Effectiveness of mobile and internet intervention in patients with obese type 2 diabetes.

Full Abstract

PURPOSE:
The present study evaluated whether an intervention using the SMS by personal cellular phone and internet would improve the levels of plasma glucose of obese type 2 diabetes at 3, 6, 9, and 12 months.

METHODS:
This is a quasi-experimental design with pre- and follow-up tests. Participants were recruited from the endocrinology outpatient department of tertiary care hospital located in an urban city of South Korea. Eighteen patients were randomly assigned to an intervention group and 16 to a control group. The goal of the intervention was to decrease body weight and keep blood glucose concentrations close to the normal range. Patients were requested to record their blood glucose level in a weekly diary on the website by personal cellular phones or computer internet. The researcher sent optimal recommendations to each patient, by both the cellular phone and the Internet weekly. The intervention was applied for 1 year.

RESULTS:
Glycosylated hemoglobin (HbA(1)c) decreased 1.22 percentage points at 3 months, 1.09 percentage points at 6 months, 1.47 percentage points at 9 months, and 1.49 percentage points at 12 months compared with baseline in the intervention group (all time points, p<0.05). The percentage change in the control group was, however, not significant. Patients in the intervention group had a decrease of 2-h post-prandial test (2HPPT) of 120.1mg/dl at 3 months, 58.9 mg/dl at 6 months, 62.0mg/dl at 9 months, and 102.9 mg/dl at 12 months compared with baseline (all time points, p<0.05). The mean change in the control group was, however, not significant.

CONCLUSION:
This web-based intervention using SMS of personal cellular phone and Internet improved HbA(1)c and 2HPPT at 3, 6, 9, and 12 months in patients with obese type 2 diabetes.

Learn Faster Today Improve your study skills

Author information

Author/s: Kim, Suk-Il (SI); Kim, Hee-Seung (HS);

Affiliation: Department of Preventive Medicine, College of Medicine, The Catholic University, Seoul, South Korea.

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: International journal of medical informatics (Int J Med Inform), published in Ireland. (Language: eng)

Reference: 2008-Jun; vol 77 (issue 6) : pp 399-404

Dates: Created 2008/04/25; Completed 2008/06/27;

PMID: 17881285, status: MEDLINE (last retrieval date: 11/6/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Cellular Phone
Diabetes Mellitus, Type 2 - complications; diagnosis; therapy
Female
Humans
Internet
Male

Middle Aged
Obesity - complications; diagnosis; therapy
Outcome Assessment (Health Care) - methods
Remote Consultation - methods
Self Care - methods
Treatment Outcome

These are the highest related articles currently in the database:

See 100+ related articles.