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Effect of Diabetes Self-Management Education and Support Using social media on Glycemic Control Among Patients with Diabetes Type 2

Abeer Amin Mohammad
Faculty of Nursing / The Department of Clinical Nursing/ The University of Jordan / Amman, Jordan
Jafar Alshraideh
Faculty of Nursing / The Department of Clinical Nursing/ The University of Jordan / Amman, Jordan

Abstract

Background: Diabetes Self-Management Education and Support (DSMES) is considered a basic intervention in diabetes management; In order to maintain the behaviors required to control DM in the context of a patient's daily life, diabetes support may need to go beyond standard healthcare settings. Purpose: This study looked at how patients with uncontrolled diabetes' glycemic control was affected by WhatsApp applications that provided diabetic self-management education and support. Method: Patients with uncontrolled DM participated in a randomized, two-arm parallel interventional study with a 3-month patient follow-up. Using a straightforward randomization procedure, 140 people were divided into the interventional group (n = 70) and the control group (n = 70). A three-month follow-up phase saw individuals in the intervention group received Diabetes Self-Management and Support (DSMES) intervention via WhatsApp in addition to usual care. They received daily educational information and behavioral support messages. The informational material utilized to promote diabetic self-management practices was (AADE7 Self-Care Behaviors®). The control group participants received ‘usual care’ provided by the diabetes-specialized nurse. Glycemic control was measured by HbA1C baseline and after the intervention. Data were analyzed using SPSS-25 at a significant level of p<.05. Result: A total of 140 patients with DM2. The mean age of the participants was 53.70 (SD= 9.67) years, with a mean duration of 10 (SD=5.8) years; 72 (51%) of the participants were women; 117 (50%). Following the intervention for three months, the intervention group's mean HbA1C was less by 7 % (SD= .85) than the control group 8.16 (SD=1.44) p = .00), and 54.3% of the individuals in the targeted group reached the ADA treatment goal for HbA1c below 7, versus 17% at the control group with a significant p-value (p<.05). MConclusion: Diabetes education and support via WhatsApp showed significant improvement in glycemic control, this demonstrates that DSMES via WhatsApp In poor nations like Jordan, intervention may be clinically significant.

Keywords: Diabetes Self-Management and Support; Diabetes Self-Management Education; Diabetes-Specialized Nurse; Diabetes. ,

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