Mobile Based Intervention for Reduction of Coronary Heart Disease Risk Factors Among Patients with Diabetes Mellitus Attending a Tertiary Care Hospital of India

Background: Cardiovascular complications are now the leading causes of diabetes-related morbidity and mortality. The public health impact of cardiovascular disease (CVD) in patients with diabetes is already enormous and is increasing. Aims: To develop a mobile based intervention model for reduction of CHD risk factors among diabetic patients. 2. To prospectively evaluate the developed intervention model in the proposed group. Settings and Design: Endocrinology outpatient department of a tertiary care hospital and study design was Randomized controlled trial Material and Methods: Starting at random, the patients were allocated to control group and test group. Controls were given printed educational materials. Test group were counselled with intense lifestyle education using both printed materials and computers, they were contacted by telephones contacted by phone calls by the investigator in every 3 weeks for 3 months and SMS were sent in every week containing some educational tips. Results: In the follow up at 3 months, treatment was not changed in majority (80%) of diabetics that being taken at baseline. The change of treatment was proportionately high in control group (33.3%) than in the intervention group (11.8%). The mean measurements of blood sugar (fasting and post Prandial) were higher in the baseline control and intervention groups compared to the follow up in both arms. Statistical analysis used: Percentage, standard deviation, significance tests Conclusion: Intervention in the form of intensive life style education and phone calls and SMS became helpful in management of increased blood sugar, blood pressure, body weight (BMI, WHR) in our study. Health information through mobile phones has great potential to improve patient care and increase patient-provider communication, and to promote life style measures.