Self-management of type 2 diabetes using a co-designed text based mobile health (mHealth) intervention in Nepal: A study protocol for randomised controlled trial

TL;DR

This study will test a text-based mobile health program for managing type 2 diabetes in Nepal through a randomized trial.

Contribution

The study introduces a co-designed mHealth intervention for diabetes self-management in the Nepalese context.

Findings

The trial will assess changes in haemoglobin A1c levels after six months.

Secondary outcomes include self-efficacy, perceived support, and quality of life.

Data comparisons will use statistical tests for categorical and continuous variables.

Abstract

Mobile health (mHealth) is increasingly being used for managing chronic diseases proving its feasibility, acceptability and effectiveness in improving the health outcomes. However, effectiveness of mHealth intervention for self-management of Type 2 diabetes remains unexplored in the context of Nepal. This study aims to develop and evaluate the effectiveness of a co-designed text based mobile health intervention for self-management of Type 2 diabetes in Nepal. We will conduct a six month, two arm (1:1) parallel group randomised control trial involving 154 adults with Type 2 diabetes. The primary outcome includes change in haemoglobin A1c level at six months follow up. Secondary outcomes include change in self-management outcomes such as self-efficacy, perceived support, diabetes related stress, health related quality of life and self-care activities. Primary and secondary outcomes will be summarized descriptively, and comparisons will be made using chi-square tests for categorical data and independent sample t-tests for continuous data. The trial is registered at ClinicalTrials.gov (NCT06623006).

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