EFFECT OF USING MOBILE PHONE COMMUNICATION IN THE MANAGEMENT OF TYPE 2 DIABETES MELLITUS AMONG ADULT PATIENTS ATTENDING KITUI COUNTY REFERRAL HOSPITAL KENYA
Introduction:
The incidence and prevalence of Diabetes Mellitus has been rising globally Kenya included and it is estimated that by 2030 the number of cases will almost double. The current interventions focus mainly on group health talks which are not individualized and have limited influence on adherence to health seeking behavior drugs and diet. In addition there is limited information on the effectiveness of using mobile phone communication in diabetes management.
Objectives:
The aim of the study was to determine the effect of mobile phone communication in the management of T2DM among patients attending Kitui Referral Hospital.
Methodology:
The study design was longitudinal with qualitative and quantitative components. Consecutive sampling was used where every eligible and consenting Type 2 Diabetes Mellitus T2DM patients that came to the hospital in the month of March and April 2017 were selected and assigned to the intervention and control group until the required number of subjects for the study were achieved. One hundred and thirty eight 138 respondents participated in the study 67 in intervention group IG and 71 in the control group CG. By use of the mobile phone key nutrition messages on health seeking behavior drug adherence and dietary practices were developed and sent to the IG for six months. Descriptive statistics were used in describing the socio demographic and economic characteristics while inferential statistics included odds ratio and logistic regression analysis for morbidity health seeking behavior drug and dietary practices. Net Effect of Intervention NEI analysis was used to determine the impact of intervention with level of significance set at p0.05.
Findings:
Results:
There was no significant difference in the socio-economic characteristics of the IG and the CG. The proportion of respondents with controlled blood pressure BP increased from 44.8 to 49.3 in IG compared to a decline from 53.5 to 47.9 in the CG after six months. The NEI was significant p0.046. The proportion of respondents who conducted self-monitoring of blood glucose SMBG increased from 32.8 to 41.8 in IG while it reduced from 39.4 to 31 in CG. The NEI was significant p0.047. The proportion of respondents who took their drugs at specific times increased from 58.2 to 74.6 in the intervention group IG compared to a decrease of 47.9 to 46.5 in the control group CG. The NEI was significant p0.007. The proportion of respondents who followed a meal plan increased in intervention group IG from 47.8 to 59.7 compared to a decrease in CG from 49.3 to 45.1. The NEI 16.1 increase was statistically significant p0.021. The proportion of respondents with increased frequency of meals increased from 41.8 to 47.8 in the IG compared to a reduction in the CG from 52.1 to 45.1 after six months. The NEI 13 increase was statistically significant p0.032
Conclusion:
Majority of the respondents were above forty years married with low education status unemployed and travelled over 10km to access the nearest health facility. Use of mobile phone communication was associated with significantly reducedrnmorbidity though it had no effect on the nutrition status of T2DM patients. Use of mobile phone communication improved health seeking behavior in respect to increased self-monitoring of blood glucose SMBG among the T2DM patients in this study.rnUse of mobile phone communication was also associated with improved drug adherence practices specifically adherence to the time for taking diabetes drugs and not missing doses. Use of mobile phone communication was associated with improved adherence to recommended dietary practices in respect to use of meal plans and increased frequencyrnof meals.
Publication Information
Author(s):
Focus County(s):
Kitui County
Programme Area(s):
Non-Communicable Diseases
Research Priority Area(s):
Disease Domain(s):
Diabetes
Document History:
Publication Date: 23.Nov.2020
Conference Title:
Venue: