Background: Diabetes mellitus is a chronic disease that may pose serious complications if poorly managed. The application of mobile technology (m-health) ranging from simple to more complex programs in diabetes management has the potential to foster patients’ active involvement in their care. However, the evidence of m-health effectiveness on the self-management of type-2 diabetes patients in low- and middle-income countries is still mixed.Purpose: To evaluate the effect of a ten-week short message system (SMS)-based intervention (Tweek SMSDM) on self-management of type-2 diabetes patients.Methods: A quasi-experimental study was performed in two groups. The intervention group (n=30) received additional daily automated messages to enhance their diabetic self-care practice, while the control group (n=30) continued to follow the standard program only. Pre- and post-intervention data were measured in both groups using the Indonesian version of the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. T-test, Mann-Whitney, Wilcoxon Signed-Ranks, McNemar and Fisher exact tests were carried out to analyze the data.Results: After ten weeks, the intervention group showed significant mean changes in the domains of general diet (0.42±1.08; p=0.034), specific diet (1.75±1.42; p=0.0001), exercise (1.02±1.85; p=0.005), blood-glucose testing (0.53±1.67; p=0.009), and foot care (4.75±2.51; p=0.001) before and after the intervention, while the control group did not. This study also found significant differences in the mean scores for each domain of the SDSCA between the intervention and the control groups (p<0.05).Conclusion: The Tweek SMSDM program can improve the self-management of type-2 diabetes patients and positively affect each domain in the SDSCA. The findings of this study recommend that nurses integrate the program into patient treatment regimes in primary healthcare centers; therefore, patients and their significant others can play more proactive roles in their diabetic care.

No abstract

Background/Objectives: Mother's Mosquito Eradication (ME) behavior plays important role on ME in Indonesia. Dengue Chit-Chat (DCC) is a text-messaging based intervention that can be used to improve ME. The aim of this study was to analyse the effect of DCC on the mother's ME behavior in Bali. Methods/Statistical analysis: This study was a quasi-experimental with pre-test and post-test with control group design and cluster sampling technique. Sixty-seven participants were divided into experimental and control groups. The experimental group was given a three weeks message program that was delivered four times a week. Findings: Statistical analyses showed no significant differences in knowledge (p=0.064) and container index score (p=0.051), but showed significant differences in attitude (p<0.001) and practice (p<0.001) before and after the intervention. Improvements/Applications: Based on these results, we conclude that DCC can be used to increase attitude and practice of ME. However, study with a longer intervention duration may be needed to explore the behavioral effect of text-messaging intervention on ME.