Comparison of The Effect of Self-Care Program Training in Two Ways Face-to-Face and Smartphone Application On Adherence to Treatment Regimen and Glycosylated Hemoglobin of Patients with Type 2 Diabetes

Comparison of the effect of self-care program training in two ways, face-to-face and smartphone application, on adherence to treatment regimen and glycosylated hemoglobin of type 2 diabetes patients.

Clinical trial with two intervention groups for comparison, with parallel groups, unblinded and randomized, on 60 patients. For randomization, the random select option of spss software is used.

Patients with type 2 diabetes who were referred to Shahid Qudsi and Parsian clinics in Mashhad during the study, If they are eligible, will enter the study and will be assigned to two groups 1 (face-to-face) and 2 (smartphone application) by a simple random method.

The research population is all patients with type 2 diabetes referring to the mentioned clinics. Inclusion criteria: over 18 years of age, having consent to study, having at least reading and writing literacy to complete the questionnaire, patients diagnosed with type 2 diabetes for at least 6 months, diagnosed by a specialist, having a smart phone and being able to use it; Exclusion criteria: suffering from mental illness and other chronic diseases diagnosed by a doctor, suffering from complications caused by diabetes such as diabetic neuropathy

Group 1: this group is trained in a face to face self-care program in 3 one-hour sessions within 3 weeks. Group 2: this group has also been trained in a self-care program using smartphones for a month, and the designed app, which has content related to type 2 diabetes patients, will be installed for patients in a 15-30 minute session and the essential instructions will be given as well.

Adherence to treatment, Glycosylated hemoglobin

The randomization unit is individual and the tool being used is SPSS. In this way, all eligible patients will be randomly selected and will be divided into two groups; A and B, using SPSS 26 software. To perform randomization by SPSS, the “Data” option is selected from the toolbar. Next, in the new window, the “select cases” is selected. Then, in the “Select” box, first a click on “Random sample of cases” and then on “select” option will be done. After the “Exactly” option has been selected in the new window, the number of patients in each group and the total number of samples are respectively entered in the empty boxes ( in this study, 30 and 60 respectively). After that, a click on the “Continue” and “OK” options will be done and finally, the generated random variables are randomly divided into two equal groups with codes 1 and 0 on the “Data view” page which conventionally, code 1 is assigned to the intervention group and code 0 to the control group. Patients will be randomly placed in either the intervention or control groups by someone other than the main researcher and statistical analyst.