Effect of mobile learning (application) on self-care behaviors and blood glucose of type 2 diabetic patients

  • Manizhe Hooshmandja
  • Aeen MohammadiEmail author
  • Alireza Esteghamti
  • Khadije Aliabadi
  • Mohammadreza Nili
Research article



More than 70% of the health expenditure is related to chronic diseases. Therefore, an efficient managerial program can markedly reduce medical and administrative costs and benefit both patients and service providers. The use of mobile technologies can be very helpful in this regard. This study was conducted to determine the effect of mobile learning (application) on self-care behaviors and blood glucose control of type 2 diabetic patients attending the Diabetes Clinic of Imam Khomeini Hospital Complex.


This interventional, quasi-experimental study was conducted on 51 diabetic patients. The patients were randomly assigned to case and control groups, and a specifically designed application was used in the case group for three months. Self-care behavior, FBS, and HbA1C were assessed in both groups before and three months after the intervention, and the results were analyzed after the intervention. The Summary of Diabetes Self-Care Activities (SDSCA) measure and medical records was used for data collection. Descriptive and inferential statics (paired t test, ANCOVA analysis) were used for data analysis.


The Mean ± SD of the self-care posttest score, FBS, and HbA1C was 76.95 ± 7.94 vs. 43.4 ± 9.74 (P = 0.001), 143.58 ± 23.39 vs. 171.81 ± 36.98 (P = 0.001), and 6.84 ± 0.63 vs. 8.10 ± 0.10 (P = 0,001), in the case and control group respectively, indicating a difference in all cases.


The results indicated the positive effect of the mobile application on self-care behavior, FBS, and HbA1C.


Mobile learning Application Self-care Blood glucose Type 2 diabetic patients 



Researchers would like to thank the patients participating in the study. This research has been supported by Tehran University of Medical Sciences & health Services grant No 95-02-176-32380.

Compliance with ethical standards

Conflict of interest

The authors declared that they have no conflict of interest.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Virtual University of Medical ScienceTehranIran
  2. 2.Department of E-Learning in Medical Education, Virtual SchoolTehran University of Medical SciencesTehranIran
  3. 3.Department of Internal MedicineTehran University of Medical SciencesTehranIran
  4. 4.Department of Instructional Technology, Faculty of Psychology and Educational SciencesAllameh Tabataba’i UniversityTehranIran

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