Rosie Dobson|Robyn Whittaker|Yannan Jiang|Ralph Maddison|Matthew Shepherd|Catherine McNamara|Richard Cutfield|Manish Khanolkar|Rinki Murphy
Effectiveness of text message based, diabetes self management support programme (SMS4BG): two arm, parallel randomised controlled trial
University of Auckland|Waitemata District Health Board|University of Auckland|University of Auckland|Deakin University|University of Auckland|North Shore Hospital|North Shore Hospital|Greenlane Clinical Centre|University of Auckland|Greenlane Clinical Centre
h3abstracth3 h3objectiveh3 determine effectiveness theoretically based individually tailored text message based diabetes self management support intervention sms4bg adults poorly controlled diabetes h3designh3 nine month two arm parallel randomised controlled trial h3settingh3 primary secondary healthcare services new zealand h3participantsh3 366 participants aged 16 years poorly controlled type 1 type 2 diabetes hba1c 65 mmolmol 8 randomised june 2015 november 2016 n183 intervention n183 control h3interventionsh3 intervention group received tailored package text messages nine months addition usual care text messages provided information support motivation reminders related diabetes self management lifestyle behaviours control group received usual care messages delivered specifically designed automated content management system h3main outcome measuresh3 primary outcome measure change glycaemic control hba1c baseline nine months secondary outcomes included change hba1c three six months self efficacy diabetes self care behaviours diabetes distress perceptions beliefs diabetes health related quality life perceived support diabetes management intervention engagement satisfaction nine months regression models adjusted baseline outcome health district category diabetes type ethnicity h3resultsh3 reduction hba1c nine months significantly greater intervention group mean 885 mmolmol standard deviation 1484 control group 396 mmolmol 1702 adjusted mean difference 423 95 confidence interval 730 115 p0007 21 secondary outcomes four showed statistically significant improvements favour intervention group nine months significant improvements seen foot care behaviour adjusted mean difference 085 95 confidence interval 040 129 plt0001 overall diabetes support 026 003 050 p003 health status eq5d visual analogue scale 438 044 833 p003 perceptions illness identity 054 104 003 p004 high levels satisfaction sms4bg found 161 95 169 participants reporting useful 164 97 willing recommend programme people diabetes h3conclusionh3 tailored text message based self management support programme resulted modest improvements glycaemic control adults poorly controlled diabetes although clinical significance results unclear findings support investigation use sms4bg text message based support patient population h3trial registrationh3 australian new zealand clinical trials registry actrn12614001232628