Vu Huyen Thi Thanh, Nguyen Thu Thi Hoai, Luu Minh Ngoc, Nguyen Thuy Phuong, Nguyen Huong Thi Thu, Nguyen Tam Ngoc, Nguyen Thanh Xuan, Ha Linh Vu Huyen, Nguyen Huong Thi Thanh, Thillainadesan Janani, Naganathan Vasi, Do Toan Thi Thanh, Nguyen Anh Trung
Hanoi Medical University, Hanoi, Vietnam.
National Geriatric Hospital, Hanoi, Vietnam.
J Diabetes Sci Technol. 2025 Jan 31:19322968241306438. doi: 10.1177/19322968241306438.
Information technology can be used to improve the management of non-communicable diseases, such as diabetes. This study aims to evaluate the willingness of older outpatients with type 2 diabetes to use mobile phones to support medication adherence and receive text message appointment reminders and investigated the factors associated with this willingness.
This study was a cross-sectional study conducted at the outpatient department of Dong Da General Hospital. Participants aged 60 and over managed and treated for type 2 diabetes were asked about mobile phone usage. Data were also collected on sociodemographic information, diabetes characteristics, and medical history.
In the 584 study participants recruited, the mean age was 73.2 (SD: 8.3) years. Approximately 80% patients with diabetes had medium or high treatment adherence and 52.4% had hemoglobin A1c (HbA) < 7.5%. In the multilevel logistic regression analysis, the following factors were significantly associated with willingness to using phones to support medication adherence: college, university, or higher level (odds ratio [OR] = 2.35, 95% confidence interval [CI] = 1.10, 4.99), current smoking (OR = 5.40, 95% CI = 1.01, 28.94), whether they had a mobile phone and type of phone (basic phone: OR = 2.47, 95% CI = 1.42, 4.30; smartphone: OR = 17.93, 95% CI = 8.81, 36.47) . The following factors were significantly associated with willingness to receive these appointment reminders via mobile phone: whether they had a mobile phone and type of phone (basic phone: OR = 2.79, 95% CI = 1.70, 4.59; smartphone: OR = 9.61, 95% CI = 4.61, 19.99) and HbA < 7.5 (OR = 0.65, 95% CI = 0.43, 0.99).
Our study would suggest that there is potential value in using mobile phone to improve the management of diabetes in community living older people but this alone cannot be relied upon.
信息技术可用于改善非传染性疾病（如糖尿病）的管理。本研究旨在评估老年2型糖尿病门诊患者使用手机支持药物依从性并接收短信预约提醒的意愿，并调查与此意愿相关的因素。
本研究是在东大综合医院门诊部进行的一项横断面研究。询问了60岁及以上接受2型糖尿病管理和治疗的参与者的手机使用情况。还收集了社会人口学信息、糖尿病特征和病史数据。
在招募的584名研究参与者中，平均年龄为73.2岁（标准差：8.3）。约80%的糖尿病患者治疗依从性为中等或高，52.4%的患者糖化血红蛋白（HbA）<7.5%。在多水平逻辑回归分析中，以下因素与使用手机支持药物依从性的意愿显著相关：大专、本科或更高学历（比值比[OR]=2.35，95%置信区间[CI]=1.10，4.99），当前吸烟（OR=5.40，95%CI=1.01，28.94），是否拥有手机及手机类型（功能手机：OR=2.47，95%CI=1.42，4.30；智能手机：OR=17.93，95%CI=8.81，36.47）。以下因素与通过手机接收这些预约提醒的意愿显著相关：是否拥有手机及手机类型（功能手机：OR=2.79，95%CI=1.70，4.59；智能手机：OR=9.61，95%CI=4.61，19.99）以及HbA<7.5（OR=0.65，95%CI=0.43，0.99）。
我们的研究表明，使用手机改善社区老年糖尿病患者的管理具有潜在价值，但不能仅依赖于此。
