Advertisement

DM-calendar app as a diabetes self-management education on adult type 2 diabetes mellitus: a randomized controlled trial

  • KusnantoEmail author
  • Komang Agus Jerry Widyanata
  • Suprajitno
  • Hidayat Arifin
Research article
  • 14 Downloads

Abstract

Purpose

Era Disruption 4.0 demands development in the management of Diabetes Mellitus (DM) by using application-based intervention that can facilitate nursing intervention. The aim was to evaluate the effect of diabetes mellitus calendar app as a Diabetes Self-Management Education (DSME) program on self-efficacy, HbA1c levels, lipid profile, and insulin in adult type 2 diabetes mellitus (T2DM).

Methods

It was randomized experimental design — simple random sampling used with a total sample of 30 respondents. The instruments used diabetes management self-efficacy scales and standard of operational procedure blood sampling. The statistical tests used were a Paired t-test, Wilcoxon, and an Independent t-test.

Results

DSME with an Android-based DM calendar affected self-efficacy (p < 0.001), HbA1c levels (p = 0.005), cholesterol (p = 0.009), triglyceride (p = 0.000), HDL-c (p = 0.048), LDL-c (p = 0.010), and insulin (p = 0.000) compared with the control group. Education with these electronic media has increased the perception of self-efficacy and improved the behavior of good self-management that can be seen from changes in controlled HbA1c level, lipid profile and insulin.

Conclusion

The results of this study can be used as a reference for providing educational experimental in patients with Type 2 Diabetes Mellitus (T2DM).

Keywords

Diabetes mellitus Telenursing Self-efficacy Lipid profile Insulin 

Notes

Acknowledgments

We would like to thank you to the mayor government and the Head of the Health Primary Care in North Denpasar who have helped and provided policies during the research process.

Conflict of interest

No potential conflict of interest relevant to this article was reported.

References

  1. 1.
    Zamanzadeh V, Zirak M, Hemmati M. Diabetes & Metabolic Syndrome : Clinical Research & Reviews Distance education and diabetes empowerment : a single-blind randomized control trial. Diabetes Metab Syndr Clin Res Rev. 2016.  https://doi.org/10.1016/j.dsx.2016.12.039.CrossRefGoogle Scholar
  2. 2.
    Wikström K, Lindström J, Tuomilehto J, Saaristo TE, Helakorpi S, Korpi-Hyövälti E, et al. National diabetes prevention program (DEHKO): awareness and self-reported lifestyle changes in Finnish middle-aged population. Public Health. 2015;129:210–7.  https://doi.org/10.1016/j.puhe.2014.12.019.CrossRefPubMedGoogle Scholar
  3. 3.
    Widhiantara I. Penyebab Diabetes. J Kesehat. 2018;2:10–5.Google Scholar
  4. 4.
    Booth AO, Lowis C, Hunter SJ, Dean M, Cardwell CR, Mckinley MC. Development and Evaluation of a Computer - Based , Self - Management Tool for People Recently Diagnosed with Type 2 Diabetes 2016;2016.  https://doi.org/10.1155/2016/3192673.CrossRefGoogle Scholar
  5. 5.
    Shao Y, Liang L, Shi L, Wan C, Yu S. The effect of social support on glycemic control in patients with type 2 diabetes mellitus: the mediating roles of self-efficacy and adherence. J Diabetes Res. 2017;2017:1–8.  https://doi.org/10.1155/2017/2804178.CrossRefGoogle Scholar
  6. 6.
    Steinhardt MA, Brown SA, Dubois SK, Harrison L, Matthew Lehrer H, Jaggars SS. A resilience intervention in African-American adults with type 2 diabetes. Am J Health Behav. 2015;39:507–18.  https://doi.org/10.5993/AJHB.39.4.7.CrossRefPubMedGoogle Scholar
  7. 7.
    Fan L, Sidani S. Factors influencing preferences of adults with type 2 diabetes for diabetes self-management education interventions. Can J Diabetes. 2018;42:645–51.  https://doi.org/10.1016/j.jcjd.2018.04.003.CrossRefPubMedGoogle Scholar
  8. 8.
    Mardanian Dehkordi L, Abdoli S. Diabetes Self-Management Education; Experience of People with Diabetes. J Caring Sci. 2017;6:111–8.  https://doi.org/10.15171/jcs.2017.011.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Threatt TB, Ward ED. Telehealth for diabetes self-management education and support in an underserved, free clinic population: a pilot study. J Am Pharm Assoc. 2017;57:402–6.  https://doi.org/10.1016/j.japh.2017.01.019.CrossRefGoogle Scholar
  10. 10.
    Harris AN. Diabetes self-management education provision by an Interprofessional collaborative practice team: a quality improvement project. Nurs Clin North Am. 2019;54:149–58.  https://doi.org/10.1016/j.cnur.2018.11.002.CrossRefPubMedGoogle Scholar
  11. 11.
    Tavşanli N, Karadakovan A, Saygili F. The use of videophone technology (telenursing) in the glycaemic control of diabetic patients: a randomized controlled trial. J Diabetes Res Clin Metab. 2013;2:1.  https://doi.org/10.7243/2050-0866-2-1.CrossRefGoogle Scholar
  12. 12.
    Higano K, Shibayama T, Ichikawa M, Motomura M, Shimano H, Kawakami Y, et al. The Effects of Telenursing with Goal Attainment Scaling in Diabetic Patients: A Case Report. Int J Nurs Clin Pract. 2015;2:6–8.  https://doi.org/10.15344/2394-4978/2015/117.CrossRefGoogle Scholar
  13. 13.
    Biolabs C. HDL and LDL / VLDL Cholesterol Assay Kit ( ab65390 ). Creat Solut Life Sci Res. 2017:1–11.Google Scholar
  14. 14.
    Biolabs C. RayBio ® Human Insulin ELISA Kit. Creat Solut Life Sci Res. 2017:1–12.Google Scholar
  15. 15.
    SPSS I. IBM SPSS statistics Vers 25 2019.https://www.ibm.com/id-en/marketplace/spss-statistics/details. Accessed 23 Feb 2019
  16. 16.
    Bandura Albert. Self-efficacy. In: V.S. Ramachaudran, editor. Encycl. Hum. Behav., New York: Academic Press; 1994, p. 71–81.Google Scholar
  17. 17.
    Lari H, Tahmasebi R, Noroozi A. Effect of electronic education based on health promotion model on physical activity in diabetic patients. Diabetes Metab Syndr Clin Res Rev. 2018;12:45–50.  https://doi.org/10.1016/j.dsx.2017.08.013.CrossRefGoogle Scholar
  18. 18.
    Swoboda CM, Miller CK, Wills CE. Patient Education and Counseling Impact of a goal setting and decision support telephone coaching intervention on diet , psychosocial , and decision outcomes among people with type 2 diabetes. Patient Educ Couns 2017.  https://doi.org/10.1016/j.pec.2017.02.007.CrossRefGoogle Scholar
  19. 19.
    Janssen JAMJL, Varewijck AJ, Brugts MP. The insulin-like growth factor-I receptor stimulating activity ( IRSA ) in health and disease. Growth Hormon IGF Res. 2019;48–49:16–28.  https://doi.org/10.1016/j.ghir.2019.08.001.CrossRefGoogle Scholar
  20. 20.
    Singh P, Alex JM, Bast F. Insulin receptor (IR) and insulin-like growth factor receptor 1 (IGF-1R) signaling systems: novel treatment strategies for cancer. Med Oncol. 2014;31.  https://doi.org/10.1007/s12032-013-0805-3.
  21. 21.
    Funnell MM. Quality of life and insulin therapy in type 2 diabetes mellitus. Insulin. 2008;3:31–6.  https://doi.org/10.1016/S1557-0843(08)80009-7.CrossRefGoogle Scholar
  22. 22.
    Gao L, Ji L, Su Q, Feng B, Shan Z, Hu R, et al. Impact of structured self-monitoring of blood glucose on the quality of life of insulin-treated Chinese patients with type 2 diabetes mellitus: results from the COMPASS study. Diabetes Res Clin Pract. 2016;112:88–93.  https://doi.org/10.1016/j.diabres.2015.08.004.CrossRefPubMedGoogle Scholar
  23. 23.
    Pacaud D, Kelley H, Downey AM, Chiasson M. Successful delivery of diabetes self-care education and follow-up through eHealth media. Can J Diabetes. 2012;36:257–62.  https://doi.org/10.1016/j.jcjd.2012.08.006.CrossRefGoogle Scholar
  24. 24.
    Cotter AP, Durant N, Agne AA, Cherrington AL. Internet interventions to support lifestyle modification for diabetes management: a systematic review of the evidence. J Diabetes Complicat. 2014;28:243–51.  https://doi.org/10.1016/j.jdiacomp.2013.07.003.CrossRefPubMedGoogle Scholar
  25. 25.
    Aldasouqi S, Gossain V. Hemoglobin a1c : past, present and future. Ann Saudi Med. 2008;28:9.  https://doi.org/10.5144/0256-4947.2008.411.CrossRefGoogle Scholar
  26. 26.
    De Greef KP, Deforche BI, Ruige JB, Bouckaert JJ, Tudor-Locke CE, Kaufman JM, et al. The effects of a pedometer-based behavioral modification program with telephone support on physical activity and sedentary behavior in type 2 diabetes patients. Patient Educ Couns. 2011;84:275–9.  https://doi.org/10.1016/j.pec.2010.07.010.CrossRefPubMedGoogle Scholar
  27. 27.
    Moattari M, Hashemi M, Dabbaghmanesh MH. The impact of electronic education on metabolic control indicators in patients with diabetes who need insulin: a randomised clinical control trial. J Clin Nurs. 2013;22:32–8.  https://doi.org/10.1111/j.1365-2702.2012.04200.x.CrossRefPubMedGoogle Scholar
  28. 28.
    Goodarzi M, Ebrahimzadeh I, Rabi A, Saedipoor B, Jafarabadi MA. Impact of distance education via mobile phone text messaging on knowledge, attitude, practice and self efficacy of patients with type 2 diabetes mellitus in Iran. J Diabetes Metab Disord. 2012;11:1–8.  https://doi.org/10.1186/2251-6581-11-10.CrossRefGoogle Scholar
  29. 29.
    Jannoo Z, Mamode KN. Medication adherence and diabetes self-care activities among patients with type 2 diabetes mellitus. Value Heal Reg Issues. 2019;18:30–5.  https://doi.org/10.1016/j.vhri.2018.06.003.CrossRefGoogle Scholar
  30. 30.
    Akbari M, Lankarani KB, Naghibzadeh-Tahami A, Tabrizi R, Honarvar B, Kolahdooz F, et al. The effects of mobile health interventions on lipid profiles among patients with metabolic syndrome and related disorders: a systematic review and meta-analysis of randomized controlled trials. Diabetes Metab Syndr Clin Res Rev. 2019;13:1949–55.  https://doi.org/10.1016/j.dsx.2019.04.011.CrossRefGoogle Scholar
  31. 31.
    Goyal S, Morita P, Lewis GF, Yu C, Seto E, Cafazzo JA. The systematic Design of a Behavioural Mobile Health Application for the self-Management of Type 2 diabetes. Can J Diabetes. 2016;40:95–104.  https://doi.org/10.1016/j.jcjd.2015.06.007.CrossRefPubMedGoogle Scholar
  32. 32.
    Gonzales MM, Durazo-Arvizu RA, Sachdeva S, Unterman TG, O’Brien MJ, Gallo LC, et al. Associations of insulin resistance with cognition in individuals without diagnosed diabetes: results from the Hispanic community health study/study of Latinos. Diabetes Res Clin Pract. 2019;150:38–47.  https://doi.org/10.1016/j.diabres.2019.01.030.CrossRefPubMedGoogle Scholar
  33. 33.
    Dinglas C, Muscat J, Adams T, Peragallo-Dittko V, Vintzileos A, Heo HJ. Software-guided insulin dosing improves intrapartum glycemic management in women with diabetes mellitus. Am J Obstet Gynecol. 2018;219:191.e1–6.  https://doi.org/10.1016/j.ajog.2018.05.003.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Kusnanto
    • 1
    Email author
  • Komang Agus Jerry Widyanata
    • 1
  • Suprajitno
    • 2
  • Hidayat Arifin
    • 1
  1. 1.Department of Fundamental, Critical, and Medical-Surgical Nursing, Faculty of NursingUniversitas AirlanggaSurabayaIndonesia
  2. 2.School of NursingEast JavaIndonesia

Personalised recommendations