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Diabetes Text-Message Self-Management Support Program (SMS4BG): A Pilot Study.

Rosie Dobson1, Karen Carter, Richard Cutfield

  • 1National Institute for Health Innovation, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand. r.dobson@auckland.ac.nz.

JMIR Mhealth and Uhealth
|April 2, 2015
PubMed
Summary
This summary is machine-generated.

Text messages supporting diabetes self-management (SMS4BG) were found to be useful and acceptable for adults with poorly controlled diabetes. This intervention positively impacted glycemic control, showing a decrease in HbA1c levels.

Keywords:
SMSdiabetes mellitusmHealthmobile phoneself-managementtext message

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Area of Science:

  • Digital Health
  • Diabetes Management
  • Mobile Health Interventions

Background:

  • Rising diabetes prevalence and complications necessitate cost-effective self-management support.
  • Short Message Service (SMS) offers a low-cost, accessible platform for health interventions.
  • SMS4BG is a tailored text message intervention for diabetes self-management.

Purpose of the Study:

  • To evaluate the usability and acceptability of the SMS4BG intervention.
  • To assess the impact of SMS4BG on adults with poorly controlled diabetes.

Main Methods:

  • A 3-month pilot study involving 42 adults with type 1 or type 2 diabetes and HbA1c > 70 mmol/mol.
  • Participants received tailored text messages and glucose monitoring reminders.
  • Usability, acceptability, and HbA1c levels were assessed via interviews and patient records.

Main Results:

  • 93% of participants completed interviews, reporting SMS4BG as useful and culturally appropriate.
  • Participants perceived positive impacts on diabetes and health behaviors.
  • A significant decrease in HbA1c was observed from baseline to follow-up.

Conclusions:

  • Tailored text message interventions are acceptable and effective for supporting diabetes self-management.
  • Further research with a randomized controlled trial is recommended to confirm efficacy and sustainability.