Long‐term follow‐up of a randomized controlled trial of a text‐message diabetes self‐management support programme, SMS4BG

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dc.contributor.author Dobson, Rosie en
dc.contributor.author Whittaker, R en
dc.contributor.author Jiang, Yannan en
dc.contributor.author McNamara, C en
dc.contributor.author Shepherd, M en
dc.contributor.author Maddison, R en
dc.contributor.author Cutfield, R en
dc.contributor.author Khanolkar, M en
dc.contributor.author Murphy, Rinki en
dc.date.accessioned 2020-01-10T01:05:46Z en
dc.date.issued 2019-11-13 en
dc.identifier.citation Diabetic Medicine 8 pages 13 Nov 2019 en
dc.identifier.issn 0742-3071 en
dc.identifier.uri http://hdl.handle.net/2292/49470 en
dc.description.abstract Aims: To determine the long‐term effectiveness of an individually tailored text‐message diabetes self‐management support programme, SMS4BG, on glycaemic control at 2 years in adults with diabetes with an HbA1c concentration > 64 mmol/mol (8%). Methods: We conducted a 2‐year follow‐up of a two‐arm, parallel, randomized controlled trial across health services in New Zealand. Participants were English‐speaking adults with type 1 or 2 diabetes and with an HbA1c >64 mmol/mol (8%). In the main trial participants randomized to the intervention group (N=183) received up to 9 months of an automated tailored text‐message programme in addition to usual care. Participants in the control group (N=183) received usual care for 9 months. In this follow‐up study, 293 (80%) of 366 randomized participants in the main trial were included. The primary outcome measure was change in glycaemic control (HbA1c) from baseline to 2 years. Mixed‐effect models were used to compare the group differences at 3, 6, 9 and 24 months, adjusted for baseline HbA1c and stratification factors (health district category, diabetes type and ethnicity). Results: The decrease in HbA1c at 2 years was significantly greater in the intervention group [mean (sd) –10 (18) mmol/mol or –0.9 (1.6)%] compared with the control group [mean (sd) –1 (20) mmol/mol or –0.1 (1.8)%], with an adjusted mean difference of –9 mmol/mol (95% CI –14, –5) or –0.8% (95% CI –1.2, –0.4; P<0.0001). Conclusions: Improvements in glycaemic control resulting from a text‐message diabetes self‐management support programme were sustained at 2 years after randomization. These findings support the implementation of SMS4BG in current practice. en
dc.description.uri https://catalogue.library.auckland.ac.nz/permalink/f/t37c0t/uoa_alma21152864830002091 en
dc.publisher Wiley en
dc.relation.ispartofseries Diabetic Medicine en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/ en
dc.title Long‐term follow‐up of a randomized controlled trial of a text‐message diabetes self‐management support programme, SMS4BG en
dc.type Journal Article en
dc.identifier.doi 10.1111/dme.14182 en
dc.rights.holder Copyright: The authors en
pubs.author-url https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.14182 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 788131 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Pacific Health en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
pubs.org-id Science en
pubs.org-id Science Research en
pubs.org-id Maurice Wilkins Centre (2010-2014) en
pubs.org-id Statistics en
dc.identifier.eissn 1464-5491 en
pubs.record-created-at-source-date 2019-12-02 en
pubs.online-publication-date 2019-11-13 en
pubs.dimensions-id 31722130 en


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http://creativecommons.org/licenses/by-nc/4.0/ Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc/4.0/

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