Primary research aim
The overall aim of this project is to test the effectiveness of sending short message service (SMS) texts in improving health outcomes and supporting medication adherence in patients with type 2 diabetes in the context of implementing a low-cost, mobile-health communication infrastructure in an operational setting.
Research objectives and methodology
The primary outcome is the Change in HbA1c and the proportion of patients collecting >= 80% of their agreed diabetes related medication. HbA1c will be measured using International Federation of Clinical Chemistry calibrated analysers linked to a quality assurance scheme.
Secondary clinical outcomes are change in systolic blood pressure, proportion of participants reaching treatment goals, self-reported measures of health status, self reported medication taking, and satisfaction with care. We will use the EuroQol 5-Dimension, 3 Level (EQ-5D) questionnaire, and a locally adapted questionnaire to establish satisfaction with treatment and delivery of treatment.
- Cape Town, South Africa
- Johannesburg, South Africa
- Andrew Farmer, University of Oxford, Oxford, UK
- Naomi Levitt, University of Cape Town, Cape Town, South Africa
- Shane Norris, University of the Witwatersrand, Johannesburg, South Africa
- Moffat Nyirenda, Karonga Prevention Study, Malawi
- Kirsten Bobrow, University of Cape Town, Cape Town, South Africa
- Emmanuelle Daviaud, South African Medical Research Council, Cape Town, South Africa
- Natalie Leon, South African Medical Research Council, Cape Town, South Africa
- Lionel Tarassenko, University of Oxford, Oxford, UK
- Ly-Mee Yu, University of Oxford, Oxford, UK
Professor Andrew Farmer