Effect of mobile reminders on screening yield during opportunistic screening for type 2 diabetes mellitus in a primary health care setting: A randomized trial
Objective. We wanted to study whether mobile reminders increased follow-up for definitive tests resulting in higher screening yield during opportunistic screening for diabetes. Methods. This was a facility-based parallel randomized controlled trial during routine outpatient department hours in a pri...
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doaj-56d7f124746b4be3839ed90decfc888d2020-11-25T02:19:00ZengElsevierPreventive Medicine Reports2211-33552015-01-012C64064410.1016/j.pmedr.2015.08.008Effect of mobile reminders on screening yield during opportunistic screening for type 2 diabetes mellitus in a primary health care setting: A randomized trialSathish Kumar0Hemant Deepak Shewade1Kavita Vasudevan2Kathamuthu Durairaju3V.S. Santhi4Bhuvaneswary Sunderamurthy5Velavane Krishnakumari6Krishna Chandra Panigrahi7Indira Gandhi Medical College and Research Institute (IGMCRI), Puducherry, IndiaInternational Union Against Tuberculosis and Lung Disease, New Delhi, IndiaIndira Gandhi Medical College and Research Institute (IGMCRI), Puducherry, IndiaPrimary Health Centre, Lawspet, Department of Health and Family Welfare, Puducherry, IndiaPrimary Health Centre, Lawspet, Department of Health and Family Welfare, Puducherry, IndiaIndira Gandhi Medical College and Research Institute (IGMCRI), Puducherry, IndiaPrimary Health Centre, Lawspet, Department of Health and Family Welfare, Puducherry, IndiaIndira Gandhi Medical College and Research Institute (IGMCRI), Puducherry, IndiaObjective. We wanted to study whether mobile reminders increased follow-up for definitive tests resulting in higher screening yield during opportunistic screening for diabetes. Methods. This was a facility-based parallel randomized controlled trial during routine outpatient department hours in a primary health care setting in Puducherry, India (2014). We offered random blood glucose testing to non-pregnant non-diabetes adults with age >30 years (667 total, 390 consented); eligible outpatients (random blood glucose ≥6.1 mmol/l, n = 268) were requested to follow-up for definitive tests (fasting and postprandial blood glucose). Eligible outpatients either received (intervention arm, n = 133) or did not receive mobile reminder (control arm, n = 135) to follow-up for definitive tests. We measured capillary blood glucose using a glucometer to make epidemiological diagnosis of diabetes. The trial was registered with Clinical Trial Registry of India (CTRI/2014/10/005138). Results. 85.7% of outpatients in intervention arm returned for definitive test when compared to 53.3% in control arm [Relative Risk = 1.61, (0.95 Confidence Interval — 1.35, 1.91)]. Screening yield in intervention and control arm was 18.6% and 10.2% respectively. Etiologic fraction was 45.2% and number needed to screen was 11.9. Conclusion. In countries like India, which is emerging as the diabetes capital of the world, considering the wide prevalent use of mobile phones, and real life resource limited settings in which this study was carried out, mobile reminders during opportunistic screening in primary health care setting improve screening yield of diabetes.http://www.sciencedirect.com/science/article/pii/S2211335515001102Randomized controlled trialOperational researchReminder systemDiabetes mellitus, type 2Opportunistic screeningLoss to follow-upPrimary health carePrimary Health CentreOutpatientsIndia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sathish Kumar Hemant Deepak Shewade Kavita Vasudevan Kathamuthu Durairaju V.S. Santhi Bhuvaneswary Sunderamurthy Velavane Krishnakumari Krishna Chandra Panigrahi |
spellingShingle |
Sathish Kumar Hemant Deepak Shewade Kavita Vasudevan Kathamuthu Durairaju V.S. Santhi Bhuvaneswary Sunderamurthy Velavane Krishnakumari Krishna Chandra Panigrahi Effect of mobile reminders on screening yield during opportunistic screening for type 2 diabetes mellitus in a primary health care setting: A randomized trial Preventive Medicine Reports Randomized controlled trial Operational research Reminder system Diabetes mellitus, type 2 Opportunistic screening Loss to follow-up Primary health care Primary Health Centre Outpatients India |
author_facet |
Sathish Kumar Hemant Deepak Shewade Kavita Vasudevan Kathamuthu Durairaju V.S. Santhi Bhuvaneswary Sunderamurthy Velavane Krishnakumari Krishna Chandra Panigrahi |
author_sort |
Sathish Kumar |
title |
Effect of mobile reminders on screening yield during opportunistic screening for type 2 diabetes mellitus in a primary health care setting: A randomized trial |
title_short |
Effect of mobile reminders on screening yield during opportunistic screening for type 2 diabetes mellitus in a primary health care setting: A randomized trial |
title_full |
Effect of mobile reminders on screening yield during opportunistic screening for type 2 diabetes mellitus in a primary health care setting: A randomized trial |
title_fullStr |
Effect of mobile reminders on screening yield during opportunistic screening for type 2 diabetes mellitus in a primary health care setting: A randomized trial |
title_full_unstemmed |
Effect of mobile reminders on screening yield during opportunistic screening for type 2 diabetes mellitus in a primary health care setting: A randomized trial |
title_sort |
effect of mobile reminders on screening yield during opportunistic screening for type 2 diabetes mellitus in a primary health care setting: a randomized trial |
publisher |
Elsevier |
series |
Preventive Medicine Reports |
issn |
2211-3355 |
publishDate |
2015-01-01 |
description |
Objective. We wanted to study whether mobile reminders increased follow-up for definitive tests resulting in higher screening yield during opportunistic screening for diabetes. Methods. This was a facility-based parallel randomized controlled trial during routine outpatient department hours in a primary health care setting in Puducherry, India (2014). We offered random blood glucose testing to non-pregnant non-diabetes adults with age >30 years (667 total, 390 consented); eligible outpatients (random blood glucose ≥6.1 mmol/l, n = 268) were requested to follow-up for definitive tests (fasting and postprandial blood glucose). Eligible outpatients either received (intervention arm, n = 133) or did not receive mobile reminder (control arm, n = 135) to follow-up for definitive tests. We measured capillary blood glucose using a glucometer to make epidemiological diagnosis of diabetes. The trial was registered with Clinical Trial Registry of India (CTRI/2014/10/005138). Results. 85.7% of outpatients in intervention arm returned for definitive test when compared to 53.3% in control arm [Relative Risk = 1.61, (0.95 Confidence Interval — 1.35, 1.91)]. Screening yield in intervention and control arm was 18.6% and 10.2% respectively. Etiologic fraction was 45.2% and number needed to screen was 11.9. Conclusion. In countries like India, which is emerging as the diabetes capital of the world, considering the wide prevalent use of mobile phones, and real life resource limited settings in which this study was carried out, mobile reminders during opportunistic screening in primary health care setting improve screening yield of diabetes. |
topic |
Randomized controlled trial Operational research Reminder system Diabetes mellitus, type 2 Opportunistic screening Loss to follow-up Primary health care Primary Health Centre Outpatients India |
url |
http://www.sciencedirect.com/science/article/pii/S2211335515001102 |
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