A randomized controlled study on the effectiveness of a diabetes self-management app in Bangladesh

Introduction: The smart phone application concept is widely recognized as a tool to support patients’ adherence. Using different types of reminder-based materials combined with traditional health education has demonstrated its effectiveness in enhancing knowledge and fostering adherence to diabetes...

Full description

Saved in:
Bibliographic Details
Main Authors: Bilkis Banu, Nasrin Akter, Sujana Haque Chowdhury, Nusrat Hossain Sheba, Md. Abdul Hakim Majumder
Format: Article
Language:English
Published: Tabriz: Hamid Allahverdipour, 2024- 2024-12-01
Series:BioSocial Health Journal
Subjects:
Online Access:https://biosocialhealthjournal.com/PDF/bshj-1-204.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832086656886243328
author Bilkis Banu
Nasrin Akter
Sujana Haque Chowdhury
Nusrat Hossain Sheba
Md. Abdul Hakim Majumder
author_facet Bilkis Banu
Nasrin Akter
Sujana Haque Chowdhury
Nusrat Hossain Sheba
Md. Abdul Hakim Majumder
author_sort Bilkis Banu
collection DOAJ
description Introduction: The smart phone application concept is widely recognized as a tool to support patients’ adherence. Using different types of reminder-based materials combined with traditional health education has demonstrated its effectiveness in enhancing knowledge and fostering adherence to diabetes management. Very few studies found to identify the effectiveness of smartphone application for the diabetes seven self-management components. This study was aimed to assess this issue among Bangladeshi patients. Methods: A randomized controlled trial was performed from July 2022 to June 2023 in two diabetic hospitals affiliated with the Diabetic Association of Bangladesh located in Dhaka district among the 400 diabetic patients. The smartphone Application ‘Diabetes Self-Care’ was installed on the smartphone of each patient of the intervention group and instructed them to use it. Data were collected using a semi-structured questionnaire through face-to-face interview. Knowledge and adherence were measured and compared in the different groups before and after the intervention using t-test, McNemar’s test, and logistic regression technique. Results: The endline status of the intervention group reflected significant (P<0.01) improvement in knowledge and adherence to self-management compared to the baseline status. Knowledge (regarding seven self-management components, basic and technical components of diabetes) improved significantly (P<0.01) in the intervention group. Adherence to self-management components improved significantly(P<0.01) more in the intervention group than in the control group. Conclusions: The m-Health intervention, using smartphone application, demonstrated a noteworthy enhancement and positive impact on patients’ knowledge and adherence. This successful model of intervention holds the potential for nationwide replication, offering a viable approach for self-managing diabetes and other non-communicable diseases to enhance patient outcomes and reduce healthcare burdens.
format Article
id doaj-art-71cd8622997b4969a2278bd9f30fc571
institution Kabale University
issn 3060-6268
language English
publishDate 2024-12-01
publisher Tabriz: Hamid Allahverdipour, 2024-
record_format Article
series BioSocial Health Journal
spelling doaj-art-71cd8622997b4969a2278bd9f30fc5712025-02-06T10:35:41ZengTabriz: Hamid Allahverdipour, 2024-BioSocial Health Journal3060-62682024-12-011420421110.34172/bshj.34bshj-34A randomized controlled study on the effectiveness of a diabetes self-management app in BangladeshBilkis Banu0Nasrin Akter1Sujana Haque Chowdhury2Nusrat Hossain Sheba3Md. Abdul Hakim Majumder4Department of Public Health, State University of Bangladesh, 696 Kendua, Kanchan, Rupganj, Narayanganj, Dhaka-1461, BangladeshDepartment of Public Health, Northern University Bangladesh, 111/2 Kawla Jamea Mosjid Road, Dakshin Khan, Uttara, Dhaka, BangladeshDepartment of Public Health, Northern University Bangladesh, 111/2 Kawla Jamea Mosjid Road, Dakshin Khan, Uttara, Dhaka, BangladeshDepartment of Public Health, Northern University Bangladesh, 111/2 Kawla Jamea Mosjid Road, Dakshin Khan, Uttara, Dhaka, BangladeshDepartment of Public Health, Northern University Bangladesh, 111/2 Kawla Jamea Mosjid Road, Dakshin Khan, Uttara, Dhaka, BangladeshIntroduction: The smart phone application concept is widely recognized as a tool to support patients’ adherence. Using different types of reminder-based materials combined with traditional health education has demonstrated its effectiveness in enhancing knowledge and fostering adherence to diabetes management. Very few studies found to identify the effectiveness of smartphone application for the diabetes seven self-management components. This study was aimed to assess this issue among Bangladeshi patients. Methods: A randomized controlled trial was performed from July 2022 to June 2023 in two diabetic hospitals affiliated with the Diabetic Association of Bangladesh located in Dhaka district among the 400 diabetic patients. The smartphone Application ‘Diabetes Self-Care’ was installed on the smartphone of each patient of the intervention group and instructed them to use it. Data were collected using a semi-structured questionnaire through face-to-face interview. Knowledge and adherence were measured and compared in the different groups before and after the intervention using t-test, McNemar’s test, and logistic regression technique. Results: The endline status of the intervention group reflected significant (P<0.01) improvement in knowledge and adherence to self-management compared to the baseline status. Knowledge (regarding seven self-management components, basic and technical components of diabetes) improved significantly (P<0.01) in the intervention group. Adherence to self-management components improved significantly(P<0.01) more in the intervention group than in the control group. Conclusions: The m-Health intervention, using smartphone application, demonstrated a noteworthy enhancement and positive impact on patients’ knowledge and adherence. This successful model of intervention holds the potential for nationwide replication, offering a viable approach for self-managing diabetes and other non-communicable diseases to enhance patient outcomes and reduce healthcare burdens.https://biosocialhealthjournal.com/PDF/bshj-1-204.pdfsmartphone applicationself-managementdiabetes mellitusrandomized controlled trialbangladesh context
spellingShingle Bilkis Banu
Nasrin Akter
Sujana Haque Chowdhury
Nusrat Hossain Sheba
Md. Abdul Hakim Majumder
A randomized controlled study on the effectiveness of a diabetes self-management app in Bangladesh
BioSocial Health Journal
smartphone application
self-management
diabetes mellitus
randomized controlled trial
bangladesh context
title A randomized controlled study on the effectiveness of a diabetes self-management app in Bangladesh
title_full A randomized controlled study on the effectiveness of a diabetes self-management app in Bangladesh
title_fullStr A randomized controlled study on the effectiveness of a diabetes self-management app in Bangladesh
title_full_unstemmed A randomized controlled study on the effectiveness of a diabetes self-management app in Bangladesh
title_short A randomized controlled study on the effectiveness of a diabetes self-management app in Bangladesh
title_sort randomized controlled study on the effectiveness of a diabetes self management app in bangladesh
topic smartphone application
self-management
diabetes mellitus
randomized controlled trial
bangladesh context
url https://biosocialhealthjournal.com/PDF/bshj-1-204.pdf
work_keys_str_mv AT bilkisbanu arandomizedcontrolledstudyontheeffectivenessofadiabetesselfmanagementappinbangladesh
AT nasrinakter arandomizedcontrolledstudyontheeffectivenessofadiabetesselfmanagementappinbangladesh
AT sujanahaquechowdhury arandomizedcontrolledstudyontheeffectivenessofadiabetesselfmanagementappinbangladesh
AT nusrathossainsheba arandomizedcontrolledstudyontheeffectivenessofadiabetesselfmanagementappinbangladesh
AT mdabdulhakimmajumder arandomizedcontrolledstudyontheeffectivenessofadiabetesselfmanagementappinbangladesh
AT bilkisbanu randomizedcontrolledstudyontheeffectivenessofadiabetesselfmanagementappinbangladesh
AT nasrinakter randomizedcontrolledstudyontheeffectivenessofadiabetesselfmanagementappinbangladesh
AT sujanahaquechowdhury randomizedcontrolledstudyontheeffectivenessofadiabetesselfmanagementappinbangladesh
AT nusrathossainsheba randomizedcontrolledstudyontheeffectivenessofadiabetesselfmanagementappinbangladesh
AT mdabdulhakimmajumder randomizedcontrolledstudyontheeffectivenessofadiabetesselfmanagementappinbangladesh