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Health education via mobile text messaging for glycemic control in adults with type 2 diabetes: a systematic review and meta-analysis.

Publication ,  Journal Article
Saffari, M; Ghanizadeh, G; Koenig, HG
Published in: Prim Care Diabetes
December 2014

BACKGROUND: Diabetes type 2 is an increasing problem worldwide that may be managed through education. Text-messaging using a cell phone can assist with self-care. The aim of this study was to systematically review the impact of education through mobile text-messaging on glycemic control. METHODS: The design was a systematic review with meta-analysis. Five electronic databases were searched to access English studies involving a randomized controlled trial design that used text-messaging educational interventions in patients with type 2 diabetes during an 11-year period (2003-2013). Studies were evaluated using a quality assessment scale adapted from Jadad scale and Cochrane handbook. Extraction of data was carried out by two reviewers. A random-effect model with a standardized mean difference and Hedges's g indices was used for conducting the meta-analysis. Subgroup analyses were conducted and a Funnel plot was used to examine publication bias. RESULTS: Ten studies overall were identified that fulfilled inclusion criteria, involving a total of 960 participants. The mean age of the sample was 52.8 years and majority were females. Data were heterogeneous (I(2)=67.6). Analyses suggested a publication bias based on Egger's regression (P<0.05). HbA1c was reduced significantly in experimental groups compared to control groups (P<0.001). The effect size for glycemic control in studies that used text-messaging only was 44%. For studies that used both text-messaging and Internet, the effect size was 86%. CONCLUSION: Mobile text-messaging for educating Type 2 diabetics appears to be effective on glycemic control. Further investigations on mobile applications to achieve educational goals involving other diseases are recommended.

Duke Scholars

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Published In

Prim Care Diabetes

DOI

EISSN

1878-0210

Publication Date

December 2014

Volume

8

Issue

4

Start / End Page

275 / 285

Location

England

Related Subject Headings

  • Text Messaging
  • Reminder Systems
  • Patient Education as Topic
  • Middle Aged
  • Male
  • Humans
  • Health Knowledge, Attitudes, Practice
  • Health Behavior
  • Glycated Hemoglobin
  • Female
 

Citation

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Saffari, M., Ghanizadeh, G., & Koenig, H. G. (2014). Health education via mobile text messaging for glycemic control in adults with type 2 diabetes: a systematic review and meta-analysis. Prim Care Diabetes, 8(4), 275–285. https://doi.org/10.1016/j.pcd.2014.03.004
Saffari, Mohsen, Ghader Ghanizadeh, and Harold G. Koenig. “Health education via mobile text messaging for glycemic control in adults with type 2 diabetes: a systematic review and meta-analysis.Prim Care Diabetes 8, no. 4 (December 2014): 275–85. https://doi.org/10.1016/j.pcd.2014.03.004.
Saffari, Mohsen, et al. “Health education via mobile text messaging for glycemic control in adults with type 2 diabetes: a systematic review and meta-analysis.Prim Care Diabetes, vol. 8, no. 4, Dec. 2014, pp. 275–85. Pubmed, doi:10.1016/j.pcd.2014.03.004.
Journal cover image

Published In

Prim Care Diabetes

DOI

EISSN

1878-0210

Publication Date

December 2014

Volume

8

Issue

4

Start / End Page

275 / 285

Location

England

Related Subject Headings

  • Text Messaging
  • Reminder Systems
  • Patient Education as Topic
  • Middle Aged
  • Male
  • Humans
  • Health Knowledge, Attitudes, Practice
  • Health Behavior
  • Glycated Hemoglobin
  • Female