Department of Family medicine, Hematology research center, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Family medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Prim Care. 2022 Aug 19;23(1):209. doi: 10.1186/s12875-022-01820-w.
The high prevalence of diabetes and the importance of long-term follow-up of these patients encourage finding an inexpensive and applicable educational method to control the disease. Distance education based on mobile technology and Short message service (SMS) can be an effective way to manage this disease by eliminating time and place limitations. Due to the world's high penetration rate, SMS is one of the best ways to transfer information and health education.
This study aimed to compare the effect of SMS- and group-based education in managing diabetes type 2 and compare them with a control group.
A total of 168 patients with diabetes type 2 under the coverage of three family physician clinics were randomly allocated into three groups. The education was conducted in 12 one-hour sessions once a week in the group-based arm, and a daily short message was sent to the participants in the SMS group. The control group also underwent routine care at the family physician clinic. The duration of the education was 3 months. At baseline and 3 months later, fasting blood sugar (FBS), 2 hours postprandial sugar (2hppBS), and HBA1c, as well as diabetes self-management questionnaire score (DSMQ), were measured.
The comparison of the three groups in terms of changes in FBS (P-value: 0.001), 2hppBS (8 P-value: < 0.001) and HbA1c (P-value: < 0.001) were significantly different after 3 months. In pairwise analysis, 2hppBS was the only significantly different parameter between the group- and SMS-based education (P-value: 0.035).
Although the effect of both educational methods via SMS or group education was better than the control group in controlling diabetes, these two methods were not statistically different. Due to spending a lot of time and money on group-based education, it is better to replace it with education by SMS.
糖尿病的高患病率和对这些患者进行长期随访的重要性促使我们寻找一种廉价且适用的教育方法来控制疾病。基于移动技术和短信服务（SMS）的远程教育可以通过消除时间和地点的限制，成为管理这种疾病的有效途径。由于 SMS 在全球的高普及率，它是传递信息和健康教育的最佳方式之一。
本研究旨在比较基于短信和小组教育在管理 2 型糖尿病方面的效果，并将其与对照组进行比较。
共有 168 名在三家家庭医生诊所接受治疗的 2 型糖尿病患者被随机分为三组。在小组教育组中，每周进行一次 1 小时的 12 次课程，在短信组中，每天向参与者发送短信。对照组也在家庭医生诊所接受常规护理。教育持续 3 个月。在基线和 3 个月后，测量空腹血糖（FBS）、餐后 2 小时血糖（2hppBS）和 HBA1c，以及糖尿病自我管理问卷评分（DSMQ）。
3 个月后，三组间 FBS（P 值：0.001）、2hppBS（P 值：<0.001）和 HbA1c（P 值：<0.001）的变化比较差异有统计学意义。在两两比较中，2hppBS 是组间和短信教育之间唯一有统计学差异的参数（P 值：0.035）。
尽管通过短信或小组教育的两种教育方法在控制糖尿病方面的效果均优于对照组，但这两种方法在统计学上并无差异。由于小组教育需要花费大量的时间和金钱，因此最好用短信教育来替代。
