Clinical trial NCT02868320: SMS Technology for the Promotion of Diabetes Education and Self-Management in Egypt
Official title: SMS Technology for the Promotion of Diabetes Education and Self-Management
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Diabetes Mellitus
Keywords: SMS
text messaging
diabetes self management
glycemic control
mHealth
mobile health
diabetes education
Lead sponsor: Hannover Medical School
Sponsor class: OTHER
Collaborators: name: Misr University for Science and Technology
First posted: 2016-08-16
Enrollment: 73
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study was conducted at the teaching hospital of Misr University for Science \& Technology. It aimed to examine the use of SMS technology in educating and monitoring diabetic patients in Egypt, and assess the impact of educational text messages on their glycemic control and self-management behaviors. Participants were randomized into an intervention and a control group. Intervention patients received an instruction booklet as well as daily educational and weekly reminder messages to better control their diabetes. Control patients received the same instruction booklet but no SMS messages. Both group patients took an HbA1c test at the beginning and end of the study period and were asked to measure their blood glucose once a week and record their readings into a monitoring table over 12 weeks. The primary outcome was the change in HbA1c levels, which was expected to be greater among intervention patients at the end of the study. Secondary outcomes included blood glucose levels, treatment and medication adherence, diabetes self-efficacy, rate of hospital/ER visits, frequency of blood glucose measurement, among others.


Eligibility criteria: Inclusion Criteria:

* has diabetes
* owns a mobile phone
* can read SMS messages or lives with someone that can read for them.

Exclusion Criteria:

* cannot read or not SMS familiar and lives alone

Primary outcomes:
measure: change in HbA1c
timeFrame: baseline and 12 weeks
Secondary outcomes:
measure: blood glucose levels
timeFrame: 12 weeks
measure: body weight
timeFrame: 12 weeks
measure: Treatment adherence
timeFrame: 12 weeks
measure: Medication adherence
timeFrame: 12 weeks
measure: Diabetes self-efficacy
timeFrame: 12 weeks
measure: Frequency of blood glucose measurement
timeFrame: 12 weeks
measure: Rate of hospital/ER admissions
timeFrame: 12 weeks
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: Misr University for Science & Technology (MUST) hospital
state: Cairo
Study officials:
affiliation: PLRI Institute for Medical Informatics, Hannover Medical School
name: Haitham Abaza
role: PRINCIPAL_INVESTIGATOR
affiliation: PLRI Institute for Medical Informatics, Hannover Medical School
name: Michael Marschollek
role: STUDY_DIRECTOR
References:
citation: Abaza H, Marschollek M. SMS education for the promotion of diabetes self-management in low & middle income countries: a pilot randomized controlled trial in Egypt. BMC Public Health. 2017 Dec 19;17(1):962. doi: 10.1186/s12889-017-4973-5.