DTEXT – text messaging intervention to improve outcomes of people with type 2 diabetes: protocol for randomised controlled trial and cost-effectiveness analysis

Autor: Robert G. Moses, Margaret Allman-Farinelli, Paul A. van den Dolder, Alison J. Hayes, Alison J. Webb, Stephen Colagiuri, Franca Facci, Adrian Bauman, Lisa Franco, Karen Waller, Susan Furber
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
Gerontology
HbA1c
Cost effectiveness
Cost-Benefit Analysis
Population
Psychological intervention
030209 endocrinology & metabolism
Type 2 diabetes
Overweight
Medication Adherence
law.invention
Study Protocol
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Diabetes management
Health care
Glycaemic control
medicine
Humans
030212 general & internal medicine
education
Randomized Controlled Trials as Topic
Text Messaging
education.field_of_study
business.industry
Self-Management
lcsh:Public aspects of medicine
Diabetes
Australia
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
Text message
medicine.disease
Self Care
Diabetes Mellitus
Type 2
SMS
Quality of Life
Female
New South Wales
medicine.symptom
business
Mobile phone
Cell Phone
Zdroj: BMC Public Health, Vol 19, Iss 1, Pp 1-8 (2019)
BMC Public Health
ISSN: 1471-2458
DOI: 10.1186/s12889-019-6550-6
Popis: Background Diabetes prevalence is rapidly increasing, with type 2 diabetes predicted to be the leading contributor of non-communicable disease in Australia by 2020. It is anticipated that rates of type 2 diabetes will continue to increase if factors such as overweight and obesity, low physical activity and poor nutrition are not addressed. The majority of Australians with type 2 diabetes do not meet the guidelines for optimal diabetes management, and access to diabetes education is limited. This highlights the need for new interventions that can reduce existing barriers to diabetes education, attain greater population reach and support self-management strategies for people with type 2 diabetes. Mobile phone text messages have shown promising results as an intervention for people with chronic disease. They have the ability to achieve high levels of engagement and broad population reach, whilst requiring minimal resources. There is however, no evidence on the effect of text messaging to improve the health of people with type 2 diabetes in Australia. Methods/Design This randomised controlled trial aims to investigate if a 6 month text message intervention (DTEXT) can lead to improvements in glycated haemoglobin (HbA1c) and diabetes self-management among Australian residents in New South Wales (NSW) with type 2 diabetes. Community dwelling adults (n = 340) will be recruited with the primary outcome being change in HbA1c at 6 months. Secondary outcomes include behaviour change for diabetes self-management, self-efficacy, quality of life and intervention acceptability. An economic evaluation will be conducted using a funder plus patient perspective. Discussion This study will provide evidence on the effectiveness and cost effectiveness of a text message intervention to reduce HbA1c and enhance self-management of type 2 diabetes in the Australian population. If successful, this intervention could be used as a model to complement and extend existing diabetes care in the Australian health care system. Trial Registration The study has been registered with the Australian New Zealand Clinical Trials Registry, Trial ID: ACTRN12617000416392. Registered: 23 March 2017.
Databáze: OpenAIRE
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