Comparison of In-Person and MMS -Based Education in Telegram on Self-care and Fasting Blood Sugar of Patients with Diabetes Mellitus: A Randomized Clinical Trials.

Mahtab Aligholipour,Mozaffar Ghaffari,Faranak Jabbarzadeh,Hossein Feizollahzadeh

doi:10.15171/jcs.2019.023

Mahtab Aligholipour, Mozaffar Ghaffari + Show 2 more

Open Access

https://doi.org/10.15171/jcs.2019.023

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Abstract

Introduction: Diabetes is a disease whose control requires effective self-care and patient education. Multimedia Messaging Service-based (MMS) education is one of the new methods for education. The purpose of this study was to investigate the effect of two types of in-person and MMS-based education in the Telegram application on self-care and weekly fasting blood sugar levels in patients with insulin-dependent diabetes.Methods: In this clinical trial, a sample of 66 patients with diabetes who referred to the Sina hospital in Tabriz, were randomly assigned into two groups: in person and MMSM-based education. Data gathering tools included a demographic form, Toobert’s self-care activities questionnaire (as primary outcome), and a checklist to record fasting blood sugar weekly measured by a glucometer. Data were analyzed using independent and paired sample t-tests, chi-square, and repeated measures ANOVA.Results: After the education the mean scores of self-care in terms of diet, exercise, foot care, and blood sugar testing activity significantly increased in both groups and results of ANCOVA of the scores for all dimensions revealed no significant difference between two groups. Reduction in the fasting weekly blood sugar levels over a 12-week period were statistically significant in both groups. But there was no significant difference between the two groups.Conclusion: MMS-based education same as in-person, improves self-care in patients with diabetes. Given the disadvantages of in-person education, this new educational strategy can be used to facilitate the patient education process and improve its quality.

Highlights

Diabetes is a disease whose control requires effective self-care and patient education
Materials and methods This study is a randomized clinical trial that examines the effects of in-person education and Multimedia Messaging Service-based (MMS)-based education on patients with insulin-dependent diabetes
The results showed that MMS-based education in the Telegram application environment and the in-person education led to a significant increase in the mean of self-care activities scores of patients with insulin-dependent diabetes in various dimensions, except for medications in the inperson group

Summary

Introduction

Diabetes is a disease whose control requires effective self-care and patient education. The purpose of this study was to investigate the effect of two types of in-person and MMS-based education in the Telegram application on self-care and weekly fasting blood sugar levels in patients with insulin-dependent diabetes. Diabetes mellitus as a rapidly increasing and the most common metabolic disease can cause acute and chronic complications as follows: hyperglycemia, hypoglycemia, Nephropathy, and diabetic foot ulcer It can negatively affect patients’ quality of life and has been identified as one of the major causes of global mortality[1,2]. Self-care is influenced by many factors such as the culture, socioeconomic conditions, beliefs and morale of patients, which affects the process of teaching, learning and using what is learned,[14] But considering the limitations of standard in-person training in patients with

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