Effects of a Nurse-Led Diabetes Perception Intervention Delivered via a Mobile Messaging Platform (LINE) on Glycemic Control and Patient Outcomes Among Adults with Diabetes and Poorly Controlled Glucose: A Randomized Controlled Trial
Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine
Background Suboptimal glycemic control remains a major challenge among adults with type 2 diabetes (T2D). Illness perceptions may influence diabetes self-management behaviors and glycemic control. Purpose To evaluate the effects of a nurse-led diabetes perception intervention delivered via a mobile messaging platform (LINE) on glycemic control, illness perceptions, and patient satisfaction among adults with T2D and poorly controlled glucose. Methods A randomized controlled trial was conducted among 102 adults aged 30–59 years with T2D and poorly controlled glucose [HbA1c 7.5–9.0% or FPG ≥130 mg/dL]. Participants were randomly assigned to either a nurse-led diabetes perception intervention delivered via LINE plus standard care (n = 51) or standard care alone (n = 51). HbA1c, FPG, and patient satisfaction were assessed at baseline and week 13, and illness perceptions at baseline, week 6, and week 13. Data were analyzed using analysis of covariance and repeated-measures analysis of variance. Results Baseline characteristics were comparable between groups. At week 13, after adjustment for baseline values, the intervention group demonstrated significantly lower HbA1c (7.26% vs 7.91%; mean difference = −0.65%, 95% CI: −1.14 to −0.17; p = 0.008), FPG (123.12 vs 164.36 mg/dL; mean difference = −41.24 mg/dL, 95% CI: −57.37 to −25.11; p <0.001), and illness perception scores (31.90 vs 38.39; mean difference = −6.49, 95% CI: −9.58 to −3.40; p <0.001), together with higher patient satisf
Abstract
Background Suboptimal glycemic control remains a major challenge among adults with type 2 diabetes (T2D). Illness perceptions may influence diabetes self-management behaviors and glycemic control. Purpose To evaluate the effects of a nurse-led diabetes perception intervention delivered via a mobile messaging platform (LINE) on glycemic control, illness perceptions, and patient satisfaction among adults with T2D and poorly controlled glucose. Methods A randomized controlled trial was conducted among 102 adults aged 30–59 years with T2D and poorly controlled glucose [HbA1c 7.5–9.0% or FPG ≥130 mg/dL]. Participants were randomly assigned to either a nurse-led diabetes perception intervention delivered via LINE plus standard care (n = 51) or standard care alone (n = 51). HbA1c, FPG, and patient satisfaction were assessed at baseline and week 13, and illness perceptions at baseline, week 6, and week 13. Data were analyzed using analysis of covariance and repeated-measures analysis of variance. Results Baseline characteristics were comparable between groups. At week 13, after adjustment for baseline values, the intervention group demonstrated significantly lower HbA1c (7.26% vs 7.91%; mean difference = −0.65%, 95% CI: −1.14 to −0.17; p = 0.008), FPG (123.12 vs 164.36 mg/dL; mean difference = −41.24 mg/dL, 95% CI: −57.37 to −25.11; p <0.001), and illness perception scores (31.90 vs 38.39; mean difference = −6.49, 95% CI: −9.58 to −3.40; p <0.001), together with higher patient satisfaction scores (63.90 vs 58.63; mean difference = 5.27, 95% CI: 2.38 to 8.17; p <0.001), compared with the control group. Conclusion The nurse-led diabetes perception intervention delivered via LINE significantly improved glycemic control, illness perceptions, and patient satisfaction among adults with T2D and poorly controlled glucose. These findings support the potential integration of this accessible and feasible nursing intervention into diabetes self-management support in clinical practice. Video abstract This QR code provides access to a video abstract of the article. When scanned with a smartphone or QR code reader, it directs viewers to a short video presentation that summarizes the study. QR code linking to video abstract summarizing the study. http://www.w3.org/1999/xlink print-only float portrait JMDH-19-605694-g0001.webp anchor uf0001 figure portrait Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: Access transcript: video