Romadlon Debby Syahru, Huang Hui-Chuan, Chen Yu-Chi, Hu Sophia H, Kurniawan Rudy, Tarigan Tri Juli Edi, Al Baqi Safiruddin, Hasan Faizul, Chiu Hsiao-Yean
Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
School of Nursing, College of Nursing, Taipei Medical University, Taipei.
J Diabetes Sci Technol. 2025 Jan 29:19322968251314501. doi: 10.1177/19322968251314501.
To investigate the effects of personalized DiaBetes TEXT messaging combined with Peer Support Education (DB-TEXT+ PSE) on clinical outcomes in patients with type 2 diabetes.
An assessor-blinded, three-arm randomized controlled trial recruited 84 participants between December 2022 and July 2023. Participants were randomly assigned to a DB-TEXT + PSE group, a DB-TEXT group, or a professional education program (PEP) group. Primary outcomes included glycated hemoglobin (HbA), fasting blood glucose (FBG) levels, and clinical remission rates, whereas secondary outcomes measured lipid profiles, fatigue, sleep quality, depression, and quality of life (QoL). Outcomes were assessed at baseline (T0), three months (T1), and six months (T2) postintervention.
Relative to PEP, personalized DB-TEXT + PSE and DB-TEXT alone led to significantly reduced HbA levels at T1 and decreased FBG levels at T1 and T2. Type 2 diabetes remission was achieved by 35.7% and 50% of the participants in the DB-TEXT + PSE group, by 17.9% and 25% in the DB-TEXT group, and by 3.7% and 3.7% in the PEP group at T1 and T2, respectively. Relative to the PEP, DB-TEXT + PSE led to significantly reduced TC levels, diastolic blood pressure (DBP), and systolic blood pressure (SBP) and improved sleep quality and QoL over time.
Personalized DB-TEXT + PSE is more effective at enhancing clinical outcomes, reducing fatigue, improving sleep quality, and improving quality of life in patients with type 2 diabetes than DB-TEXT alone and PEPs are. Educators can incorporate personalized DB-TEXT + PSE as a component of diabetes education programs and thereby integrate digital interventions and supplementary programs.
探讨个性化糖尿病短信联合同伴支持教育（DB-TEXT+PSE）对2型糖尿病患者临床结局的影响。
一项评估者盲法、三臂随机对照试验于2022年12月至2023年7月招募了84名参与者。参与者被随机分配到DB-TEXT + PSE组、DB-TEXT组或专业教育项目（PEP）组。主要结局包括糖化血红蛋白（HbA）、空腹血糖（FBG）水平和临床缓解率，而次要结局则测量血脂谱、疲劳、睡眠质量、抑郁和生活质量（QoL）。在干预前的基线（T0）、干预后三个月（T1）和六个月（T2）评估结局。
相对于PEP，个性化的DB-TEXT + PSE和单独的DB-TEXT在T1时导致HbA水平显著降低，在T1和T2时FBG水平降低。DB-TEXT + PSE组分别有35.7%和50%的参与者在T1和T2实现了2型糖尿病缓解，DB-TEXT组分别为17.9%和25%，PEP组分别为3.7%和3.7%。相对于PEP，DB-TEXT + PSE随着时间的推移导致总胆固醇（TC）水平显著降低、舒张压（DBP）和收缩压（SBP）降低，并改善了睡眠质量和生活质量。
个性化的DB-TEXT + PSE在改善2型糖尿病患者的临床结局、减轻疲劳、改善睡眠质量和提高生活质量方面比单独的DB-TEXT和PEP更有效。教育工作者可以将个性化的DB-TEXT + PSE纳入糖尿病教育项目的组成部分，从而整合数字干预和辅助项目。
