Analysis of a self-care program using whatsapp as a support tool
DOI:
https://doi.org/10.29105/respyn21.4-685Keywords:
self-management, chronic disease, WhatsAppAbstract
Introduction: WhatsApp is proposed as an effective support tool to increase access and adaptability as well as create a sense of community in self-management programs. Objective: Evaluate the impact of a face-to-face and remote self-management program using WhatsApp, adapting the program to the patient community. Material and method: During the 7-month intervention, participants received a face-to-face and remote self-management through WhatsApp. The impact of the program was measured through physiological outcomes, behavioral changes, and patients’ perception. Results: From total number of participants registered in the program (N=83), 43 completed the self-management program. Blood pressure shows statistically significant changes while comparing the control group vs intervention. In the self-assessment, more than 85% of patients reported positive dietary changes and increased self-efficacy. Conclusions: The face-to-face and remote self-management program though WhatsApp showed a statistically significant change in blood pressure. Initiatives to manage chronic diseases through social networks can potentially bring improvements in patient outcomes.
Downloads
Metrics
References
Al Omar, M., Hasan, S., Palaian, S., & Mahameed, S. (2020). The impact of a self-management educational program coordinated through WhatsApp on diabetes control. Pharmacy Practice, 18(2), 1841. https://doi.org/10.18549/PharmPract.2020.2.1841 DOI: https://doi.org/10.18549/PharmPract.2020.2.1841
Aminuddin, H. B., Jiao, N., Jiang, Y., Hong, J., & Wang, W. (2021). Effectiveness of smartphone-based self-management interventions on self-efficacy, self-care activities, health-related quality of life and clinical outcomes in patients with type 2 diabetes: A systematic review and meta-analysis. International Journal of Nursing Studies, 116, 103286. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2019.02.003 DOI: https://doi.org/10.1016/j.ijnurstu.2019.02.003
Baquedano, I. R., Dos Santos, M. A., Martins, T. A., & Zanetti, M. L. (2010). Self-Care of Patients with Diabetes Mellitus Cared for at an Emergency Service in Mexico. In Revista Latino-Americana de Enfermagem (Vol. 18, pp. 1195–1202). SciELO Brasil. DOI: https://doi.org/10.1590/S0104-11692010000600021
Brady, T. J., Murphy, L., O’Colmain, B. J., Beauchesne, D., Daniels, B., Greenberg, M., House, M., & Chervin, D. (2013). A Meta-Analysis of Health Status, Health Behaviors, and Health Care Utilization Outcomes of the Chronic Disease Self-Management Program. In Prev Chronic Dis. 10. (Vol. 10). https://stacks.cdc.gov/view/cdc/12181 DOI: https://doi.org/10.5888/pcd10.120112
Campos, C. (2007). Addressing cultural barriers to the successful use of insulin in Hispanics with type 2 diabetes. Southern Medical Journal, 100(8), 812–820. https://doi.org/10.1097/SMJ.0b013e3180f609c4 DOI: https://doi.org/10.1097/SMJ.0b013e3180f609c4
Coulter, A., Roberts, S., & Dixon, A. (2013). Delivering better services for people with long-term conditions. Building the house of care. In The King’s Fund (Issue October). https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/delivering-better-services-for-people-with-long-term-conditions.pdf
Cruz-Bello, P., Vizcarra-Bordi, I., Kaufer-Horwitz, M., Benítez-Arciniega, A. D., Misra, R., & Valdés-Ramos, R. (2014). Género y autocuidado de la diabetes mellitus tipo 2 en el Estado de México. Papeles de Población, 20(80), 119–144.
De Bruin, S. R., Heijink, R., Lemmens, L. C., Struijs, J. N., & Baan, C. A. (2011). Impact of disease management programs on healthcare expenditures for patients with diabetes, depression, heart failure or chronic obstructive pulmonary disease: A systematic review of the literature. Health Policy, 101(2), 105–121. https://doi.org/10.1016/j.healthpol.2011.03.006 DOI: https://doi.org/10.1016/j.healthpol.2011.03.006
Epping-Jordan, J. E., Pruitt, S. D., Bengoa, R., & Wagner, E. H. (2004). Improving the quality of health care for chronic conditions. Quality and Safety in Health Care, 13(4), 299–305. https://doi.org/10.1136/qshc.2004.010744 DOI: https://doi.org/10.1136/qshc.2004.010744
Flores-Pérez, M., Garza-Elizondo, M., & Hernández-Cortés, P. (2015). Autocuidado en el adulto mayor con diabetes tipo 2. Monterrey, México. Revista Enfermeria Herediana, 8(2), 70–74. https://doi.org/10.20453/renh.v8i2.2684 DOI: https://doi.org/10.20453/renh.v8i2.2684
Gabarron, E., Årsand, E., & Wynn, R. (2018). Social Media Use in Interventions for Diabetes: Rapid Evidence-Based Review. J Med Internet Res, 20(8), e10303. https://doi.org/10.2196/10303 DOI: https://doi.org/10.2196/10303
Greene, J., & Hibbard, J. H. (2012). Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. Journal of General Internal Medicine, 27(5), 520–526. https://doi.org/10.1007/s11606-011-1931-2 DOI: https://doi.org/10.1007/s11606-011-1931-2
Gucciardi, E., Chan, V. W. S., Manuel, L., & Sidani, S. (2013). A systematic literature review of diabetes self-management education features to improve diabetes education in women of Black African/Caribbean and Hispanic/Latin American ethnicity. Patient Education and Counseling, 92(2), 235–245. https://doi.org/10.1016/j.pec.2013.03.007 DOI: https://doi.org/10.1016/j.pec.2013.03.007
Handley, M. A., Lyles, C. R., McCulloch, C., & Cattamanchi, A. (2018). Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research. Annual Review of Public Health, 39(1), 5–25. https://doi.org/10.1146/annurev-publhealth-040617-014128 DOI: https://doi.org/10.1146/annurev-publhealth-040617-014128
Homer, J. B., & Hirsch, G. B. (2006). System dynamics modeling for public health: Background and opportunities. American Journal of Public Health, 96(3), 452–458. https://doi.org/10.2105/AJPH.2005.062059 DOI: https://doi.org/10.2105/AJPH.2005.062059
INEGI. (2020). Encuesta Nacional sobre Disponibilidad y Uso de la Información en los Hogares. In Instituto Nacional de Estadística y Geografía. https://www.inegi.org.mx/programas/dutih/2020/
Kent, D., Melkus, G. D. E., Stuart, P. M. W., Mckoy, J. M., Urbanski, P., Boren, S. A., Coke, L., Winters, J. E., & Horsley, N. L. (2013). Reducing the Risks of Diabetes Complications Through Diabetes Self-Management Education and Support. Population Health Management, 16(2), 74–81. https://doi.org/10.1089/pop.2012.0020 DOI: https://doi.org/10.1089/pop.2012.0020
López-Escobar, D., Moreno-Salazar, L. E., Cárdenas-Becerril, L., & Martínez-Talavera, B. E. (2021). Cultura del Autocuidado en Personas con Diabetes Mellitus, en una Comunidad Rural del Estado de México. Revista Salud y Administración, 8(22), 3–14. https://revista.unsis.edu.mx/index.php/saludyadmon/article/view/203
Lorig, K., Laurent, D., Gonzalez, V., Sobel, D., Minor, M., & OTD, M. G.-S. (2020). Living a healthy life with chronic conditions: Self-management skills for heart disease, arthritis, diabetes, depression, asthma, bronchitis, emphysema and other physical and mental health conditions. Bull Publishing.
Lorig, K. R., Sobel, D. S., Ritter, P. L., Laurent, D., & Hobbs, M. (2001). Effect of a self-management program on patients with chronic disease. Effective Clinical Practice : ECP, 4(6), 256—262. http://europepmc.org/abstract/MED/11769298
Lorig, K., Stewart, A., Ritter, P., Gonzalez, V., Lynch, J., & Laurent, D. (1996). Outcome measures for health education and other health care interventions. Sage Publications. DOI: https://doi.org/10.4135/9781452232966
Martínez, Y. V, Campbell, S. M., Hann, M., & Bower, P. (2016). The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes. Salud Publica de Mexico, 58(4), 404–411. https://doi.org/https://doi.org/10.21149/spm.v58i4.8020 DOI: https://doi.org/10.21149/spm.v58i4.8020
McBain, H., Shipley, M., & Newman, S. (2015). The impact of self-monitoring in chronic illness on healthcare utilisation: A systematic review of reviews. BMC Health Services Research, 15(1), 1–10. https://doi.org/10.1186/s12913-015-1221-5 DOI: https://doi.org/10.1186/s12913-015-1221-5
McEwen, M. M., Pasvogel, A., Gallegos, G., & Barrera, L. (2010). Type 2 diabetes self-management social support intervention at the U.S.-Mexico border. Public Health Nursing, 27(4), 310–319. https://doi.org/10.1111/j.1525-1446.2010.00860.x DOI: https://doi.org/10.1111/j.1525-1446.2010.00860.x
Panagioti, M., Richardson, G., Small, N., Murray, E., Rogers, A., Kennedy, A., Newman, S., & Bower, P. (2014). Self-management support interventions to reduce health care utilisation without compromising outcomes: A systematic review and meta-analysis. BMC Health Services Research, 14(1). https://doi.org/10.1186/1472-6963-14-356 DOI: https://doi.org/10.1186/1472-6963-14-356
Salcedo-Rocha, A. L., de Alba-García, J. E. G., & Sevila, E. (2008). Dominio cultural del autocuidado en diabeticos tipo 2 con y sin control glucémico en México. Revista de Saude Publica, 42(2), 256–264. https://doi.org/10.1590/s0034-89102008000200010 DOI: https://doi.org/10.1590/S0034-89102008000200010
Song, M. K., & Lipman, T. H. (2008). Concept analysis: Self-monitoring in type 2 diabetes mellitus. International Journal of Nursing Studies, 45(11), 1700–1710. https://doi.org/10.1016/j.ijnurstu.2008.04.005 DOI: https://doi.org/10.1016/j.ijnurstu.2008.04.005
Tao, D., & Or, C. K. L. (2013). Effects of Self-Management Health Information Technology on Glycaemic Control for Patients with Diabetes: A Meta-Analysis of Randomized Controlled Trials. Journal of Telemedicine and Telecare, 19(3), 133–143. https://doi.org/10.1177/1357633X13479701 DOI: https://doi.org/10.1177/1357633X13479701
Tourkiah, A., S, H. M., S, H. E., & Luc, de W. (2019). Smartphone Apps to Support Self-Management of Hypertension: Review and Content Analysis. JMIR Mhealth Uhealth, 7(5), e13645. https://doi.org/10.2196/13645 DOI: https://doi.org/10.2196/13645
Wild, Roglic, Green, Sicree, & K. (2004). Estimates for the year 2000 and projections for 2030. World Health, 27(5). https://doi.org/10.2337/diacare.27.5.1047 DOI: https://doi.org/10.2337/diacare.27.10.2569-a
World Health Organization. (2020a). Global Health Estimates 2020: Deaths by Cause, Age, Sex, by Country and by Region, 2000-2019. https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death#:~:text=Recommended citation%3A Global Health Estimates,sources and methods is available.
World Health Organization. (2020b). Preventing chronic diseases designing and implementing effective policy. www.who.int/chp
World Health Organization. (2021). Noncommunicable diseases. Global Health Observatory (GHO) Data. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Anna Karen Velasco Guadarrama
This work is licensed under a Creative Commons Attribution 4.0 International License.
The rights of the work belong to the author or authors, however, by sending it for publication in the Public Health and Nutrition Magazine of the Faculty of Public Health and Nutrition of the Autonomous University of Nuevo León, they grant the right for its first publication in between electronic, and possibly, in print to the Public Health and Nutrition Magazine. The license used is the Creative Commons attribution, which allows third parties to use what is published whenever the authorship of the work is mentioned and the first publication that is in the Public Health and Nutrition Magazine. Likewise, the author or authors will take into account that it will not be allowed to send the publication to any other journal, regardless of the format. The authors will be able to make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in the Public Health and Nutrition Magazine (e.g., institutional repository or publication in a book) provided they clearly state that The work was published for the first time in the Public Health Magazine, Magazine of the Faculty of Public Health and Nutrition of the Autonomous University of Nuevo León.
