Postpartum SMS reminders to women who have experienced gestational diabetes to test for Type 2 diabetes: the DIAMIND randomized trial.
Autor: | Van Ryswyk, E. M., Middleton, P. F., Hague, W. M., Crowther, C. A. |
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Předmět: |
TYPE 2 diabetes diagnosis
TYPE 2 diabetes risk factors CHI-squared test CONFIDENCE intervals EDUCATION ETHNIC groups GESTATIONAL diabetes GLUCOSE tolerance tests PATIENT aftercare MEDICAL societies TYPE 2 diabetes ORAL drug administration POSTNATAL care PREGNANCY RESEARCH funding TEXT messages DATA analysis SOCIOECONOMIC factors BODY mass index RANDOMIZED controlled trials TREATMENT effectiveness DATA analysis software DIAGNOSIS THERAPEUTICS |
Zdroj: | Diabetic Medicine; Oct2015, Vol. 32 Issue 10, p1368-1376, 9p, 1 Diagram, 3 Charts |
Abstrakt: | Aims This parallel group randomized controlled trial assessed whether an SMS reminder system for women, after gestational diabetes, would increase their attendance for an oral glucose tolerance test ( OGTT) by six months postpartum. Methods Women were eligible for inclusion if they were diagnosed with gestational diabetes in their recent pregnancy, had a mobile phone and normal blood glucose profile prior to postnatal discharge from the Women's and Children's Hospital, Adelaide. A computer-generated random number sequence and telephone randomization were used. Two hundred and seventy-six women were randomized. Women in the six-week group ( n = 140) were sent a text reminder to attend for an OGTT at six weeks postpartum, with further reminders at three and six months if required. Women in the control group ( n = 136) received one text reminder at six months postpartum. Blinding was not feasible. The primary outcome was OGTT attendance within six months postpartum. Results Women in the six-week group did not increase their attendance for an OGTT within six months postpartum compared with women in the control group, 104 (77.6% of 134) versus 103 (76.8% of 134), relative risk (RR) 1.01, 95% confidence interval ( CI) 0.89-1.15. Conclusions The SMS reminder system did not increase postpartum OGTT, fasting plasma glucose or HbA |
Databáze: | Complementary Index |
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