically designed application was used in the case group for three months. Self-care behavior, FBS, and HbA₁C were assessed in both groups before and three months after the intervention, and the results were analyzed after the intervention. The Summary of Diabetes Self-Care Activities (SDSCA) measure and medical records was used for data collection. Descriptive and inferential statics (paired t test, ANCOVA analysis) were used for data analysis.

Results

The Mean ± SD of the self-care posttest score, FBS, and HbA₁C was 76.95 ± 7.94 vs. 43.4 ± 9.74 (P = 0.001), 143.58 ± 23.39 vs. 171.81 ± 36.98 (P = 0.001), and 6.84 ± 0.63 vs. 8.10 ± 0.10 (P = 0,001), in the case and control group respectively, indicating a difference in all cases.

Conclusions

The results indicated the positive effect of the mobile application on self-care behavior, FBS, and HbA₁C.

Rushby N. Editorial: an agenda for mobile learning. Br Educ Res J. 2012;43(3):355–6. https://doi.org/10.1111/j.1467-8535.2012.01313.x.CrossRef

Liu TY, Tan TH, Chu YL. Outdoor natural science learning with an RFID-supported immersive ubiquitous learning environment. J Educ Technol Soc. 2009;12(4):161–75. https://www.jets.net/ETS/journals/12_4/15.pdf. Accessed 20 Jul 2018.

Motiwalla LF. Mobile learning: a framework and evaluation. Comput Educ. 2007;49(3):581–96. https://doi.org/10.1016/j.compedu.2005.10.011.CrossRef

Savill-Smith C, Kent P. The use of palmtop computers for learning: a review of the literature. London: Learning and Skills Development Agency; 2003.

Zolfaghari M, Sarmadi M, Negarande R, Zandi B, Ahmadi F. Satisfaction of student and faculty members with implementing blended-E-learning. Iran J Nurs Res. 2009;3(11 and 10-11):99–109. http://ijnr.ir/article-1-359-en.html. Accessed 20 Jul 2018.

Gotlarzi M, Ahmadvand M, Farajollahi M. Study of patient teaching importance from point of views in Azad University nursing students in Karaj in 1382. J Urmia Nurs Midwifery Fac. 2004;2(2). http://unmf.umsu.ac.ir/article-1-148-en.html. Accessed 20 Jul 2018.

Ismail K, Winkley K, Rabe-Hesketh S. Systematic review and meta-analysis of randomized controlled trials of psychological interventions to improve glycemic control in patients with type 2 diabetes. Lancet. 2004;363(9421):1589–97. https://doi.org/10.1016/S0140-6736(04)16202-8.CrossRefPubMed

Frooshani N, Khosravipour B, Yaghoobi J. The attitude of experts from the Jihad-e-Agriculture Organization of Khuzestan province towards the mobile education system. Proceedings of the First International Conference on Electronic Education;2009.

Koole M, McQuilkin JL, Ally M. Mobile learning in distance education: utility or futility? J distance Educ. 2010;24(2):59–82. https://eric.ed.gov/?id=EJ892387. Accessed 20 Jul 2018.

10.

Brown T. The role of M-Learning in the future of e-learning in Africa [internet]. Presented at the 21st ICDE World Conference at Hong Kong, China. 2003;110:122–37.

11.

Neil I. Numerous centers for children's health media. 2004;[5]: The Nemours Foundation; 2007. Available from: http://www.teenshealth.org. Accessed 20 Jul 2018.

12.

Santana P. The use of the internet for health and illness issues in portugal repercussions in the physicianpatient relationship. Acta Med Port. 2007;20:47–57. https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/832. Accessed 20 Jul 2018.

13.

Russell-Minda E, Jutai J, Speechley M, Bradley K, Chudyk A, Petrella R. Health technologies for monitoring and managing diabetes: A systematic review. J Diabetes Sci Technol. 2009;3(6):1460–71. https://doi.org/10.1177/193229680900300628.CrossRef

14.

Ziaei-Rad M, Vahdaninia M, Montazeri A. Sexual dysfunctions in patients with diabetes: A study from Iran. Reprod Biol Endocrinol. 2010;8:50–62. https://doi.org/10.1186/1477-7827-8-50.CrossRef

15.

Fakhrzadeh H, Ghaderpanahi M, Sharifi F, Badamchi Z, Mirarefin M, Poorebrahim R. The relationship between physical activity and risk of type 2 diabetes among 24-64-year-old citizens of District 17 of Tehran. ijdld. 2010;10(2):170–79. http://ijdld.tums.ac.ir/article-133-1-fa.html. Accessed 20 Jul 2018.

16.

Tan M, Magarey J. Self-care practices of Malaysian adults with diabetes and sub-optimal glycemic control. Patient Educ Couns.2008;72(2):252–67. https://doi.org/10.1016/j.pec.2008.03.017.CrossRef

17.

Pena V, Watson AJ, Kvedar JC, Grant RW. Mobile phone technology for children with type 1 and type 2 diabetes: a parent survey. J Diabetes SciTechnol.2009;3(6):1481–9. https://doi.org/10.1177/193229680900300630.CrossRef

18.

Malasanos T. Analysis: mobile phones integrated into diabetes management: a logical progression. J Diabetes Sci Technol. 2008;2(1):154–5. https://doi.org/10.1177/193229680800200123.CrossRef

19.

Ferrer-Roca O, Cardenas A, Diaz-Cardama A, Pulido P. Mobile phone text messaging in the management of diabetes. J Telemed Telecare. 2004;10(5):282–5. https://doi.org/10.1258/1357633042026341.CrossRef

20.

El-Galyar O, Timsina P, Nawar N, Eid W. Mobile applications for diabetes self-management: status and potential. J Diabetes Sci Technol. 2013;7(1):247–62. https://doi.org/10.1177/193229681300700130.CrossRef

21.

Zakerimoghadam M, Bassampour S, Rjab A, Faghihzadeh S, Nesari M. Effect of nurse-led telephone follow ups (Tele-Nursing) on diet adherence among type 2 diabetic patients. Hayat. 2008;14(2):63–71 http://hayat.tums.ac.ir/article-1-148-en.html. Accessed 20 Jul 2018.

22.

Seyyede Azemat M, Pedram Z, Shadan H. Investigating the effect of two follow-up techniques (mobile and phone) on compliance to diet in diabetes patients. ijdld. 2011;10(4):407–18. Accessed 20 Jul 2018.

23.

Sacco WP, Malone JI, Morrison AD, Friedman A, Wells K. Effect of a brief, regular telephone intervention by paraprofessionals for type 2 diabetes. J Behav Med. 2009;32(4):349–59. https://doi.org/10.1007/s10865-009-9209-4.CrossRef

24.

Parizad N, Hemmati Maslakpak M, Khalkhali HR. Promoting self-care in patients with type 2 diabetes: tele-education. Hakim Health Sys Res. 2013;16(3):220–27. http://hakim.hbi.ir/article-1-1167-fa.html. Accessed 20 Jul 2018.

25.

Jalilian F, Zinat Motlagh F, Solhi M. Effectiveness of education program on increasing self-care among patients with type II diabetes. sjimu. 2012;20(1):26–34. http://sjimu.medilam.ac.ir/article-1-621-fa.html. Accessed 20 Jul 2018.

26.

Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943–50. https://doi.org/10.2337/diacare.23.7.943.CrossRef

27.

Hamadzadeh S, Ezatti ZH, Abedsaeidi ZH, Nasiri N. Coping styles and self-care behaviors among diabetic patients. Iran J Nurs. 2013;25(80):24-33. http://ijn.iums.ac.ir/article-1-1473-en.html. Accessed 20 Jul 2018.

28.

Fatahnasab J. The effect of self-care education on the nutritional Self-efficacy of diabetes patients. Master's thesis, Arak University of Medical Sciences; 2016.

29.

Krishna S, Boren SA. Diabetes self-management care via cell phone. J Diabetes Sci Technol. 2008;2(3):509–17. https://doi.org/10.1177/193229680800200324.CrossRef

30.

Faridi Z, Liberti L, Shuval K, Northrup V, Ali A, Kat DL. Evaluating the impact of mobile telephone technology on type 2 diabetic patients' self-management: the NICHE pilot study. J Eval Clin Pract.2008; 14(3): 465-9 https://doi.org/10.1111/j.1365-2753.2007.00881.x.CrossRef

31.

Liang X, Wang Q, Yang X, Cao J, Chen J, Mo X, Huang J, Wang L, Gu D. Effect of mobile phone intervention for diabetes on glycemic control: a metaanalysis. Diabet Med. 2011;28(4):455–63. https://doi.org/10.1111/j.1464-5491.2010.03180.x.CrossRef

32.

Peeters JM, Wiegers TA, Friele RD. How technology in care at home affects patient self-care and selfmanagement a scoping review: Int J Environ Res Public Health. 2013;10(11):5541–64. https://doi.org/10.3390/ijerph10115541.CrossRef

33.

Sieverdes JC, Treiber F, Jenkins C, Hermayer K. Improving diabetes management with mobile health technology. Am J Med Sci. 2013;345(4):289–95. https://doi.org/10.1097/MAJ.0b013e3182896cee.CrossRef

34.

Naghibi SA, Moosazadeh M, Zhyanifard A, Makrani ZJ, Cherati JY. Analyzing short message services application effect on diabetic patients' self-caring. Int J Prev Med. 2015;6(1):75–82. https://doi.org/10.4103/2008-7802.162670.CrossRef

35.

Hou C, Carter B, Hewitt J, Francisa T, Mayor S. Do Mobile Phone Applications Improve Glycemic Control (HbA1C) in the Selfmanagement of Diabetes? A Systematic Review, Meta-analysis, and GRADE of 14 Randomized Trials. Diabetes Care. 2016;39(11):2089-2095. https://doi.org/10.2337/dc16-0346.CrossRef

36.

Razmara S, Hemmati Maslakpak M, Khalkhali HR. The effect of family-centered education on self-care in patients with type 2 diabetes. j urmia nurs midwifery fac. 2016;14(2):118–27. http://unmf.umsu.ac.ir/article-٢۴٩۵-١-fa.html. Accessed 20 Jul 2018.

37.

Kim HS, Oh JA. Adherence to diabetes control recommendations: impact of nurse telephone calls. J Adv Nurs. 2003;44(3):256–61. https://doi.org/10.1046/j.1365-2648.2003.02800.x.CrossRef

38.

Lorig K, Ritter PL, Villa F, Piette JD. Spanish diabetes self-management with and without automated telephone reinforcement two randomized trials. Diabetes Care. 2008;31(3):408–14. https://doi.org/10.2337/dc07-1313.CrossRefPubMed

39.

Turner J, Larsen M, Tarassenko L, Neil A, Farmer A. Implementation of telehealth support for patients with type 2 diabetes using insulin treatment: an exploratory study. Inform Prim Care. 2009;17(1):47–53. https://doi.org/10.14236/jhi.v17i1.714.CrossRef

40.

Adib-Hajbaghery M, Alinaghipoor T. The Effects of Lecture and Multimodal Methods of Teaching on Healing Rate of Diabetic Foot Ulcer and Patients' Compliance with Care Recommendations. Iran J Nurs. 2012;25(77):1–11. http://ijn.iums.ac.ir/article-1-1288-fa.html. Accessed 20 Jul 2018.

41.

Agha Molaei T, Eftekhar H, Mohammad K. Application of health belief model to behavior change of diabetic patients. Payesh. 2005;4(4):263–69. http://www.payeshjournal.ir/Fa/article/Article.aspx?aid=128&tabid. Accessed 20 Jul 2018.

42.

Bell AM, Fonda SJ, Walker MS, Schmidt V, Vigersky RA. Mobile phone-based video messages for diabetes self-care support. J Diabetes Sci Technol. 2012;6(2):310–19. https://doi.org/10.1177/193229681200600214.CrossRef

43.

Shakerzade F, Mahmoodzade Z, Darabi M, Jelvaei S. The role of mobile phone on various aspects of diabetes. Proceedings of the International Health Seminar (Mobile Health); 2015.

Title: Effect of mobile learning (application) on self-care behaviors and blood glucose of type 2 diabetic patients
Authors: Manizhe Hooshmandja
Aeen Mohammadi
Alireza Esteghamti
Khadije Aliabadi
Mohammadreza Nili
Publication date: 01-12-2019
Publisher: Springer International Publishing
Keyword: Care
Published in: Journal of Diabetes & Metabolic Disorders / Issue 2/2019
Electronic ISSN: 2251-6581
DOI: https://doi.org/10.1007/s40200-019-00414-1

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