Effectiveness Diabetes Self Care Management Education (DSME) intervention with Short Message Service (SMS) or Mobile Application in Glycemic Control: A Systematic Review

Hurin'in Aisy Baridah, I Ketut Sudiana, Supriyanto Supriyanto

= http://dx.doi.org/10.24990/injec.v6i1.340
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Introduction: Glycemic control in DM is responsive to the condition of patients who have hemoglobin A1c (HbA1c) levels of 5-6%. However, most patients find it difficult to achieve the target of glycemic control. Diabetes Self-Management Education (DSME), which integrates the five pillars of DM management, emphasizes intervention behavior independently. The purpose of this systematic review is to analyze the effectiveness of diabetes self-management education intervention with short message service (SMS) or mobile application on glycemic control.

Methods: This systematic review was conducted by searching five electronic databases, such as Scopus, PubMed, Science Direct, Springer Link and ProQuest over five years or more with full text in the English language. The search keywords were adjusted according to the medical subject headings and Boolean operators. This study used the PRISMA flow chart to select articles. Fifteen studies were included if they reported on diabetes self-care management education intervention with short message service or mobile application interventions in patients with diabetes. Reviews and editorials were excluded.

Results: DSME interventions with SMS and with mobile application have effectiveness to manage and decrease glycemic control (HbA1c and blood glucose level) by health education, diet monitoring, and self-monitoring of blood glucose levels.

Conclusion: This systematic review has shown that DSME intervention with SMS and mobile application significantly improves glycemic control despite the heterogeneity across the studies. The recommendation for further research is to analyze the comparison of the effectiveness of online and direct DSME intervention, which can improve glycemic control.


diabetes; glycemic; mobile application; short message service

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Adikusuma, W. and Qiyaam, N. (2017) ‘The Effect of Education through Short Message Service ( SMS ) Messages on Diabetic Patients Adherence’. doi: 10.3390/scipharm85020023.

American Diabetes Association,. (2018) ‘Lifestyle Management: StandardsofMedicalCare in Diabetes 2018’, Diabetes Care, 41(January), pp. S38–S50. doi: 10.2337/dc18-S004.

American Diabetes Association (2020) ‘Standards of medical care in diabetes’, Turkish Journal of Endocrinology and Metabolism, 14(SUPPL.), pp. 11–16.

Berman, M. A. et al. (2018) ‘Change in Glycemic Control With Use of a Digital Therapeutic in Adults With Type 2 Diabetes : Cohort Study’, JMIR Diabetes, 3(1). doi: 10.2196/diabetes.9591.

Boels, A. M. et al. (2018) ‘Effectiveness of diabetes self-management education via a smartphone application in insulin treated type 2 diabetes patients – design of a randomised controlled trial ( “ TRIGGER study ” )’. BMC Endocrine Disorders, 18(1)74..

Bowen, M. E. et al. (2016) ‘The diabetes nutrition education study randomized controlled trial: A comparative effectiveness study of approaches to nutrition in diabetes self-management education’, Patient Education and Counseling99(8), pp. 1368–1376. doi: 10.1016/j.pec.2016.03.017.

Capozza, K. and Woolsey, S. (2015) ‘Going mobile with diabetes support: A randomized study of a text message-based personalized behavioral intervention for type 2 diabetes self-care’, Diabetes Spectrum, 28(2), pp. 83–91. doi: 10.2337/diaspect.28.2.83.

Chrvala, C. A., Sherr, D. and Lipman, R. D. (2016). Patient Education and Counseling Diabetes self-management education for adults with type 2 diabetes mellitus : A systematic review of the effect on glycemic control. Patient Education and Counseling, 99(6), 926–943. https://doi.org/10.1016/j.pec.2015.11.003

Chai, S. et al (2020) ‘The effect of education and mobile health management on improvement of blood glucose with type 2 diabetes mellitus’, Journal of Public Health (Germany) doi: 10.1007/s10389-020-01210-5.

Cui, M. and Wu, X. (2016) ‘T2DM self-management via smartphone applications: A systematic review and meta-analysis’, PLoS ONE, 11(11), pp. 1–15. doi: 10.1371/journal.pone.0166718.

Drion, I. and Pameijer, L. (2015) ‘The effects of a mobile phone application on quality of life in patients with type 1 diabetes mellitus: A randomized controlled trial’, Journal of Diabetes Science and Technology, 9(5), pp. 1086–1091. doi: 10.1177/1932296815585871.

Fortmann, A. and Gallo, L. (2017) ‘Dulce digital: An mHealth SMS based intervention improves glycemic control in hispanics with type 2 diabetes’, Diabetes Care, 40(10), pp. 1349–1355. doi: 10.2337/dc17-0230.

Gunawardena, K. C. and Jackson, R. (2019) ‘The Influence of the Smart Glucose Manager Mobile Application on Diabetes Management’, Journal of Diabetes Science and Technology, 13(1), pp. 75–81. doi: 10.1177/1932296818804522.

Güner, A. and Coşansu, G. (2020) ‘The effect of diabetes education and short message service reminders on metabolic control and disease management in patients with type 2 diabetes mellitus’, Primary Care Diabetes, 14(5) pp. 482-487. doi: 10.1016/j.pcd.2020.04.007.

Hilmarsdóttir, E. and Sigurðardóttir, Á. (2020) ‘A Digital Lifestyle Program in Outpatient Treatment of Type 2 Diabetes: A Randomized Controlled Study’, Journal of Diabetes Science and Technology. doi: 10.1177/1932296820942286.

Huo, X. and Krumholz, H. (2019) ‘Effects of Mobile Text Messaging on Glycemic Control in Patients with Coronary Heart Disease and Diabetes Mellitus: A Randomized Clinical Trial’, Circulation: Cardiovascular Quality and Outcomes, 12(9), pp. 1–10. doi: 10.1161/CIRCOUTCOMES.119.005805.

IDF (2017) International Diabetes Federation (IDF) 8th edn Atlas.

Islam, S. and Niessen, L. W. (2015) ‘Effects of mobile phone sms to improve glycemic control among patients with type 2 diabetes in Bangladesh: A prospective, parallel-group, randomized controlled trial’, Diabetes Care, 38(8), pp. e112–e113. doi: 10.2337/dc15-0505.

Izahar, S. and Lean, Q. Y. (2017) ‘Content analysis of mobile health applications on diabetes mellitus’, Frontiers in Endocrinology, 8(NOV), pp. 1–8. doi: 10.3389/fendo.2017.00318.

Kotsani, K. et al. (2018) ‘The role of telenursing in the management of Diabetes Type 1 : A randomized controlled trial’, International Journal of Nursing Studies, 80(April 2017), pp. 29–35. doi: 10.1016/j.ijnurstu.2018.01.003.

Laili, N. and Dewi, Y. (2019) ‘Edukasi Dengan Pendekatan Prinsip Diabetes Self Management Education (Dsme) Meningkatkan Perilaku Kepatuhan Diet Pada Penderita Diabetes Mellitus Tipe 2’, Critical Medical and Surgical Nursing Journal, 1(1). doi: 10.20473/cmsnj.v1i1.11927.

National Conference of State Legislatures (2016) State Coverage for Telehealth Services. Available at: https://www.ncsl.org/research/health/state-coverage-for-telehealth-services.aspx (Accessed: 30 September 2020).

Nie, L. et al. (2016) ‘Characteristics of Chinese m-Health Applications for Diabetes Self-Management’, Telemedicine and e-Health, 22(7), pp. 614–619. doi: 10.1089/tmj.2015.0184.

Van Olmen, J. et al. (2017) ‘The effect of text message support on diabetes self-management in developing countries – A randomised trial’, Journal of Clinical and Translational Endocrinology, 7, pp. 33–41. doi: 10.1016/j.jcte.2016.12.005.

Pan, B. et al. (2018) ‘Exercise training modalities in patients with type 2 diabetes mellitus : a systematic review and network meta-analysis’. International Journal of Behavioral Nutrition and Physical Activity, pp. 1–14.

PERKENI. (2015a). Konsensus Pengelolaan dan pencegahan diabetes melitus tipe 2 di indonesia 2015.

Polgreen, L. and Anthony, C. (2018) ‘The effect of automated text messaging and goal setting on pedometer adherence and physical activity in patients with diabetes: A randomized controlled trial’, PLoS ONE, pp. 1–12. doi: : A randomized controlled trial. PLoS ONE 13(5): e0195797. https://doi.org/10.1371/journal.pone.0195797.

Punthakee, Z., Goldenberg, R. and Katz, P. (2018) ‘Definition , Classification and Diagnosis of Diabetes , Prediabetes and Metabolic Syndrome Diabetes', Canadian Journal of Diabetes C, 42, pp. 10–15.

Quinn, C. C. and Butler, E. C. (2018) ‘Mobile diabetes intervention study of patient engagement and impact on blood glucose: Mixed methods analysis’, JMIR mHealth and uHealth, 6(2), pp. 1–11. doi: 10.2196/mhealth.9265.

Rasoul, A. M. et al. (2019) ‘The effect of self-management education through weblogs on the quality of life of diabetic patients’, BMC Medical Informatics and Decision Making. BMC Medical Informatics and Decision Making, 19(1), pp. 1–12. doi: 10.1186/s12911-019-0941-6.

Waki, K. and Aizawa, K. (2015) ‘Dial betics with a multimedia food recording tool, food log: Smartphone-based self-management for type 2 diabetes’, Journal of Diabetes Science and Technology, 9(3), pp. 534–540. doi: 10.1177/1932296815579690.

Wang, J., Cai, C. and Padhye, N. (2018) ‘A behavioral lifestyle intervention enhanced with multiple-behavior self-monitoring using mobile and connected tools for underserved individuals with type 2 diabetes and comorbid overweight or obesity: Pilot comparative effectiveness trial’, JMIR mHealth and uHealth, 6(4), pp. 1–14. doi: 10.2196/mhealth.4478.

Wang, X. et al. (2020) ‘The role of text messaging intervention in Inner Mongolia among patients with type 2 diabetes mellitus: A randomized controlled trial’, BMC Medical Informatics and Decision Making, 20(1), pp. 1–26. doi: 10.1186/s12911-020-01129-7.

Wang, X. and Liu, D. (2020) ‘The role of text messaging intervention in Inner Mongolia among patients with type 2 diabetes mellitus: A randomized controlled trial’, BMC Medical Informatics and Decision Making, 20(1), pp. 1–26. doi: 10.1186/s12911-020-01129-7.

World Health Organization (2016) ‘GLOBAL REPORT ON DIABETES’.

Yang, C.-P. et al. (2015) ‘Cardiovascular Risk Factors Increase the Risks of Diabetic Peripheral Neuropathy in Patients With Type 2 Diabetes Mellitus’, Medicine, 94(42), p. e1783. doi: 10.1097/MD.0000000000001783.

Yang, Y. and Lee, E. Y. (2020) ‘Effect of a mobile phone-based glucose-monitoring and feedback system for type 2 diabetes management in multiple primary care clinic settings: Cluster randomized controlled trial’, JMIR mHealth and uHealth, 8(2), pp. 1–15. doi: 10.2196/16266.

Yu, Y. and Yan, Q. (2019) ‘Effects of mobile phone application combined with or without self-monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial’, Journal of Diabetes Investigation, 10(5), pp. 1365–1371. doi: 10.1111/jdi.13031.

Zhou, W. and Chen, M. (2016) ‘Welltang - A smart phone-based diabetes management application - Improves blood glucose control in Chinese people with diabetes’, Diabetes Research and Clinical Practice, 116, pp. 105–110. doi: 10.1016/j.diabres.2016.03.018.


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