Effect of Diabetes Self-management Education and Support on Glycemic Control Among Patients With Type 2 Diabetic

NCT06325917 | Active Not Recruiting

• 1 other identifier: 101271-5
• Study Type: interventional
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Diabetes mellitus (DM) is one of the chronic diseases that can have an impact on increasing morbidity, disability, and death. Social media has become a valuable resource for people with diabetes in improving self-management skills Applying diabetes self-management education with ongoing support using social media produces behavioral changes, empowerment, and cost-effectiveness. purpose: the purpose of this study is to examine the effect of self-management education with ongoing support using social media (WhatsApp) on glycemic control among patients with uncontrolled diabetes. Method: 140 patients with diabetes type 2 attending outpatients' diabetes clinic setting in Aqaba will participate in a two-arm randomized controlled trial study. Self-management education will be applied for all participants, ongoing support using social media (what's app) will be applied to the intervention group, and only usual diabetes care by a diabetes specialist nurse will be applied to the control group.

Conditions

Diabetes Mellitus, Type 2

Keywords

Diabetes; Glycemic control; self-management education

Outcome Measures

Primary Outcomes (1)

• glycemic control

  This is the primary outcome of the study that will be assessed by the Glycated hemoglobin (A1C)

  baseline and three Monthes post intervention

Secondary Outcomes (1)

• diabetes self management behaviors

  Three moths after the intervention

Study Arms (2)

whatsApp ongoing support

EXPERIMENTAL

70 patients will receive the usual care by DSN in the diabetes clinic through monthly visits supported by ongoing follow-up via what's App for a 3month.

Behavioral: what's app ongoing support

usual care

PLACEBO COMPARATOR

monthly follow-up at the diabetes education clinic patients receiving individual care and education by diabetes nurse specialist

Behavioral: usual care

Interventions

what's app ongoing support BEHAVIORAL

daily educational messages and reminders sent through WhatsApp. The educational material related to diabetes self-management behaviors (AADE7 Self-Care Behaviors, diabetes and genetics, and endocrinology center, also the Ministry of Health in Jordan diabetes. individual bidirectional communication between the participants and the investigator, which will allow participants to seek advice and get free-of-charge feedback and consultation.

whatsApp ongoing support

usual care BEHAVIORAL

monthly visit and follow-up at the diabetes education clinic by a diabetes nurse specialist providing DSMES

usual care

Eligibility Criteria

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

You may qualify if:

• have a confirmed diagnosis of DM2 in their medical records at last one year.
• age 18 years old or more
• able to read and write Arabic
• agree to participate in the study
• have uncontrolled blood sugar with HbA1C 8% or more
• able to use the WhatsApp application
• Having the ability to autonomous behavior

You may not qualify if:

• the presence of mental disorders
• complications of acute diabetes or inability to take care of themselves
• other serious diseases, such as severe cardiovascular and cerebrovascular diseases, severe kidney disease stage 3, cancer, and visual impairment due to complications of T2DM
• gestational diabetes

Sponsors & Collaborators

• University of Jordan: lead

Study Sites (1)

University of Jordan

Amman, 11942, Jordan

Location

Related Publications (9)

• Gabarron E, Arsand E, Wynn R. Social Media Use in Interventions for Diabetes: Rapid Evidence-Based Review. J Med Internet Res. 2018 Aug 10;20(8):e10303. doi: 10.2196/10303.

  PMID: 30097421 BACKGROUND

• Zisman-Ilani Y, Obeidat R, Fang L, Hsieh S, Berger Z. Shared Decision Making and Patient-Centered Care in Israel, Jordan, and the United States: Exploratory and Comparative Survey Study of Physician Perceptions. JMIR Form Res. 2020 Aug 3;4(8):e18223. doi: 10.2196/18223.

  PMID: 32744509 BACKGROUND

• Ajlouni K, Batieha A, Jaddou H, Khader Y, Abdo N, El-Khateeb M, Hyassat D, Al-Louzi D. Time trends in diabetes mellitus in Jordan between 1994 and 2017. Diabet Med. 2019 Sep;36(9):1176-1182. doi: 10.1111/dme.13894. Epub 2019 Jan 25.

  PMID: 30614070 RESULT

• Omar MA, Hasan S, Palaian S, Mahameed S. The impact of a self-management educational program coordinated through WhatsApp on diabetes control. Pharm Pract (Granada). 2020 Apr-Jun;18(2):1841. doi: 10.18549/PharmPract.2020.2.1841. Epub 2020 May 3.

  PMID: 32477434 RESULT

• American Association of Diabetes Educators. An Effective Model of Diabetes Care and Education: Revising the AADE7 Self-Care Behaviors(R). Diabetes Educ. 2020 Apr;46(2):139-160. doi: 10.1177/0145721719894903. Epub 2020 Jan 12.

  PMID: 31928334 RESULT

• Azami G, Soh KL, Sazlina SG, Salmiah MS, Aazami S, Mozafari M, Taghinejad H. Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes. J Diabetes Res. 2018 Jul 8;2018:4930157. doi: 10.1155/2018/4930157. eCollection 2018.

  PMID: 30225268 RESULT

• Pal K, Dack C, Ross J, Michie S, May C, Stevenson F, Farmer A, Yardley L, Barnard M, Murray E. Digital Health Interventions for Adults With Type 2 Diabetes: Qualitative Study of Patient Perspectives on Diabetes Self-Management Education and Support. J Med Internet Res. 2018 Jan 29;20(2):e40. doi: 10.2196/jmir.8439.

  PMID: 29463488 RESULT

• Ventola CL. Social media and health care professionals: benefits, risks, and best practices. P T. 2014 Jul;39(7):491-520.

  PMID: 25083128 RESULT

• Cashmore BA, Cooper TE, Evangelidis NM, Green SC, Lopez-Vargas P, Tunnicliffe DJ. Education programmes for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 Aug 22;8(8):CD007374. doi: 10.1002/14651858.CD007374.pub3.

  PMID: 39171639 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus, Type 2; Diabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

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: two arms parallel randomized controlled

Study Record Dates

• First Submitted: June 6, 2023
• First Posted: March 22, 2024
• Study Start: November 1, 2022
• Primary Completion: July 1, 2024
• Study Completion: July 30, 2024
• Last Updated: March 22, 2024

Record last verified: 2024-03

Locations

JO (1)