The incidence and prevalence of Diabetes Mellitus has been rising globally Kenyarnincluded and it is estimated that by 2030 the number of cases will almost double. Therncurrent interventions focus mainly on group health talks which are not individualizedrnand have limited influence on adherence to health seeking behavior drugs and diet. Inrnaddition there is limited information on the effectiveness of using mobile phonerncommunication in diabetes management
The aim of the study was to determine therneffect of mobile phone communication in the management of T2DM among patientsrnattending Kitui Referral Hospital.
The study design was longitudinal with qualitative andrnquantitative components. Consecutive sampling was used where every eligible andrnconsenting Type 2 Diabetes Mellitus T2DM patients that came to the hospital in thernmonth of March and April 2017 were selected and assigned to the intervention andrncontrol group until the required number of subjects for the study were achieved. Onernhundred and thirty eight 138 respondents participated in the study 67 in interventionrngroup IG and 71 in the control group CG. By use of the mobile phone key nutritionrnmessages on health seeking behavior drug adherence and dietary practices wererndeveloped and sent to the IG for six months. Descriptive statistics were used inrndescribing the socio demographic and economic characteristics while inferentialrnstatistics included odds ratio and logistic regression analysis for morbidity healthrnseeking behavior drug and dietary practices. Net Effect of Intervention NEI analysisrnwas used to determine the impact of intervention with level of significance set at p0.05.
There was no significant difference in the socio-economic characteristics of the IG andrnthe CG. The proportion of respondents with controlled blood pressure BP increasedrnfrom 44.8 to 49.3 in IG compared to a decline from 53.5 to 47.9 in the CG afterrnsix months. The NEI was significant p0.046. The proportion of respondents whornconducted self-monitoring of blood glucose SMBG increased from 32.8 to 41.8 inrnIG while it reduced from 39.4 to 31 in CG. The NEI was significant p0.047. Thernproportion of respondents who took their drugs at specific times increased from 58.2rnto 74.6 in the intervention group IG compared to a decrease of 47.9 to 46.5 in therncontrol group CG. The NEI was significant p0.007. The proportion of respondentsrnwho followed a meal plan increased in intervention group IG from 47.8 to 59.7rncompared to a decrease in CG from 49.3 to 45.1. The NEI 16.1 increase wasrnstatistically significant p0.021. The proportion of respondents with increasedrnfrequency of meals increased from 41.8 to 47.8 in the IG compared to a reduction inrnthe CG from 52.1 to 45.1 after six months. The NEI 13 increase was statisticallyrnsignificant p0.032. In conclusion use of mobile phone communication improvedrnadherence to key management practices in the management of T2DM.
Majority of the respondents were above forty years married with low education statusrnunemployed and travelled over 10km to access the nearest health facility.rnUse of mobile phone communication was associated with significantly reducedrnmorbidity though it had no effect on the nutrition status of T2DM patients.rnUse of mobile phone communication improved health seeking behavior in respect tornincreased self-monitoring of blood glucose SMBG among the T2DM patients in thisrnstudy.rnUse of mobile phone communication was also associated with improved drug adherencernpractices specifically adherence to the time for taking diabetes drugs and not missingrndoses.rnUse of mobile phone communication was associated with improved adherence tornrecommended dietary practices in respect to use of meal plans and increased frequencyrnof meals.rnThese findings therefore disprove the hypothesis that use of mobile phonerncommunication has no effect on the management of outcomes of T2DM patients atrnKCRH. The hypothesis was thus rejected.All the study hypotheses were therefore rejected as indicated below:rnHo1: Use of mobile phone communication has no effect on morbidity and nutritionrnstatus of T2DM patients at KCRH was rejectedrnHo2: Use of mobile phone communication has no effect on health seeking behaviorrnof T2DM patients at KCRH was rejectedrnHo3: Use of mobile phone communication has no effect on drug adherence ofrnT2DM patients at KCRH was rejected andrnHo4: Use of mobile phone communication has no effect on dietary practices ofrnT2DM patients at KCRH was rejected
Publication Information
Focus County(s):
Kitui County
Programme Area(s):
Non-Communicable Diseases
Research Priority Area(s):
Disease Domain(s):
Document History:
Publication Date: 01.Sep.2020
Conference Title: