Increased Self-Care Activities and Glycemic Control Rate in Relation to Health Education via Wechat Among Diabetes Patients: A Randomized Clinical Trial

Running head: RESEARCH & EVIDENCE-BASED PRACTICE
Research & Evidence-Based Practice
Name of the Student:
Name of the University:
Author Note:

1
RESEARCH & EVIDENCE-BASED PRACTICE
Assessment 2

2
RESEARCH & EVIDENCE-BASED PRACTICE
Article No. Article 1 Article 2
Complete
details of
article
Dong, Y., Wang, P., Dai, Z., Liu, K., Jin,
Y., Li, A., ... & Zheng, J. (2018).
Increased self-care activities and
glycemic control rate in relation
to health education via Wechat
among diabetes patients: A
randomized clinical
trial. Medicine, 97(50).
Schröder, H., Cárdenas-Fuentes, G.,
Martínez-González, M. A., Corella,
D., Vioque, J., Romaguera, D., ... &
Bueno-Cavanillas, A. (2018).
Effectiveness of the physical
activity intervention program in the
PREDIMED-Plus study: a
randomized controlled
trial. International Journal of
Behavioral Nutrition and Physical
Activity, 15(1), 110.
Population
of interest
Patients with type 2 diabetes mellitus Men and women at high risk of
cardiovascular disease
Inclusion &
Exclusion
criteria
Diagnosed with type 2 diabetes mellitus
(T2DM) by physicians as per WHO
criteria, age ranged from 18 to 60 years,
possessed a mobile phone, approved of
receiving text messages and capable of
reading them, agreed upon voluntary
participation in the study. Exclusion
occurred if found to be diagnosed with
type 1 diabetes, specific diabetes, any
other hepatic or renal insufficiency,
psychiatric diseases, severe visual
impairment or other endocrine
abnormalities.
Men aged 55-75 years, women aged 60-75
years, participants with overweight or
obesity (BMI ≥ 27 and < 40 kg/m2) and
having metabolic syndrome. Exclusion
based on past record of cardiovascular
ailment, any chronic medical condition such
as that of cancer, cirrhosis, inflammatory
bowel disease etc., apart from acute
infectious processes, psychiatric disorders,
institutionalization, any situation hindering
physical activity, drug and alcohol abuse,
use of specific medications, significant
weight loss within a short time span, and an
allergy to MedDiet foods.

3
RESEARCH & EVIDENCE-BASED PRACTICE
Sampling
Method
Random Sampling Method (Edmonds &
Kennedy, 2016)
Stratified Random Sampling Method
(Palinkas et al., 2015)
Sample size
120 6874
Allocation
Method
Random classification into control
(n=60) and intervention (n=60) groups
through utilization of 120 random
numbers based on a 1:1 ratio ( Li et al.,
2015)
Randomly assigned into one of the two
groups comprising of the intervention and
control group on a 1:1 ratio (Ding et al.,
1995)
Treatment
and Control
Groups
Intervention group patients were
subjected to conventional health
education and nursing care for diabetes
alongside guidance by virtue of the
Wechat platform. Control group patients
received conventional health education
apart from nursing care for diabetes
alone.
Intervention group included individuals
undergoing an intensive weight-loss strategy
encompassing a Mediterranean diet with
energy restrictions, personalized physical
activity promotion in addition to behavioral
support. On the contrary, the control group
participants received an unrestricted energy
Mediterranean Diet alongside traditional
healthcare.
Type of
blinding
Not mentioned Single blinded study where the procedure of
random allocation was blinded to the
investigators and staff members
(Easterbrook & Matthews, 1992)
Overall
study
outcomes
Imparting the diabetic persons with
healthcare education through Wechat
platform in addition to the conventional
diabetes treatment has the potential of
glycemic control apart from positively
affecting other aspects of diabetes self-
care skills.
Considering the one year follow-up, it was
revealed that the randomized clinical trial
namely PREDIMED-Plus PA intervention
showed effective results in terms of showing
enhancing daily physical activity in case of
the older adults.