Type 2 Diabetes Mellitus Clinical Trial
Official title:
The Adaptation, Usability, and Feasibility of a Mobile Health (mHealth) System to Improve Type 2 Diabetes Self-management in Thailand
This project explores the feasibility of using automated telephone calls to adult patients with type 2 diabetes to improve diabetes self-management in Thailand. This line of work could significantly extend Thai nurses' ability to manage this growing epidemic, and ultimately reduce the suffering and costs caused by diabetes in Thailand.
There is a serious shortage of community nurses to address Thailand's significant and
expanding burden of poorly controlled type 2 diabetes. However, mobile health (mHealth)
strategies are likely to significantly improve and extend Thai nurses' ability to monitor and
manage these patients. This study aims to:
1) investigate the feasibility and acceptability of a culturally- and clinically-adapted
mHealth intervention with adult Thai diabetic patients and their community nurses, and 2)
estimate the intervention's effect upon glycated hemoglobin (HbA1c), fasting blood glucose,
self-management behaviors, and diabetes-related distress in uncontrolled type 2 diabetes.
Thirty-six patients with poorly controlled type 2 diabetes (along with their regular nurses)
will be recruited through an established community clinic network. After baseline clinical
and behavioral assessment, patients will receive 12 weeks of automated 10-minute weekly
Interactive Voice Response (IVR) calls to provide monitoring and self-management support
related to glycemic symptoms, medication adherence, and several self-care behaviors.
Patients' clinical nurse will receive weekly summaries of each IVR call by text message and
email with guidance on Thai-appropriate best practices. Principal investigator will receive
email whenever patients report a potentially urgent issue by IVR, i.e., symptoms of
hypoglycemia, or inadequate supply of medication. Immediately after the 12-week intervention
concludes, clinical and behavioral variables will be reassessed and a mixed-methods process
evaluation will be performed.
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