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Effect of Using Mobile Phone Communication on Morbidity and Health Seeking Behavior of Type 2 Diabetes Mellitus Patients at Kitui County Referral Hospital, Kenya

Received: 20 June 2019    Accepted: 22 August 2019    Published: 5 September 2019
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Abstract

There is an increasing prevalence of Type 2 Diabetes Mellitus (T2DM) in Kenya. This is despite the implementations of various interventions to prevent and manage the condition. Despite increasing use of mobile phone communication in Kenya, this technology has not been utilized in management of T2DM, though it has been applied in other countries. The objective of this study was to determine the effect of using mobile phone communication on the morbidity and health seeking behavior of T2DM patients. The study was conducted among 138 patients attending the diabetes clinic at Kitui County Referral Hospital. A pretested questionnaire was used to collect data on socio economic characteristics, morbidity status and health seeking behavior at the baseline and after mobile phone based intervention. There was a greater decline in morbidity in the experimental group (35.8% to 22.4%) compared to the control group (31% to 29.6%). The difference between groups was significant (OR=0.48; 95% CI= 0.27-0.85), p<0.05). The proportion of respondents with controlled blood pressure (BP) increased in experimental group (44.8% to 49.3%) compared to a reduction in the control group (53.5% to 47.9%). The effect of the intervention was significant (p<0.05). Self-monitoring of blood glucose (SMBG) increased from 32.8% to 41.8% in experimental group while it reduced from 39.4% to 31% in control group. The effect of the intervention was statistically significant (p<0.05). This study concludes that use of mobile phone communication led to significant decrease in morbidity prevalence and an increase in the proportion of T2DM patients that carried out self-monitoring of blood glucose in T2DM patients while it did not have a significant effect on glycemic control, diabetes clinic attendance and monitoring of feet health.

Published in International Journal of Diabetes and Endocrinology (Volume 4, Issue 3)
DOI 10.11648/j.ijde.20190403.13
Page(s) 83-89
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

T2DM, Morbidity Prevalence, Health Seeking Behavior, Mobile Phone Intervention

References
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    Theuri Alice Wairimu, Makokha Anselimo, Kyallo Florence. (2019). Effect of Using Mobile Phone Communication on Morbidity and Health Seeking Behavior of Type 2 Diabetes Mellitus Patients at Kitui County Referral Hospital, Kenya. International Journal of Diabetes and Endocrinology, 4(3), 83-89. https://doi.org/10.11648/j.ijde.20190403.13

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    ACS Style

    Theuri Alice Wairimu; Makokha Anselimo; Kyallo Florence. Effect of Using Mobile Phone Communication on Morbidity and Health Seeking Behavior of Type 2 Diabetes Mellitus Patients at Kitui County Referral Hospital, Kenya. Int. J. Diabetes Endocrinol. 2019, 4(3), 83-89. doi: 10.11648/j.ijde.20190403.13

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    AMA Style

    Theuri Alice Wairimu, Makokha Anselimo, Kyallo Florence. Effect of Using Mobile Phone Communication on Morbidity and Health Seeking Behavior of Type 2 Diabetes Mellitus Patients at Kitui County Referral Hospital, Kenya. Int J Diabetes Endocrinol. 2019;4(3):83-89. doi: 10.11648/j.ijde.20190403.13

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  • @article{10.11648/j.ijde.20190403.13,
      author = {Theuri Alice Wairimu and Makokha Anselimo and Kyallo Florence},
      title = {Effect of Using Mobile Phone Communication on Morbidity and Health Seeking Behavior of Type 2 Diabetes Mellitus Patients at Kitui County Referral Hospital, Kenya},
      journal = {International Journal of Diabetes and Endocrinology},
      volume = {4},
      number = {3},
      pages = {83-89},
      doi = {10.11648/j.ijde.20190403.13},
      url = {https://doi.org/10.11648/j.ijde.20190403.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20190403.13},
      abstract = {There is an increasing prevalence of Type 2 Diabetes Mellitus (T2DM) in Kenya. This is despite the implementations of various interventions to prevent and manage the condition. Despite increasing use of mobile phone communication in Kenya, this technology has not been utilized in management of T2DM, though it has been applied in other countries. The objective of this study was to determine the effect of using mobile phone communication on the morbidity and health seeking behavior of T2DM patients. The study was conducted among 138 patients attending the diabetes clinic at Kitui County Referral Hospital. A pretested questionnaire was used to collect data on socio economic characteristics, morbidity status and health seeking behavior at the baseline and after mobile phone based intervention. There was a greater decline in morbidity in the experimental group (35.8% to 22.4%) compared to the control group (31% to 29.6%). The difference between groups was significant (OR=0.48; 95% CI= 0.27-0.85), p<0.05). The proportion of respondents with controlled blood pressure (BP) increased in experimental group (44.8% to 49.3%) compared to a reduction in the control group (53.5% to 47.9%). The effect of the intervention was significant (p<0.05). Self-monitoring of blood glucose (SMBG) increased from 32.8% to 41.8% in experimental group while it reduced from 39.4% to 31% in control group. The effect of the intervention was statistically significant (p<0.05). This study concludes that use of mobile phone communication led to significant decrease in morbidity prevalence and an increase in the proportion of T2DM patients that carried out self-monitoring of blood glucose in T2DM patients while it did not have a significant effect on glycemic control, diabetes clinic attendance and monitoring of feet health.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Effect of Using Mobile Phone Communication on Morbidity and Health Seeking Behavior of Type 2 Diabetes Mellitus Patients at Kitui County Referral Hospital, Kenya
    AU  - Theuri Alice Wairimu
    AU  - Makokha Anselimo
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    AB  - There is an increasing prevalence of Type 2 Diabetes Mellitus (T2DM) in Kenya. This is despite the implementations of various interventions to prevent and manage the condition. Despite increasing use of mobile phone communication in Kenya, this technology has not been utilized in management of T2DM, though it has been applied in other countries. The objective of this study was to determine the effect of using mobile phone communication on the morbidity and health seeking behavior of T2DM patients. The study was conducted among 138 patients attending the diabetes clinic at Kitui County Referral Hospital. A pretested questionnaire was used to collect data on socio economic characteristics, morbidity status and health seeking behavior at the baseline and after mobile phone based intervention. There was a greater decline in morbidity in the experimental group (35.8% to 22.4%) compared to the control group (31% to 29.6%). The difference between groups was significant (OR=0.48; 95% CI= 0.27-0.85), p<0.05). The proportion of respondents with controlled blood pressure (BP) increased in experimental group (44.8% to 49.3%) compared to a reduction in the control group (53.5% to 47.9%). The effect of the intervention was significant (p<0.05). Self-monitoring of blood glucose (SMBG) increased from 32.8% to 41.8% in experimental group while it reduced from 39.4% to 31% in control group. The effect of the intervention was statistically significant (p<0.05). This study concludes that use of mobile phone communication led to significant decrease in morbidity prevalence and an increase in the proportion of T2DM patients that carried out self-monitoring of blood glucose in T2DM patients while it did not have a significant effect on glycemic control, diabetes clinic attendance and monitoring of feet health.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Department of Human Nutrition Sciences, School of Food and Nutrition Sciences, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya; Department of Food Science, Nutrition and Technology, School of Agriculture and Veterinary Sciences, South Eastern Kenya University, Kitui, Kenya

  • Department of Human Nutrition Sciences, School of Food and Nutrition Sciences, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya

  • Department of Human Nutrition Sciences, School of Food and Nutrition Sciences, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya

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