• Br J Gen Pract · Oct 2024

    Impact of an SMS intervention to support type 2 diabetes self-management: DiabeText clinical trial.

    • Rocío Zamanillo-Campos, Maria Antonia Fiol-DeRoque, Maria Jesús Serrano-Ripoll, Joan Llobera, Joana María Taltavull-Aparicio, Alfonso Leiva, Joana Ripoll-Amengual, Escarlata Angullo-Martínez, Isabel Socias, Luis Masmiquel, Jadwiga Konieczna, María Zaforteza-Dezcallar, Maria Asunción Boronat-Moreiro, Sofía Mira-Martínez, Elena Gervilla-García, and Ignacio Ricci-Cabello.
    • IdISBa, Palma de Mallorca, Spain rocio.zamanillo@ssib.es.
    • Br J Gen Pract. 2024 Oct 3.

    BackgroundComplications arising from uncontrolled Type 2 Diabetes Mellitus (T2DM) pose a significant burden on individuals' well-being and healthcare resources. Digital interventions may play a key role in mitigating such complications by supporting patients to adequately self-manage their condition.AimTo assess the impact of DiabeText, a new theory-based, patient-centered, mobile health intervention integrated with electronic health records to send tailored short text messages to support T2DM self-management.Design And SettingPragmatic, Phase III, 12-month, two-arm randomized clinical trial with T2DM primary care patients in Spain.Method742 participants with suboptimal glycemic control (HbA1c>7.5) were randomly allocated to a control (usual care) or intervention (DiabeText) group. The DiabeText group received, in addition to usual care, 165 messages focused on healthy lifestyle and medication adherence.Primary Outcomeglycated hemoglobin (HbA1c).Secondary Outcomesmedication possession ratio, quality of life (EQ-5D-5L), diabetes self-efficacy (DSES); and self-reported adherence to medication, Mediterranean diet (MEDAS-14), and physical activity (IPAQ).ResultsOver the 12-month period, we observed no significant differences in HbA1c between the intervention and the control groups (Beta=-0.025 (-0.198 to 0.147; p=0.772)). In comparison with the control group, the DiabeText group showed significant (p<0.05) improvements in self-reported medication adherence (OR=1.4; 95%CI: 1.0 to 1.9), DSES (Cohen's d=0.35), and EQ5D-5L (Cohen's d=0.18) scores; but not in the rest of secondary outcomes.ConclusionDiabeText successfully improved quality of life, diabetes self-management, and self-reported medication adherence in primary care patients with T2DM. Further research is needed to enhance its effects on physiological outcomes.Copyright © 2024, The Authors.

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