Department of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India.
Department of Medicine, Maulana Azad Medical College, New Delhi 110002, India.
Natl Med J India. 2021 Jan-Feb;34(1):4-9. doi: 10.4103/0970-258X.323446.
. Diabetes-related health education promotes patient efficacy for diabetes self-management. However, sub-optimal knowledge of diabetes in people with diabetes is recognized as a challenge in overcrowded public health facilities in India. We aimed to determine the effect of health education through mobile phone text messages (short messaging service [SMS]) on diabetes-related knowledge of patients with diabetes.
. From February 2016 to February 2017, we recruited adult patients with diabetes for this quasi-experimental study done in the outpatient setting of a major tertiary care government hospital in Delhi, India. Participants in the intervention group received a text message on diabetes self-care practices every alternate day for 90 days. We evaluated the patients' knowledge of diabetes using the Spoken Knowledge in Low Literacy in Diabetes (SKILL-D) questionnaire and a self-designed diabetes knowledge questionnaire.
. We enrolled 190 men and 160 women, of whom 52 (13.7%) were lost to follow-up. At baseline, mean diabetes knowledge scores were higher in the intervention group compared to the control group. After the intervention period of 3 months, the diabetes knowledge scores for SKILL-D and the patient diabetes knowledge questionnaire showed a statistically significant increase in the intervention group (mean difference 0.7 and 0.5, respectively; p<0.001, but there was no increase in the control group).
. The use of mobile phone technology for diabetes-related health education through mobile text-message (SMS) technology is an effective method for health promotion.
糖尿病相关健康教育可提高患者糖尿病自我管理的效能。然而，在印度人满为患的公共卫生机构中，患者对糖尿病的认知不足是一个挑战。我们旨在确定通过手机短信（短消息服务[SMS]）进行健康教育对糖尿病患者糖尿病相关知识的影响。
2016 年 2 月至 2017 年 2 月，我们在印度德里一家主要的三级政府医院的门诊环境中进行了这项准实验研究，招募了成年糖尿病患者。干预组的参与者每隔一天接受一次关于糖尿病自我护理实践的短信，共持续 90 天。我们使用口语化的糖尿病知识评估量表（SKILL-D）和自行设计的糖尿病知识问卷评估患者的糖尿病知识。
我们共纳入 190 名男性和 160 名女性患者，其中 52 名（13.7%）失访。在基线时，干预组的糖尿病知识得分高于对照组。在 3 个月的干预期后，SKILL-D 和患者糖尿病知识问卷的糖尿病知识得分在干预组显示出统计学上的显著增加（分别为平均差异 0.7 和 0.5；p<0.001，但对照组没有增加）。
通过手机短信（SMS）技术进行基于移动电话的糖尿病相关健康教育是一种有效的健康促进方法。
