Family-based intervention for patients with type 2 diabetes via WeChat in China: protocol for a randomized controlled trial

Mao, Linqi; Lü, Jun; Zhang, Qi; Zhao, Yuxi; Chen, Gang; Sun, Mei; Chang, Fengshui; Xiao-hong, LI

doi:10.1186/s12889-019-6702-8

Cited by 36 publications

(30 citation statements)

References 36 publications

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“…In addition, we found that WeChat interventions were more effective than other types of TM tools on more outcomes. Compared to other interventions, as a popular social app, WeChat was more convenient and accessible in daily life, and allowed patients to upload their glycaemic data, communicate and discuss with each other, reduce their psychological burden, enhance their confidence and receive more health information in many forms [16]. Considering the good operability and accessibility of social apps, it is believed that social apps will play essential roles in the clinical management of GDM in the future.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the systematic reviews and meta-analyses on the use of telemedicine technologies for diabetes mellitus have demonstrated that TM tools could result in reduced HbA1c in individuals with type I, type II diabetes and GDM [8,9,13,14,16]. However, the effects of TM on other indices of glucose and pregnancy outcomes of the use of TM in patients with GDM remain uncertain [14,17].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of telemedicine for pregnant women with gestational diabetes mellitus: an updated meta-analysis of 32 randomized controlled trials with trial sequential analysis

Xie

Dai

Qin

et al. 2020

BMC Pregnancy Childbirth

126

103

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Background: Gestational diabetes mellitus (GDM) is now a global health problem. Poor blood glucose control during pregnancy may lead to maternal and neonatal/foetal complications. Recently, the development of information and communication technology has resulted in new technical support for the clinical care of GDM. Telemedicine is defined as health services and medical activities provided by healthcare professionals through remote communication technologies. This study aimed to update the systematic review of the effectiveness of telemedicine interventions on glycaemic control and pregnancy outcomes in pregnant women with GDM. Methods: We searched the Web of Science, PubMed, Scopus, Cochrane Central Register of Controlled Trials, Chinese National Knowledge Infrastructure, Wan-fang Database, China Biology Medicine and VIP Database for randomized controlled trials (RCTs) related to the effectiveness of telemedicine interventions for GDM from database inception to July 31st, 2019. Languages were limited to English and Chinese. Literature screening, data extraction and assessment of the risk of bias were completed independently by two reviewers. Meta-analysis and trial sequential analysis were conducted in Stata 14.0 and TSA v0.9.5.10 beta, respectively. (Continued on next page)Results: A total of 32 RCTs were identified, with a total of 5108 patients. The meta-analysis showed that telemedicine group had significant improvements in controlling glycated haemoglobin (HbA1c) [mean difference (MD) = − 0.70, P < 0.01], fasting blood glucose (FBG) (MD = -0.52, P < 0.01) and 2-h postprandial blood glucose (2hBG) (MD = -1.03, P = 0.01) compared to the corresponding parameters in the standard care group. In the telemedicine group, lower incidences of caesarean section [relative risk (RR) = 0.82, P = 0.02], neonatal hypoglycaemia (RR = 0.67, P < 0.01), premature rupture of membranes (RR = 0.61, P < 0.01), macrosomia (RR = 0.49, P < 0.01), pregnancy-induced hypertension or preeclampsia (RR = 0.48, P < 0.01), preterm birth (RR = 0.27, P < 0.01), neonatal asphyxia (RR = 0.17, P < 0.01), and polyhydramnios (RR = 0.16, P < 0.01) were found. The trial sequential analyses conclusively demonstrated that the meta-analytic results of the change in HbA1c, the change in 2hBG, the change in FBG, the incidence rates of caesarean section, pregnancy-induced hypertension or preeclampsia, premature rupture of membranes, premature birth, neonatal asphyxia, and polyhydramnios were stable. Conclusions: Compared to standard care, telemedicine interventions can decrease the glycaemic levels of patients with GDM more effectively and reduce the risk of maternal and neonatal/foetal complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of telemedicine for pregnant women with gestational diabetes mellitus: an updated meta-analysis of 32 randomized controlled trials with trial sequential analysis

Xie

Dai

Qin

et al. 2020

BMC Pregnancy Childbirth

126

103

View full text Add to dashboard Cite

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“…The WeChat super app is becoming a vital component of health care in China [ 12 ]. In the past 5 years, a number of studies have attempted to identify the effectiveness and feasibility of delivering health care interventions through WeChat, such as self-management of hypertension or type 2 diabetes [ 13 - 16 ]. Some studies have found improvements in users’ health conditions [ 15 - 17 ].…”

Section: Introductionmentioning

confidence: 99%

Mobile Social Network–Based Smoking Cessation Intervention for Chinese Male Smokers: Pilot Randomized Controlled Trial

Chen¹,

Ho²,

Jiang³

et al. 2020

JMIR Mhealth Uhealth

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Background Around 2 million Chinese people, mostly men, die annually from tobacco-related diseases; yet, fewer than 8% of Chinese smokers ever receive any smoking cessation support. Objective This study aimed to test the preliminary effectiveness and feasibility for a mobile social network (WeChat)–based smoking cessation intervention (SCAMPI program) among Chinese male smokers. Methods Chinese male smokers aged 25-44 years were recruited online from WeChat, the most widely used social media platform in China. Individuals using other smoking cessation interventions or who lacked capacity to provide online informed consent were excluded. Participants were randomly assigned (1:1) to intervention or control groups. Neither participants nor researchers were masked to assignment. The trial was fully online. All data were collected via WeChat. The intervention group received access to the full-version SCAMPI program, a Chinese-language smoking cessation program based on the Behaviour Change Wheel framework and relevant cessation guidelines. Specific intervention functions used in the program include: planning to help users make quitting plans, calculator to record quitting benefits, calendar to record progress, gamification to facilitate quitting, information about smoking harms, motivational messages to help users overcome urges, standardized tests for users to assess their levels of nicotine dependence and lung health, as well as a social platform to encourage social support between users. The control group had access to a static WeChat page of contacts for standard smoking cessation care. Both groups received incentive credit payments for participating. The primary outcome was 30-day biochemically verified smoking abstinence at 6 weeks after randomization, with missing data treated as not quitting. Secondary outcomes were other smoking status measures, reduction of cigarette consumption, study feasibility (recruitment and retention rate), and acceptability of and satisfaction with the program. Results The program recorded 5736 visitors over a 13-day recruitment period. We recruited 80 participants who were randomly allocated to two arms (n=40 per arm). At 6 weeks, 36 of 40 (90%) intervention participants and 35 of 40 (88%) control participants provided complete self-reported data on their daily smoking status via WeChat. Biochemically verified smoking abstinence at 6 weeks was determined for 10 of 40 (25%) intervention participants and 2 of 40 (5%) control participants (RR=5, 95% CI 1.2-21.4, P=.03). In the intervention group, the calculator function, motivational messages, and health tests were underused (less than once per week per users). Participants rated their satisfaction with the intervention program as 4.56 out of 5.00. Conclusions Our program is a novel, accessible, and acceptable smoking cessation intervention for Chinese male smokers. A future trial with a greater sample size and longer follow-up will identify if it is as effective as these preliminary data suggest. Trial Registration ANZCTR registry, ACTRN12618001089224; https://tinyurl.com/y536n7sx International Registered Report Identifier (IRRID) RR2-18071

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“…The education modules and text messages on the WCPRP public account were developed to provide simple, easy-to-understand health information, which was a viable way to connect medical staff and victims to facilitate health instruction delivery and resource sharing [9]. One previous study reported a successful outcome based on intervention for patients with type 2 diabetes via WeChat [10], and similar results were also found in a WeChat-based life review program for cancer patients [11].…”

Section: Discussionmentioning

confidence: 87%

Providing educational and instructional support for dog bite victims via WeChat in China: A satisfaction survey

Chen

Wang

et al. 2019

Preprint

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Background WeChat in China has been used for public health education and the prevention of diseases. This study introduced a WeChat-based program for rabies prevention and evaluated the users’ satisfaction with the program using the technology acceptance model.Methods An online satisfaction questionnaire was used to survey 315 users who had followed the WeChat official account in China, and their satisfaction scores were assessed and analyzed.Results The users were generally satisfied with the WeChat-based program as an educational and instructional tool with the mean satisfaction score for each item ranging from 3.87 to 4.60 out of a maximum of 5.0 and the total mean satisfaction score of 41.54 out of a maximum of 50.0 (SD = 4.31). Urban users showed more satisfaction than rural users (p=0.031). Users who were satisfied also reported that they intended to recommend WeChat to others (p= 0.000).Conclusions Findings from the present study indicated that WeChat was considered a useful educational and instructional tool for rabies among dog-bite victims. This model of a WeChat-based program for rabies prevention should be expanded to other areas in China.

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Family-based intervention for patients with type 2 diabetes via WeChat in China: protocol for a randomized controlled trial

Cited by 36 publications

References 36 publications

Effectiveness of telemedicine for pregnant women with gestational diabetes mellitus: an updated meta-analysis of 32 randomized controlled trials with trial sequential analysis

Effectiveness of telemedicine for pregnant women with gestational diabetes mellitus: an updated meta-analysis of 32 randomized controlled trials with trial sequential analysis

Mobile Social Network–Based Smoking Cessation Intervention for Chinese Male Smokers: Pilot Randomized Controlled Trial

Providing educational and instructional support for dog bite victims via WeChat in China: A satisfaction survey

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