A Nurse-Led Intervention Program Using the LINE Official Account (OA) Application to Improve Self-Care and Clinical Outcomes in Patients With Diabetes and Comorbidities
44
Issued Date
2025-01-01
Resource Type
ISSN
26350106
eISSN
26350114
Scopus ID
2-s2.0-105016518997
Journal Title
Science of Diabetes Self Management and Care
Rights Holder(s)
SCOPUS
Bibliographic Citation
Science of Diabetes Self Management and Care (2025)
Suggested Citation
Meekaew P., Pichayapinyo P., Thiangtham W., Lagampan S., Supasyndh O. A Nurse-Led Intervention Program Using the LINE Official Account (OA) Application to Improve Self-Care and Clinical Outcomes in Patients With Diabetes and Comorbidities. Science of Diabetes Self Management and Care (2025). doi:10.1177/26350106251371083 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/112289
Title
A Nurse-Led Intervention Program Using the LINE Official Account (OA) Application to Improve Self-Care and Clinical Outcomes in Patients With Diabetes and Comorbidities
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
Purpose: The purpose of the study was to evaluate the effectiveness of a nurse-led intervention via the LINE Official Account (OA) application on knowledge, self-care, and clinical outcomes in patients with type 2 diabetes and comorbidities in Thailand. Methods: A cluster 2-arm randomized controlled trial with assessments at baseline, 6 weeks, and 12 weeks was conducted in 2 noncommunicable disease clinics between October 2023 and March 2024. A total of 108 participants were recruited and randomly assigned to either the intervention group (n = 55) or control group (n = 53). Using Orem’s Self-Care Deficit Nursing Theory as a conceptual framework, the 12-week intervention included knowledge and behavioral assessment, health education support, and practicing reminder via the LINE OA application. The control group received usual care. Outcomes included knowledge, self-care agency, self-care behaviors, A1C, blood pressure, and microalbuminuria (MAU). Data were analyzed using t-tests, repeated measures analysis of variance, and Cohen’s d. Results: Compared to the control group, at 6 and 12 weeks, participants in the intervention group demonstrated significant improvements in knowledge, self-care agency, and self-care. Clinically significant changes in A1C, blood pressure, and MAU were observed at 12 weeks in the intervention group. Conclusion: The study findings highlight the effectiveness of the nurse-led intervention via LINE OA application in knowledge, self-care, MAU, and A1C improvement. Extended study duration is recommended to assess sustainability for the future study.