The impact of nurse short message services and telephone follow-ups on diabetic adherence: Which one is more effective?

Aim. To compare the effectiveness of two methods of follow-up: short message service and telephone follow-up on type 2 diabetes adherence for threemonths. Background. Using telemedicine approaches may preserve appropriate blood glucose levels and may improve adherence to diabetes control recommendations in diabetic patients. Design. A quasi-experimental, two-group, pretest and post-test design was used in this study to evaluate the effectiveness of nurse's follow-up via cellular phones and telephones. Methods. The sample consisted of 77 patients with type 2 diabetes that randomly were assigned to two groups: telephone follow-up (n=39) and short message service (n=38). Telephone interventions were applied by a researcher for threemonths; twice a week for the first month and every week for the second and third month. For three successive months, the short message service group that received messages about adherence to therapeutic regimen was examined. The data gathering instrument included data sheets - to record glycosylated haemoglobin - and the questionnaire related to adherence therapeutic regimen. Data gathering was carried out at the beginning of the study and after three and sixmonths. The data were analysed using descriptive and inferential statistic methods with SPSS version 11.5. Results. Results showed that both interventions had significant mean changes in glycosylated haemoglobin. For the telephone group (p<0·001), a mean change of -0·93 and for the short message service group (p<0·001), a mean change of -1·01. There was no significant difference in diet adherence (p=0·000), physical exercise (p=0·000) and medication taking (p=0·000) adherence in either groups. Conclusion. Intervention using short message services of cellular phones and nurse-led-telephone follow-up improved HbA1c levels and adherence to diabetes therapeutic regimen for threemonths in type 2 diabetic patients. Relevance to clinical practice. Both of follow-up intervention uses in this study can decrease HbA1c levels and escalate adherence to diabetes control recommendations in people with type 2 diabetes for three months. © 2012 Blackwell Publishing Ltd

The impact of nurse short message services and telephone follow-ups on diabetic adherence: Which one is more effective?

Aim. To compare the effectiveness of two methods of follow-up: short message service and telephone follow-up on type 2 diabetes adherence for threemonths. Background. Using telemedicine approaches may preserve appropriate blood glucose levels and may improve adherence to diabetes control recommendations in diabetic patients. Design. A quasi-experimental, two-group, pretest and post-test design was used in this study to evaluate the effectiveness of nurse's follow-up via cellular phones and telephones. Methods. The sample consisted of 77 patients with type 2 diabetes that randomly were assigned to two groups: telephone follow-up (n=39) and short message service (n=38). Telephone interventions were applied by a researcher for threemonths; twice a week for the first month and every week for the second and third month. For three successive months, the short message service group that received messages about adherence to therapeutic regimen was examined. The data gathering instrument included data sheets - to record glycosylated haemoglobin - and the questionnaire related to adherence therapeutic regimen. Data gathering was carried out at the beginning of the study and after three and sixmonths. The data were analysed using descriptive and inferential statistic methods with SPSS version 11.5. Results. Results showed that both interventions had significant mean changes in glycosylated haemoglobin. For the telephone group (p<0·001), a mean change of -0·93 and for the short message service group (p<0·001), a mean change of -1·01. There was no significant difference in diet adherence (p=0·000), physical exercise (p=0·000) and medication taking (p=0·000) adherence in either groups. Conclusion. Intervention using short message services of cellular phones and nurse-led-telephone follow-up improved HbA1c levels and adherence to diabetes therapeutic regimen for threemonths in type 2 diabetic patients. Relevance to clinical practice. Both of follow-up intervention uses in this study can decrease HbA1c levels and escalate adherence to diabetes control recommendations in people with type 2 diabetes for three months. © 2012 Blackwell Publishing Ltd

MicroRNA and Cancer Treatment: A Commentary

MiRNAs play an important role as oncogenes and tumor suppressors in induction and suppression of tumor effects. Also in different stages of cancer therapy. High and low expression of some miRNAs could be used as factors for prognosis patients drug resistant. Regulation of these miRNA perform by some other miRNA that can suppression or active the translation of downstream miRNA, Therefore, miRNAs play important role in the individual treatments and classification of miRNA in diagnosis and prognosis is highly valuable, also we could consider miRNA as a setting key for switching and off of genes

Education of How-to-Use Peak Flow Meter and Following up via SMS on Asthma Self-Management

Background & Aim: Asthma is one of the most prevalent chronic diseases worldwide. About 6.5 million people suffer from asthma in Iran. The Effective strategy to control asthma is related to education. The self-management has a major role in the standard education program. This study aimed to assess the effect of education on using peak flow meter and follow up via SMS on asthma self management.Methods & Materials: This study was a quasi-experimental controlled clinical trial. The samples included 98 patients, suffering from asthma referred to the pulmonary clinic in Imam Khomeini and Shariati hospitals. Patients were selected using convenient sampling method and were randomly assigned into the experiment (n=47) and control (n=51) groups through blocking method. Two educational sessions were held in the experiment group about how-to-use peak flow meter. Accordingly, the patients in the experiment group sent their peak flow rates via SMS to the researcher within 12 weeks. The researchers provided feedback to the patients about their asthma control via phone, weekly. Patients in the control group did not receive any education. Data were collected using the Asthma Control Test before and three months after the intervention. Data were analyzed using the statistical tests of Chi-square, Mann-Whitney, Independent t-test and Kolmogorov-Smirnov.Results: There was a significant statistical difference between the two groups of experiment and control in terms of asthma control (P=0.002).Conclusion: The education using peak flow meter and following up via SMS promotes asthma self-management. With regard to the significant role of nurses in patient education, educating patients with asthma by nurses is recommended at the Iranian Society of Asthma and Allergies clinics and medical centers