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Effectiveness of text message based, diabetes self management support programme (SMS4BG): two arm, parallel
Rosie Dobson1, Robyn Whittaker2,3, Yannan Jiang2
1National Institute for Health Innovation, School of Population Health, University of Auckland, Auckland 1142, New Zealand r.dobson@auckland.ac.nz.
BMJ (Clinical Research Ed.)
|May 19, 2018
Summary
A text message intervention improved diabetes management in adults with poorly controlled diabetes, showing modest reductions in HbA1c. This diabetes self-management support program (SMS4BG) warrants further investigation for patient populations.
Area of Science:
- Clinical Medicine
- Digital Health
- Public Health
Background:
- Poorly controlled diabetes necessitates effective self-management support strategies.
- Text message-based interventions offer a scalable approach to patient support.
Purpose of the Study:
- To evaluate the effectiveness of a tailored, text message-based diabetes self-management support intervention (SMS4BG).
- To assess the impact of SMS4BG on glycaemic control and other diabetes-related outcomes in adults with poorly controlled diabetes.
Main Methods:
- A nine-month, two-arm, parallel randomized controlled trial involving 366 adults with poorly controlled type 1 or type 2 diabetes.
- The intervention group received tailored text messages for diabetes self-management, while the control group received usual care.
- Primary outcome was change in HbA1c; secondary outcomes included self-efficacy, self-care behaviors, and quality of life.
Main Results:
- The SMS4BG intervention group showed a significantly greater reduction in HbA1c compared to the control group (adjusted mean difference -4.23 mmol/mol, P=0.007).
- Significant improvements were also observed in foot care behavior, perceived diabetes support, and health status (EQ-5D VAS).
- High participant satisfaction was reported, with 95% finding the program useful and 97% willing to recommend it.
Conclusions:
- A tailored, text message-based self-management support program led to modest improvements in glycaemic control for adults with poorly controlled diabetes.
- While clinical significance requires further evaluation, these findings support continued research into SMS4BG and similar mobile health interventions for diabetes management.
- The intervention demonstrated high user satisfaction and willingness to recommend, indicating potential for widespread adoption.
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