WhatsApp Messaging Versus SMART Goal-setting to Improve Therapeutic Adherence in Patients With Type 2 Diabetes in Primary Care: a Quasi-experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Therapeutic adherence
研究概览
简要总结
A quasi-experimental, non-randomized, prospective, longitudinal study comparing the use of WhatsApp messaging versus the SMART technique in patients with type 2 diabetes to improve treatment adherence
详细描述
The study included patients with type 2 diabetes who received training on diabetes, lifestyle, and self-management prior to the implementation of reinforcement messages or the use of the SMART technique at a primary care facility in Mexico.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Patients with type 2 diabetes mellitus.
- •Patients enrolled in UMF
- •Men and women between the ages of 35 and
- •Patients who agree to participate, understand the informed consent form, and sign it.
- •Patients who have a cell phone and the WhatsApp app.
排除标准
- •• Patients with type 1 diabetes mellitus.
- •Patients with dementia, schizophrenia, alcoholism, drug addiction, cancer, Parkinson's disease, hearing and vision impairments, and comprehension and language disorders.
- •Pregnant patients.
- •Patients who cannot read or write.
- •Exclusion Criteria
- •Patients who withdraw their consent.
- •Patients who fail to attend laboratory tests, questionnaire administration, or regular medical appointments.
- •Patient death.
- •Changes in health insurance enrollment.
- •Loss of health insurance coverage.
研究组 & 干预措施
Group I received WhatsApp messages
Group I: Participants received behavioral training and education on T2D, treatment adherence, and polypharmacy, along with the messages shown below via WhatsApp. Positive reinforcement messages were sent once every two days for two weeks, followed by one per week for three weeks.
干预措施: Group I (WhatsApp) motivational and educational messages delivered periodically (Other)
Group II underwent the SMART S(Specific), M(Measurable, A(Achievable), R(Relevant), T(Timetechnique
Group II: To implement the SMART method, the patient was first given an explanation of the concept of a goal or objective, as well as what each of the concepts of the SMART method entails. The participant was then asked to identify a goal that meets the SMART criteria and, above all, is measurable.
干预措施: Group II: To implement the SMART method (Other)
结局指标
主要结局
Therapeutic adherence
时间窗: Assessments were conducted at the start of the study "Baseline" (November to December 2024) and "6 months" after the intervention (May to June 2025)
According to the Morisky-Green questionnaire: Good \>8 points, Fair 6-7 points, Poor \<6 points
次要结局
- multipharmacy(Evaluations were conducted at the start of the study "Baseline" (November to December 2024).)
- Glucose(Assessments were conducted at the start of the study "Baseline" (November to December 2024) and "6 months" after the intervention (May to June 2025).)
研究者
María Magdalena Valencia Gutiérrez
Principal Investigator, Master of Science in Health Sciences
Instituto Mexicano del Seguro Social