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N/A N=79 Prevention

Assessing Home Food Environment and Diabetes Self-management Among Adult Type 2 Diabetes Patients

Diabetes Mellitus, Type 2

Enrolled (actual)
79
Serious AEs
0.0%
Results posted
Jun 2019
Primary outcome: Primary: Self-Care Activities: Healthy Eating — 4.23; 4.67; 4.61; 4.60 days/week (min: 0 days; Max: 7 days)

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Text messaging (Behavioral)
Age
Adult, Older Adult · 30+ yrs
Sex
All
Sponsor
University of Nebraska Lincoln
Primary completion
May 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Self-Care Activities: Healthy Eating
4.23; 4.67; 4.61; 4.60
PRIMARY
Diabetes Self-care Activity: Exercise
5.13; 4.91; 4.48; 4.25
PRIMARY
Self-care Activity: Blood Glucose Testing
5.09; 5.93; 5.27; 5.63
PRIMARY
Self-care Activity: Medication Adherence
5.75; 5.83; 5.73; 5.67
PRIMARY
Self-care Activity: Foot Care
4.17; 4.22; 4.89; 4.18
PRIMARY
Eat >= 5 Servings Fruit and Vegetables
4.1; 4.0
SECONDARY
Self-report Hemoglobin A1C
7.9; 8.5; 7.6; 8.0
SECONDARY
Frequency of Concern of CVD Event
28; 26; 9; 10; 3; 3
SECONDARY
Total Carbohydrate
126; 111; 102; 100
SECONDARY
Metabolic Equivalent (MET) Minutes Per Week for Moderate/Vigorous Physical Activity
2112; 1042; 3163; 405
SECONDARY
Awareness of Cardiovascular Disease (CVD): Degree of Concern of CVD Event in Next 5 Years
24; 23; 13; 11; 3; 5
SECONDARY
Degree of Concern of CVD Event in Lifetime
17; 12; 15; 20; 8; 7

Summary

In this project the investigators examined the impact of diabetes self-management education using text messaging on increasing awareness of CVD risk perception, dietary intake, physical activity, and diabetes self-management among adults with type 2 diabetes using a quasi experimental design. The study sample included 79 adult type 2 diabetes patients (30 years or older). The recruited adult type 2 diabetes patients were assigned into the intervention group (40 participants) and control group (39 participants). The intervention group received 3 messages weekly consisting of nutrition education and diabetes self-management information and skills for 3 months (12 weeks). The messages consisted of information on how to increase fruits and vegetables and reduce high-fat and sugary foods intake, increase the availability of fruits and vegetables and reduce high-fat and sugary foods in the home, strategies to increase diabetes self-management skills, and awareness of cardiovascular disease risk perception and knowledge. The text messages were derived from the American Association of Diabetes Educator (AADE) handouts ("Reducing Risks", "Monitoring", "Healthy Coping", "Problem Solving", "Taking Medication", "Healthy Eating", and "Exercise") Text messages were positive and motivating and included a link to a specific AADE7 handout that allows participants to open and retrieve the specific AADE7 handout. The control group did not receive text messages. The participants (both intervention and control group) completed surveys at baseline (before study begins) and at the conclusion of the study (at three month of the intervention) about their dietary and lifestyle habits, diabetes self-care management activities, and awareness of cardiovascular diseases. We collected also collect patient's self-report Hemoglobin A1C values at baseline and at the conclusion of the study (at three month of the intervention).

Eligibility Criteria

Inclusion Criteria

  • Self-report adult type 2 diabetes patients
  • Adults ages 30 or older
  • English speaking
  • Self-report Hemoglobin A1C > 6.5%
  • Have a cell phone able to receive text messages

Exclusion Criteria

  • Individuals without Type 2 diabetes
  • Less than 30 years of age
  • Self-report Hemoglobin A1C less than 6.5%
  • Does not have a cell phone to receive text messages
  • Individuals who don't speak and understand English
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03039569). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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