Effect of mobile reminders on screening yield during opportunistic screening for type 2 diabetes mellitus in a primary health care setting: A randomized trial

Autor: Bhuvaneswary Sunderamurthy, Velavane Krishnakumari, Kavita Vasudevan, Krishna Chandra Panigrahi, Kathamuthu Durairaju, Sathish Kumar, Hemant Deepak Shewade, V.S. Santhi
Rok vydání: 2015
Předmět:
medicine.medical_specialty
CTRI
Clinical Trial Registry of India
FBG
fasting blood glucose
India
lcsh:Medicine
Health Informatics
Loss to follow-up
Primary Health Centre
PPBG
postprandial blood glucose
Operational research
law.invention
Opportunistic screening
NNS
number needed to screen
Randomized controlled trial
law
Diabetes mellitus
Epidemiology
Outpatients
Medicine
Outpatient clinic
RBG
random blood glucose
RCT
randomized controlled trial
Primary health care
business.industry
lcsh:R
NPCDCS
National Programme for Prevention and Control of Diabetes
Cardiovascular diseases and Stroke
Public Health
Environmental and Occupational Health
Type 2 Diabetes Mellitus
Regular Article
Diabetes mellitus
type 2
Reminder system
medicine.disease
Confidence interval
CI
confidence interval
Clinical trial
Postprandial
Emergency medicine
Physical therapy
OPD
Out Patient Department
business
PHC
Primary Health Centre
HbA1C
glycosylated hemoglobin
Zdroj: Preventive Medicine Reports, Vol 2, Iss C, Pp 640-644 (2015)
Preventive Medicine Reports
ISSN: 2211-3355
DOI: 10.1016/j.pmedr.2015.08.008
Popis: Objective. We wanted to study whether mobile reminders increased follow-up for definitive tests resulting in higher screening yield during opportunistic screening for diabetes. Methods. This was a facility-based parallel randomized controlled trial during routine outpatient department hours in a primary health care setting in Puducherry, India (2014). We offered random blood glucose testing to non-pregnant non-diabetes adults with age >30 years (667 total, 390 consented); eligible outpatients (random blood glucose ≥ 6.1 mmol/l, n = 268) were requested to follow-up for definitive tests (fasting and postprandial blood glucose). Eligible outpatients either received (intervention arm, n = 133) or did not receive mobile reminder (control arm, n = 135) to follow-up for definitive tests. We measured capillary blood glucose using a glucometer to make epidemiological diagnosis of diabetes. The trial was registered with Clinical Trial Registry of India (CTRI/2014/10/005138). Results. 85.7% of outpatients in intervention arm returned for definitive test when compared to 53.3% in control arm [Relative Risk = 1.61, (0.95 Confidence Interval — 1.35, 1.91)]. Screening yield in intervention and control arm was 18.6% and 10.2% respectively. Etiologic fraction was 45.2% and number needed to screen was 11.9. Conclusion. In countries like India, which is emerging as the diabetes capital of the world, considering the wide prevalent use of mobile phones, and real life resource limited settings in which this study was carried out, mobile reminders during opportunistic screening in primary health care setting improve screening yield of diabetes.
Highlights • First RCT to determine the effect of mobile reminders on screening yield for diabetes mellitus. • Operational research conducted in real world primary health care setting. • Outpatients with random blood glucose ≥ 6.1 mmol/l among adults >30y were eligible for definitive tests. • Mobile reminders for eligible outpatients was introduced as a reminder system.
Databáze: OpenAIRE
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