Effectiveness of short message service intervention to improve glycated hemoglobin control and medication adherence in type-2 diabetes: A meta-analysis of prospective studies
Abstract
Background Distance education or reminder by texting short message may improve HbA1c level and medication adherence to type-2 diabetes. Methods Electronic databases (PubMed, EBSCO, Elsevier, Springer, Wiley, and Cochrane) were searched systematically for published studies up to Mar 2019. SMD and 95% confidence interval (CI) were used to evaluate the intervention effect on HbA1c level and medication adherence. The heterogeneity of the study was estimated with the I2 statistic. The publication bias was described by Beggs' test, Egger's test and plot. Results Ten studies with 380 interventions and 275 controls were included in this meta-analysis. The Hba1c overall SMD was -0.49%, 95% CI -0.75 to 0.22%, and the overall SMD was 0.96%, 95% CI 0.45-1.47 for medication adherence. The I 2 and P were 64.90%, 0.002 and 56.40%, 0.10 respectively for Hba1c level and medication adherence. Conclusion SMS intervention was effective for HbA1c level and medication adherence according to this study for T2DM over first 6 months.
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Compared to traditional treatments, digital health interventions offer greater portability, real-time feedback, and continuous objective data recording.
“Compared to traditional treatments, DHIs offer greater portability, real-time feedback (29, 30), and continuous objective data recording (31).”
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- Authors
- Zhuang, Q., Chen, F., & Wang, T.
- Affiliations
- Suzhou Vocational Health College (CN)
- Corresponding author
- Zhuang, Qianling
- Venue
- Primary Care Diabetes
- Publisher
- Elsevier BV
- Published
- 2020-08
- Volume
- 14
- Issue
- 4
- Pages
- 356-363
- ISSN
- 1751-9918 (ISSN-L)
- OpenAlex
- W2981472576
- Cited by
- 20
- References
- 8
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 7 · 2022: 2 · 2021: 3 · 2020: 3
- FWCI
- 0.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Primary care diabetes (publishedVersion)
- PubMed (publishedVersion)
- Funders
- program of Science and technology innovation team of Suzhou vocational health college (SZWZYTD03)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- short message service, text messaging intervention, type 2 diabetes, HbA1c, HbA1c control, medication adherence, diabetes self-management, remote patient education
- MeSH terms
- Glycemic Control, Adolescent, Adult, Aged, Blood Glucose, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Hypoglycemic Agents, Male, Middle Aged, Prospective Studies, Time Factors, Biomarkers, Treatment Outcome, Medication Adherence, Young Adult, Text Messaging
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