Mobile Technology and Motivational Interviewing in Type 2 Diabetes Patients

NCT05919706 | Completed

• 1 other identifier: Diabetes Mellitus and Mobile
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Type 2 diabetes patients were divided into experimental and control groups. Patients in the control group received regular nursing care, while those in the experimental group received MI, which is empowered by game-based mobile technology. Pre-test, post-test and follow-up test self-management, quality of life and satisfaction levels scores were determined.

Conditions

Type 2 Diabetes Mellitus; Gaming; Motivational Interviewing; Self-Management; Quality of Life; Mobile Technology

Keywords

Type 2 Diabetes; Self-Management; Quality of Life; Satisfaction; Nursing; Mobile Technology; Gaming; Motivational Interviewing

Outcome Measures

Primary Outcomes (2)

• DSMQ

  The scale is of a four-point Likert type. The scale has 4 sub-dimensions as "Glucose Management, Diet Control, Physical Activity, Health-Care Use" and a total score. The lowest score of the scale is 0 points and the highest score is 10 points. The higher the score, the higher the diabetes self-management.

  Last 8 weeks

• SF-36

  The scale consists of 36 items and 8 sub-dimensions. 8 sub-dimensions have 2 summary sub-dimensions as "Physical Health and Mental Health". There is no total score in the scale. A score between 0-100 is evaluated with sub-dimensions (0: Poor Health, 100: Good Health). Low scores on the scale indicate poor health, while high scores indicate good health.

  Last 4 weeks

Study Arms (2)

Experimental Group

EXPERIMENTAL

Pre-test data were collected from patients with Patient Information and Follow-up Form, Diabetes Self-Management Scale (DSMQ) and Short Form-36 Quality of Life Scale (SF-36). After the pre-test, a educational program and a game-based mobile technology application were carried out for 4 weeks, 2 days a week at intervals. After the educational program were completed, motivational interviews were conducted once a week for 4 weeks. In this process, it was ensured that the game-based mobile technology application continued. Post-test data were collected with DSMQ and SF-36 at 2 months (8 weeks after the pre-test). After the post-test, the patients were followed up for 4 weeks. After the follow, with the Patient Information and Follow-up Form, DSMQ, SF-36, and the Satisfaction Questionnaire the follow-test data was collected.

Behavioral: Patient Education with Game-Based Mobile Technology and Motivational Interviewing

Control Group

NO INTERVENTION

Pre-test data were collected from patients with Patient Information and Follow-up Form, Diabetes Self-Management Scale DSMQ) and Short Form-36 Quality of Life Scale (SF-36). After the pre-test data were collected, no intervention was applied to the patients for 3 months (12 weeks), except for routine nursing care. Posttest data were collected with DSMQ and SF-36 2 months (8 weeks) after the pretest data. After the last test, the patients were followed up for 4 weeks, and 3 months (12 weeks) after the start of the study, the Patient Information and Follow-up Form (only the parts containing the features related to the disease and metabolic control variables), DSMQ and SF-36 Scale and follow-up test data were collected.

Interventions

Patient Education with Game-Based Mobile Technology and Motivational Interviewing BEHAVIORAL

Education program, game-based mobile technology and motivational interview were applied to the patients in the experimental group. The patients' self-management, quality of life, and satisfaction level scores for the intervention were determined.

Experimental Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being 18 years or older,
• Having a diagnosis of Type 2 Diabetes Mellitus according to the ADA diagnostic criteria,
• Being on oral antidiabetic and/or insulin therapy,
• Having a smart phone and knowing how to use it,
• Internet connection (to install mobile technology application),
• Not having participated in motivational interviewing (MG) training before,
• Not having vision and hearing problems,
• Not having a communication problem,
• To be able to read, write and speak Turkish,
• Volunteering to participate in the study and continue the study process.

You may not qualify if:

• Having a diagnosis of Type 1 and/or Gestational Diabetes Mellitus,
• Having serious health problems that prevent participation in motivational interviewing,
• Using steroid therapy,
• Having complications that may develop in the long term due to diabetes and having advanced retinopathy, neuropathy, amputation history or active foot wound,
• Having mental confusion, having any psychiatric problems and/or using a psychiatric drug,
• Being unwilling to participate in the study and/or not wanting to continue the study process.

Sponsors & Collaborators

• Inonu University: lead

Study Sites (1)

Bingol State Hospital

Bingöl, Centrer, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 2; Personal Satisfaction

Interventions

Patient Education as Topic; Motivational Interviewing

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Behavior

Intervention Hierarchy (Ancestors)

Health Education; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services; Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: This study was conducted as a randomized controlled experimental study with pretest-posttest-follow-up test.

Study Record Dates

• First Submitted: June 13, 2023
• First Posted: June 26, 2023
• Study Start: October 6, 2022
• Primary Completion: February 3, 2023
• Study Completion: February 3, 2023
• Last Updated: June 27, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR
• Time Frame: Data will be shared as long as they are published.
• Access Criteria: Publication Page

Locations

TU (1)