Cited by 170Mobile Health and mHealth ApplicationsDiabetes Management and EducationMobile Learning in Education

Health education via mobile text messaging for glycemic control in adults with type 2 diabetes: A systematic review and meta-analysis

Saffari, Mohsen, Ghanizadeh, Ghader, Koenig, Harold G.·2014·Primary Care Diabetes

Abstract

Background Diabetes type 2 is an increasing problem worldwide that may be managed through education. Text-messaging using a cell phone can assist with self-care. The aim of this study was to systematically review the impact of education through mobile text-messaging on glycemic control.Methods The design was a systematic review with meta-analysis. Five electronic databases were searched to access English studies involving a randomized controlled trial design that used text-messaging educational interventions in patients with type 2 diabetes during an 11-year period (2003-2013). Studies were evaluated using a quality assessment scale adapted from Jadad scale and Cochrane handbook. Extraction of data was carried out by two reviewers. A random-effect model with a standardized mean difference and Hedges's g indices was used for conducting the meta-analysis. Subgroup analyses were conducted and a Funnel plot was used to examine publication bias.Results Ten studies overall were identified that fulfilled inclusion criteria, involving a total of 960 participants. The mean age of the sample was 52.8 years and majority were females. Data were heterogeneous (I(2)=67.6). Analyses suggested a publication bias based on Egger's regression (P<0.05). HbA1c was reduced significantly in experimental groups compared to control groups (P<0.001). The effect size for glycemic control in studies that used text-messaging only was 44%. For studies that used both text-messaging and Internet, the effect size was 86%.Conclusion Mobile text-messaging for educating Type 2 diabetics appears to be effective on glycemic control. Further investigations on mobile applications to achieve educational goals involving other diseases are recommended.

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Crossref · 10.1016/j.pcd.2014.03.004

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Authors
Saffari, M., Ghanizadeh, G., & Koenig, H. G.
Affiliations
  • Baqiyatallah University of Medical Sciences (IR)
  • Duke University (US)
Corresponding author
  • Saffari, Mohsen
  • Ghanizadeh, Ghader
  • Koenig, Harold G.
Venue
Primary Care Diabetes
Publisher
Elsevier BV
Published
2014-12
Volume
8
Issue
4
Pages
275-285
ISSN
1751-9918 (ISSN-L)
OpenAlex
W1994394007
Cited by
170
References
60
Citations by year
2026: 1 · 2025: 10 · 2024: 8 · 2023: 12 · 2022: 16 · 2021: 21 · 2020: 17 · 2019: 20 · 2018: 23 · 2017: 22 · 2016: 9 · 2015: 11
FWCI
2.37
Type
journal article
Language
en
Open access
closed
Locations
  • Primary care diabetes (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
Keywords
type 2 diabetes, text messaging, glycemic control, HbA1c, diabetes self-management education, health education, online intervention, mobile health
MeSH terms
Blood Glucose, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Education as Topic, Biomarkers, Health Behavior, Reminder Systems, Cell Phone, Text Messaging

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