Services on Demand
Journal
Article
Indicators
- Cited by SciELO
Related links
- Similars in SciELO
Share
Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Print version ISSN 2225-5109On-line version ISSN 2227-4731
Abstract
DE LA CRUZ-SALDANA, Tania et al. Effects of an Intervention with educational phone calls to improve adherence and metabolic control in people with type 2 diabetes mellitus: a randomized clinical trial. Rev. Cuerpo Med. HNAAA [online]. 2021, vol.14, n.4, pp.438-446. Epub Dec 29, 2021. ISSN 2225-5109. http://dx.doi.org/10.35434/rcmhnaaa.2021.144.1304.
Introduction:
Information and communication technologies can help us improve metabolic control and adherence in people with type 2 diabetes mellitus (DM2).
Objective:
To evaluate the effects of an intervention with telephone calls in outpatients with poorly controlled DM2 in a hospital in Peru.
Methods:
Randomized clinical trial. We included adults with DM2 with poor glycemic control, who were randomized to the control group (usual care) or to the intervention group (usual care plus a telephone intervention every two weeks for three months). The primary outcome was a ≥ 1% reduction in glycosylated hemoglobin at three months.
Results:
94 participants were recruited (47 in each group). Mean age was 59.8 years (SD: 10.2), 69.2 % were women. At three months, only 14/47 participants in the control group and 13/47 participants in the intervention group had HbA1c measurement. Among these, the percentage of those who achieved a ≥ 1% decrease in HbA1c was 35,7% (5/14) in the control group and 53,8% (7/13) in the intervention group (RR: 0,72, 95% CI: 0,35-1,47). No differences were found in adherence to treatment between groups.
Conclusions:
No statistically significant differences were found for the outcomes of interest. This is possibly due to the low percentage of participants who were able to complete follow-up. Innovative solutions are needed to improve the control of people with DM2.
Keywords : Type 2 diabetes; Telecommunications; Glycated hemoglobin A; Adherence.