Using mobile phone text messages to improve insulin injection technique and glycaemic control in patients with diabetes mellitus: a multi‐centre study in Turkey

Selda Celik, Gulhan Cosansu, Semra Erdogan, Alev Kahraman, Sengul Isik, Gulay Bayrak, Belgin Bektas and Nermin Olgun

Journal of Clinical Nursing, 2015, vol. 24, issue 11-12, 1525-1533

Abstract: Aim and objectives To improve the knowledge and skills of diabetic patients on insulin injections using mobile phone short message services and to evaluate the association of this intervention with metabolic outcomes. Background Mobile communication technologies are widely used in Turkey, which maintains a diabetic population of more than 6·5 million. However, there are a limited number of studies using mobile technologies in the challenging and complicated management of diabetes. Design A one group pretest–posttest design was used in this study. Methods The study sample consisted of 221 people with type 1 and type 2 Diabetes Mellitus from eight outpatient clinics in six cities in Turkey. The ‘Demographic and diabetes‐related information Form’ and ‘Insulin Injection Technique and Knowledge Form’ were used in the initial interview. Subsequently, 12 short messages related to insulin administration were sent to patients twice a week for six months. Each patient's level of knowledge and skills regarding both the insulin injection technique and glycaemic control (glycated haemoglobin A1c) levels were measured at three months and six months during the text messaging period and six months later (12 months total) when text messaging was stopped. Results The mean age of the patients with diabetes was 39·8 ± 16·2 years (min: 18; max: 75). More than half of the patients were females with a mean duration of diabetes of 11·01 ± 7·22 years (min 1; max: 32). Following the text message reminders, the patients’ level of knowledge and skills regarding the insulin injection technique improved at month 3 and 6 (p

Date: 2015
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https://doi.org/10.1111/jocn.12731

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