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The impact of a self-management educational program coordinated through WhatsApp on diabetes control.
Pharm Pract (Granada). 2020 Apr-Jun; 18(2):1841.PP

Abstract

Background

Social media can effectively mediate digital health interventions and thus, overcome barriers associated with face-to-face interaction.

Objective

To assess the impact of patient-centered diabetes education program administered through WhatsApp on glycosylated hemoglobin (HbA1c) values, assess the correlation, if any, between health literacy and numeracy on intervention outcomes.

Methods

During an 'intervention phase' spread over six months, target diabetic patients (N=109) received structured education through WhatsApp as per the American Association of Diabetes Educators Self-Care Behaviors recommendations. The control group with an equal number of participants received 'usual care' provided by health professionals void of the social media intervention. Changes in HbA1c levels were recorded thrice (at baseline, 3 and 6 months) for the test group and twice (baseline and 6 months) for the control group. Change in HbA1c values were compared and statistical significance was defined at p<0.05. Baseline health literacy and diabetes numeracy were assessed for both groups (N=218) using the Literacy Assessment for Diabetes (LAD), and the Diabetes Numeracy Test (DNT), respectively, and values were correlated with HbA1c change p<0.05. Participants' satisfaction with the intervention was also assessed.

Results

The average age of respondents was 41.98 (SD 15.05) years, with a diabetes history of 10.2 (SD 8.5) years. At baseline, the average HbA1c in the control and test groups were 8.4 (SD 1.06) and 8.5 (SD 1.29), respectively. After six months, a significant drop in HbA1c value was noticed in intervention group (7.7; SD 1.35; p= 0.001); with no significance in the control group (8.4; SD 1.32; p=0.032, paired t-test). Moreover, the reduction in HbA1c was more in the test group (0.7%) than the control group (0.1%) with a difference of 0.6% which is considered clinically significant. There was no significant correlation between LAD score and HbA1c at baseline (r=-0.203, p=0.064), 3 months (r=-0.123, p=0.266) and 6 months (r=-0.106, p= 0.337) Pearson correlation. A similar result was observed with DNT, where DNT score and HbA1c at baseline, 3 months and 6 months showed no correlation (r=0.112, 0.959 and 0.886; respectively) with HbA1c levels. Eighty percent of the respondents found the social media intervention 'beneficial' and suggested it be used long term.

Conclusions

Diabetes education via WhatsApp showed promising outcomes regardless of the level of patients' health literacy or numeracy.

Authors+Show Affiliations

PhD. Associate Professor. Department of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University. Ajman (United Arab Emirates). m.alomar@ajman.ac.ae.PhD. Associate Professor. Department of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University. Ajman (United Arab Emirates). s.hasan@ajman.ac.ae.PhD. Associate Professor. Department of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University. Ajman (United Arab Emirates). s.palaian@ajman.ac.ae.MSc. Research Assistant. Department of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University. Ajman (United Arab Emirates). s.mahameed@ajman.ac.ae.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32477434

Citation

Omar, Muaed Al, et al. "The Impact of a Self-management Educational Program Coordinated Through WhatsApp On Diabetes Control." Pharmacy Practice, vol. 18, no. 2, 2020, p. 1841.
Omar MA, Hasan S, Palaian S, et al. The impact of a self-management educational program coordinated through WhatsApp on diabetes control. Pharm Pract (Granada). 2020;18(2):1841.
Omar, M. A., Hasan, S., Palaian, S., & Mahameed, S. (2020). The impact of a self-management educational program coordinated through WhatsApp on diabetes control. Pharmacy Practice, 18(2), 1841. https://doi.org/10.18549/PharmPract.2020.2.1841
Omar MA, et al. The Impact of a Self-management Educational Program Coordinated Through WhatsApp On Diabetes Control. Pharm Pract (Granada). 2020 Apr-Jun;18(2):1841. PubMed PMID: 32477434.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of a self-management educational program coordinated through WhatsApp on diabetes control. AU - Omar,Muaed Al, AU - Hasan,Sanah, AU - Palaian,Subish, AU - Mahameed,Shrouq, Y1 - 2020/05/03/ PY - 2020/02/09/received PY - 2020/04/26/accepted PY - 2020/6/2/entrez PY - 2020/6/2/pubmed PY - 2020/6/2/medline KW - Diabetes Mellitus KW - Glycated Hemoglobin A KW - Health Literacy KW - Non-Randomized Controlled Trials as Topic KW - Patient Education as Topic KW - Patient-Centered Care KW - Personal Satisfaction KW - Self Care KW - Social Media KW - United Arab Emirates SP - 1841 EP - 1841 JF - Pharmacy practice JO - Pharm Pract (Granada) VL - 18 IS - 2 N2 - Background: Social media can effectively mediate digital health interventions and thus, overcome barriers associated with face-to-face interaction. Objective: To assess the impact of patient-centered diabetes education program administered through WhatsApp on glycosylated hemoglobin (HbA1c) values, assess the correlation, if any, between health literacy and numeracy on intervention outcomes. Methods: During an 'intervention phase' spread over six months, target diabetic patients (N=109) received structured education through WhatsApp as per the American Association of Diabetes Educators Self-Care Behaviors recommendations. The control group with an equal number of participants received 'usual care' provided by health professionals void of the social media intervention. Changes in HbA1c levels were recorded thrice (at baseline, 3 and 6 months) for the test group and twice (baseline and 6 months) for the control group. Change in HbA1c values were compared and statistical significance was defined at p<0.05. Baseline health literacy and diabetes numeracy were assessed for both groups (N=218) using the Literacy Assessment for Diabetes (LAD), and the Diabetes Numeracy Test (DNT), respectively, and values were correlated with HbA1c change p<0.05. Participants' satisfaction with the intervention was also assessed. Results: The average age of respondents was 41.98 (SD 15.05) years, with a diabetes history of 10.2 (SD 8.5) years. At baseline, the average HbA1c in the control and test groups were 8.4 (SD 1.06) and 8.5 (SD 1.29), respectively. After six months, a significant drop in HbA1c value was noticed in intervention group (7.7; SD 1.35; p= 0.001); with no significance in the control group (8.4; SD 1.32; p=0.032, paired t-test). Moreover, the reduction in HbA1c was more in the test group (0.7%) than the control group (0.1%) with a difference of 0.6% which is considered clinically significant. There was no significant correlation between LAD score and HbA1c at baseline (r=-0.203, p=0.064), 3 months (r=-0.123, p=0.266) and 6 months (r=-0.106, p= 0.337) Pearson correlation. A similar result was observed with DNT, where DNT score and HbA1c at baseline, 3 months and 6 months showed no correlation (r=0.112, 0.959 and 0.886; respectively) with HbA1c levels. Eighty percent of the respondents found the social media intervention 'beneficial' and suggested it be used long term. Conclusions: Diabetes education via WhatsApp showed promising outcomes regardless of the level of patients' health literacy or numeracy. SN - 1885-642X UR - https://www.unboundmedicine.com/medline/citation/32477434/The_impact_of_a_self-management_educational_program_coordinated_through_WhatsApp_on_diabetes_control L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/32477434/ DB - PRIME DP - Unbound Medicine ER -
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