Mobile phone text messaging in improving glycaemic control for patients with type 2 diabetes mellitus: A systematic review and meta-analysis

Published:February 26, 2019DOI:https://doi.org/10.1016/j.diabres.2019.02.022

      Abstract

      Background

      Mobile health is the use of mobile technology in developing healthcare, with the aim of reminding and motivating patients to adopt a healthy lifestyle. We conducted a systematic review assessing the effectiveness of text-messaging interventions on HbA1c in patients with Type 2 diabetes mellitus (T2DM).

      Methods

      Two authors independently searched MEDLINE, Embase, CINAHL, Cochrane Register of Randomized Control Trials and PsychInfo. The review included randomized control trials with at least 4 weeks follow up, evaluating the effect of text messaging on HbA1c, in patients with T2DM. Trials involving participants with Type 1 diabetes mellitus, pre-diabetes or gestational diabetes, or other forms of telemedicine were excluded. Studies employing bi-directional messaging were excluded.

      Results

      208 papers were identified as meeting inclusion criteria and their abstracts reviewed. Of these, we examined the full text article of forty-four studies. Eleven randomized controlled trials were included in the final review, with a total of 1710 participants. One study focused on medication adherence only, while the remaining had educational and motivational messages. Five studies showed a significant improvement in HbA1c with the intervention. The remaining studies demonstrated a trend to improvement in HbA1c. Our meta-analysis on 9 of the 11 studies found an overall reduction in HbA1c of 0.38% (−0.53; −0.23, p-value <0.001).

      Conclusion

      Lifestyle-focused text messaging is a low cost initiative aimed at motivating patients with T2DM to adhere to a healthy lifestyle. We demonstrate that lifestyle focused text messaging is effective, with a significant improvement in HbA1c in the meta-analysis.

      Keywords

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      References

        • Roglic G.
        WHO Global Report on diabetes: A summary.
        Int J Noncommun Dis. 2016; 1
        • Chow C.K.
        • Redfern J.
        • Hillis G.S.
        • et al.
        Effect of lifestyle-focused text messaging on risk factor modification in patients with coronary heart disease: a randomized clinical trial.
        JAMA. 2015; 314: 1255-1263https://doi.org/10.1001/jama.2015.10945
        • Patrick K.
        • Raab F.
        • Adams M.A.
        • et al.
        A text message-based intervention for weight loss: randomized controlled trial.
        J Med Internet Res. 2009; 11e1
        • Whittaker R.
        • Borland R.
        • Bullen C.
        • et al.
        Mobile phone-based interventions for smoking cessation.
        Cochrane Database Syst Rev. 2009; 4: CD006611
        • Faruque L.I.
        • Wiebe N.
        • Ehteshami-Afshar A.
        • et al.
        Alberta Kidney Disease Network. Effect of telemedicine on glycated hemoglobin in diabetes: a systematic review and meta-analysis of randomized trials.
        CMAJ. 2016; 31https://doi.org/10.1503/cmaj.150885
        • Kannisto K.A.
        • Koivunen M.H.
        • Välimäki M.A.
        Use of mobile phone text message reminders in health care services: a narrative literature review.
        J Med Internet Res. 2014; 16: e222https://doi.org/10.2196/jmir.3442
        • Park L.G.
        • Howie-Esquivel J.
        • Dracup K.
        A quantitative systematic review of the efficacy of mobile phone interventions to improve medication adherence.
        J Adv Nurs. 2014; 70: 1932-1953
        • Tao D.
        • Xie L.
        • Wang T.
        • et al.
        A meta-analysis of the use of electronic reminders for patient adherence to medication in chronic disease care.
        J Telemed Telecare. 2015; 21: 3-13
      1. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0. http://www .cochrane-handbook.org.

        • Sutton A.J.
        • Duval S.J.
        • Tweedie R.L.
        • et al.
        Empirical assessment of effect of publication bias on meta-analyses.
        BMJ. 2000; 320: 1574-1577
        • Stratton I.M.
        • Adler A.I.
        • Neil H.A.
        • et al.
        Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study.
        BMJ. 2000; 321: 405-412
      2. Wingard DL, Barrett-Connor E. Heart disease and diabetes. Diabetes in America, 2nd ed. The National Diabetes Data Group. Rockville, MD, National Institute of Diabetes and Digestive and Kidney Disease, 1995, p. 429–48 (NIH publ. no. 95–1468).

        • Icks A.
        • Claessen H.
        • Kirchberger I.
        • et al.
        Mortality after first myocardial infarction in diabetic and non-diabetic people between 1985 and 2009. The MONICA/KORA registry.
        Eur J Epidemiol. 2014; 29: 899-909
        • Beckman J.A.
        • Creager M.A.
        • Libby P.
        Diabetes and atherosclerosis: Epidemiology, pathophysiology and management.
        JAMA. 2002; 287: 2570-2581
        • Peimani M.
        • Rambod C.
        • Omidvar M.
        • et al.
        Effectiveness of short message service-based intervention (SMS) on self-care in type 2 diabetes: A feasibility study.
        Primary Care Diabetes. 2016; 10: 251-258
        • Ronghua F.
        • Xuexue D.
        Electronic messaging intervention for management of cardiovascular risk factors in type 2 diabetes mellitus: A randomised controlled trial.
        J Clin Nurs. 2018; 27: 612-620
        • Shetty A.S.
        • Chamukuttan S.
        • Nanditha A.
        • et al.
        Reinforcement of adherence to prescription recommendations in Asian Indian diabetes patients using short message service (SMS)–a pilot study.
        J Assoc Physicians India. 2011; 59: 711-714
        • Goodarzi M.
        • Ebrahimzadeh I.
        • Rabi A.
        • et al.
        Impact of distance education via mobile phone text messaging on knowledge, attitude, practice and self efficacy of patients with type 2 diabetes mellitus in Iran.
        J Diabet Metabolic Disorders. 2012; 11 (no pagination)(10)
        • Bin-Abbas B.
        • Jabbari M.
        • Al-Fares A.
        • et al.
        Effect of mobile phone short text messages on glycaemic control in children with type 1 diabetes.
        J Telemed Telecare. 2014; 20: 153
        • Johnson Q.B.
        • Berry D.C.
        Impacting diabetes self-management in women with gestational diabetes mellitus using short messaging reminders.
        J Am Assoc Nurse Pract. 2018 Jun; 30 (PMID: 29878964): 320-326https://doi.org/10.1097/JXX.0000000000000059