The Effect of Diabetes Training through Social Networks on Metabolic Control of Individuals with Type 2 Diabetes


Diabetes, Education, Training, Social Media, Mobile Health


Background: Due to spread of smart phones, opportunity to train patients with diabetes and communicate with them using social media is rising. Aim of this study was to evaluate the effect of training through two popular social networks in Iran (“Telegram” and “Soroush) and the metabolic control of people with Type 2 diabetes.

Methods: In this randomized controlled trial, we recruited 134 patients with type 2 diabetes, which randomly allocated into two groups: the intervention and the control group on a 1:1 basis. The intervention comprised a training package that delivered to the intervention group via social media for 45 days. The primary outcome measures included awareness of diabetes management and physical activity level while secondary outcome measures were HbA1c and lipid profile.

Results: Social network training led to the increase of the patients' awareness (44.31±2.78 to 46.88±2.25 in intervention group vs. 44.14±3.85 to 44.41±3.87 in control group) and physical activities level (23.64±8.46 to 31.68±7.12 in intervention group vs. 26.20±9.39 to 30.20±8.11 in control group) (p-value<0.001). Besides, LDL and HDL levels, and HbA1c (8.19±2.10 to 8.05±1.96 in intervention group vs. 7.53±1.67 to 7.45±1.34 in control group) decreased significantly (p-value<0.05).

Conclusions: Changes in lifestyle and challenges of the patients' attendance in diabetes training sessions, declared that use of social networkscan be useful to train diabetes patients remotely, and it is feasible to send training messages to help them improve their diabetes care.


Uncategorized References

Haghdoost A, Rezazadeh Kermani M, Sadghirad B, Baradaran H. Prevalence of type 2 diabetes in the Islamic Republic of Iran: systematic review and meta-analysis. EMHJ-Eastern Mediterranean Health Journal. 2009;15(3): 591-9.

Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes care. 2004;27(5):1047-53.

Fatehi F, Gray LC, Russell AW. Mobile health (mHealth) for diabetes care: opportunities and challenges. Diabetes technology & therapeutics. 2017;19(1):1-3.

Katibeh M, Kalantarion M, Mariotti SP, Safi S, Shahraz S, Kallestrup P, Rahmani S, Mohammadi S-F, et al. A stakeholder perspective on diabetes mellitus and diabetic retinopathy care in Iran; a qualitative study. Archives of Iranian Medicine. 2017;20(5):288-94.

Sardari M, Pazokian M. Relationship between Type 2 Diabetes and Depression: A Systematic Review. Int J Med Rev. 2017;3(2):423-8.

Federation ID. Idf diabetes atlas. International Diabetes Federation

https://doi org/101289/image ehp v119 i03. 2019.

Organization WH. Management of diabetes mellitus: standards of care and clinical practice guidelines. World Health Organization. Regional Office for the Eastern Mediterranean; 1994.

Sadeghian HA, Madu SV, Agrawal K, Kannan AT, Agrawal K. Effects of a self-management educational program on metabolic control in type 2 diabetes. Turkish Journal of Medical Sciences. 2016;46(3):719-26.

Kitsiou S, Paré G, Jaana M, Gerber B. Effectiveness of mHealth interventions for patients with diabetes: an overview of systematic reviews. PloS one. 2017;12(3):e0173160.

Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. Journal of diabetes & Metabolic disorders. 2013;12(1):1-5.

Obile W. Ericsson mobility report. Nov. 2016.

Rezaei M, Shobeiri SM. The effect of social networks usage on the promotion of pro-environmental behavior in Tourism (Case Study: Telegram Social Network). Journal of Tourism Planning and Development. 2017;6(21):28-53.

Welch G, Garb J, Zagarins S, Lendel I, Gabbay RA. Nurse diabetes case management interventions and blood glucose control: results of a meta-analysis. Diabetes research and clinical practice. 2010;88(1):1-6.

Salehmoghaddam AR, Khosravi Bonjar A, Karimi Moonaghi H, Gholami H. An investigation of the effect of e-learning education method on dietary regimen in type 2 diabetic patients. Evidence Based Care. 2013;3(3):51-8.

Heisler M, Smith DM, Hayward RA, Krein SL, Kerr EA. How well do patients’ assessments of their diabetes self-management correlate with actual glycemic control and receipt of recommended diabetes services? Diabetes care. 2003;26(3):738-43.

Shaya FT, Chirikov VV, Howard D, Foster C, Costas J, Snitker S, Frimpter J, Kucharski K. Effect of social networks intervention in type 2 diabetes: a partial randomised study. J Epidemiol Community Health. 2014;68(4):326-32.

Amini N, Shojaeezadeh D, Saffari M. The study of the effect of e-education on physical activity and body mass index of female employees. Journal of School of Public Health and Institute of Public Health Research. 2014;11(3):95-106.

Davies MJ, Heller S, Skinner T, Campbell M, Carey M, Cradock S, Dallosso H, Daly H, et al. Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial. Bmj. 2008;336(7642):491-5.

Zare F, Ameri H, Madadizadeh F, Reza Aghaei M. Health-related quality of life and its associated factors in patients with type 2 diabetes mellitus. SAGE Open Medicine. 2020;8:2050312120965314.

Zare F, Ameri H, Madadizadeh F, Aghaei MR. Validity and reliability of the EQ-5D-3L (a generic preference-based instrument used for calculating quality-adjusted life-years) for patients with type 2 diabetes in Iran. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2021;15(1):319-24.

Arab-Zozani M, Safari H, Dori Z, Afshari S, Ameri H, Namiranian N, Hoseini E, Jafari A. Estimating utility values for health states of DFU patients using EQ-5D-5L and cTTO. The International Journal of Lower Extremity Wounds. 2022;21(1):41-9.

Wendel-Vos GW, Schuit AJ, Saris WH, Kromhout D. Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. Journal of clinical epidemiology. 2003;56(12):1163-9.

Hagströmer M, Oja P, Sjöström M. The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity. Public health nutrition. 2006;9(6):755-62.

Emami RS, Ardebili HE, Golestan B. Effect of a Health Education Intervention on Physical Activity Knowledge, Attitude and Behavior in Health Volunteers. Hayat. 2010;16.

Niroomand M, Ghasemi SN, Karimi-Sari H, Kazempour-Ardebili S, Amiri P, Khosravi MH. Diabetes knowledge, attitude and practice (KAP) study among Iranian in-patients with type-2 diabetes: a cross-sectional study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2016;10(1):S114-S9.

Eslami K, Kouti L, Noori A. Different methods of medical sciences virtual education in Iran and assessment of their efficacy; a review article. Educational Development of Judishapur. 2016;7(2):128-37.

Kebede MM, Pischke CR. Popular diabetes apps and the impact of diabetes app use on self-care behaviour: a survey among the digital community of persons with diabetes on social media. Frontiers in Endocrinology. 2019;10:135.

Rasoul AM, Jalali R, Abdi A, Salari N, Rahimi M, Mohammadi M. The effect of self-management education through weblogs on the quality of life of diabetic patients. BMC medical informatics and decision making. 2019;19(1):1-12.

Rezaei N, Tahbaz F, Kimiagar M, Alavi Majd H. effect of nutrition education on knowledge, attitude and practice of type 1 diabetic patients from Aligoodarz. Journal of Shahrekord University of Medical Sciences. 2006:52-9, 9.

Goodarzi M, Ebrahimzadeh I. Impact of Distance Education via short message service of Mobile Phone on metabolic control of Patients with Type 2 Diabetes Mellitus in Karaj-Iran. Horizon Med Sci. 2014;19(4):224-34.

Bond GE, Burr R, Wolf FM, Price M, McCurry SM, Teri L. The effects of a web-based intervention on the physical outcomes associated with diabetes among adults age 60 and older: a randomized trial. Diabetes technology & therapeutics. 2007;9(1):52-9.

Shavazi MA, Morowatisharifabad MA, Shavazi MTA, Mirzaei M, Ardekani AM. Online social support for patients with multiple sclerosis: a thematic analysis of messages posted to a virtual support community. International journal of community based nursing and midwifery. 2016;4(3):188.