Impact of android app educational interventions on depression, anxiety and stress of recently detected type II diabetes patients

Main Article Content

Lipilekha Patnaik
Sandeep Kumar Panigrahi
Abhay Kumar Sahoo
Debahuti Mishra
Saswatika Beura
Anil Kumar Muduli

Abstract

Background: Persons with chronic disorders also suffer from undiagnosed mental health issues. Diabetes and stress are related to each other, people with diabetes mellitus have stress and stress in diabetes in turn affects their health. This study was conducted to assess the impact of android app educational interventions on depression, anxiety and stress among recently detected Type II diabetes patients.


Materials and methods: The study was a randomized controlled trial.  Total, 66 subjects were recruited, 33 in both control and intervention group. The study group got interventions by using mobile application based software and control group got web-based intervention. All were counselled with lifestyle education by using printed educational materials. Depression, Anxiety and Stress Scale (DASS-21) was used in the study.


Results: Among the participants, 40.91% reported that they had at least one co-morbid condition. Only two participants had mental health issues. At baseline, 15.2% had depression, 43.9% had anxiety and 15.2% had stress, which were not different between control and intervention group. During follow up, the proportion of depression, anxiety and stress was decreased both in intervention and control group. In control group depression was decreased from 18.2% to 0%, anxiety was decreased from 45.5% to 4.5% and stress was also decreased from 18.2% to 4.5%. In intervention group, depression was decreased from 12.1% to 0%, anxiety was decreased from 42.4% to 0% and stress was also decreased from 12.1% to 0%.


Conclusion: Technology mediated educational interventions and involvement of clinicians may have a greater impact to improve the mental health in diabetes patients.

Article Details

How to Cite
Patnaik, L., Panigrahi, S. K., Sahoo, A. K., Mishra, D., Beura, S., & Muduli, A. K. (2022). Impact of android app educational interventions on depression, anxiety and stress of recently detected type II diabetes patients. Journal of Associated Medical Sciences, 56(1), 133–140. Retrieved from https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/257894
Section
Research Articles

References

WHO. Definition and Diagnosis of Diabetes Mellitus and Intermediate Hyperglycemia. 2006; 50.

Ramachandran A, Wan Ma RC, Snehalatha C. Diabetes in Asia. Lancet. 2010; 375(9712): 408-18.

Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010; 87(1): 4-14.

King H, Aubert RE, Herman WH. Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care. 1998; 21(9): 1414-31.

Ahn Y, Bae J, Kim HS. The development of a mobile u-Health program and evaluation for self-diet management for diabetic patients. Nutr Res Pract. 2016; 10(3): 342-51.

Ivbijaro GO. Mental health and chronic physical illnesses: the need for continued and integrated care - World Mental Health Day 2010. Ment Health Fam Med. 2010; 7(3): 127. PMID: 22477933; PMCID: PMC3018954.

Oxford dictionary. London: Oxford University Press; 2015. Available from http://www. oxforddictionaries.com/. Accessed May 25, 2015.

IDF Clinical Guidelines Task Force: Global Guideline for Type 2 diabetes. Brussels: International Diabetes Federation; 2005.

Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care 2004; 27(5): 1047-53.

Joshi SR, Parikh RM. India-diabetes capital of the world: Now heading towards hypertension. J Assoc Physicians India 2007; 55(5): 323-4.

Bickett A, Tapp H. Anxiety and diabetes: Innovative approaches to management in primary care. Exp Biol Med (Maywood) 2016; 241(15): 1724-31.

Surwit RS, Schneider MS, Feinglos MN. Stress and diabetes mellitus. Diabetes Care 1992; 15(10): 1413-22.

Jeffrey, B., Bagala, M., Creighton, A. et al. Mobile phone applications and their use in the self-management of Type 2 Diabetes Mellitus: a qualitative study among app users and non-app users. Diabetol Metab Syndr 11, 84 (2019). https://doi.org/10.1186/s13098-019-0480-4.

Doig GS, Simpson F. Randomization and allocation concealment: A practical guide for researchers. J Crit Care. 2005; 20(2): 187-91.

Lovibond, S.H., & Lovibond P.F. Manual for the depression anxiety stress scales. 2nd edition. Sydney: Psychology Foundation; 1995.

Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, Rao PV, Yajnik CS, Prasanna Kumar KM, Nair JD; Diabetes Epidemiology Study Group in India (DESI). High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia. 2001; 44(9): 1094-101.

Bener A, Al-Hamaq AOAA, Dafeeah E. High Prevalence of Depression, Anxiety and Stress Symptoms among Diabetes Mellitus Patients. Open Psychiatry J. 2011; 5: 5-12.

Bener A, Al-Laftah F, Al-Hamaq AOAA, Daghash M, Abdullatef WK. A study of diabetes complications in an endogamous population: An emerging public health burden: Diabetes Metab Syndr. 2014; 8(2): 108-14.

Kaur G, Tee GH, Ariaratnam S, Krishnapillai AS, China K. Depression, anxiety and stress symptoms among diabetics in Malaysia: a cross sectional study in an urban primary care setting. BMC Fam Pract. 2013 May 27; 14: 69.

Engum A. The role of depression and anxiety in onset of diabetes in a large population based study. J Psychosom Res. 2007; 62(1): 31-8.

Zahid N, Asghar S, Claussen B, Hussain A. Depression and diabetes in a rural community in Pakistan. Diabetes Res Clin Pract. 2008; 79(1): 124-7.

Valenstein M, Vijan S, Zeber JE, Boehm K, Buttar A. The cost-utility of screening for depression in primary care. Ann Intern Med. 2001; 134(5): 345-60.

Nicolau J, Rivera R, Francés C, Chacártegui B, Masmiquel L. Treatment of depression in type 2 diabetic patients: effects on depressive symptoms, quality of life and metabolic control. Diabetes Res Clin Pract., 2013; 101(2): 148-52.

Luijks H, Schermer T, Bor H, van Weel C, Lagro-Janssen T, Biermans M, et al. Prevalence and incidence density of chronic comorbidity in type 2 diabetes patients: an exploratory cohort study. Multimorbidity. BMC Med. 2012; 10: 19.

Huber CA, Diem P, Schwenkglenks M, Rapold R, Reich O. Estimating the prevalence of comorbid conditions and their effect on health care costs in patients with diabetes mellitus in Switzerland. Diabetes Metab Syndr Obes. 2014; 7: 455-65.

Struijs JN, Baan CA, Schellevis FG, Westert GP, van den Bos GA. Comorbidity in patients with diabetes mellitus: impact on medical health care utilization. BMC Health Serv Res. 2006; 6: 84.

Yang Q, Liu T, Valdez R, Moonesinghe R, Khoury MJ. Improvements in ability to detect undiagnosed diabetes by using information on family history among adults in the United States. Am J Epidemiol. 2010; 171(10): 1079-89.

Bahety P, Agarwal G, Khandelwal D, Dutta D, Kalra S, Taparia P et al. Occurrence and predictors of depression and poor quality of life among patients with Type-2 diabetes: A Northern India perspective. Indian J Endocrinol Metab. 2017; 21(4): 564-9.

Lin EH, Katon W, Von Korff M, Rutter C, Simon GE, Oliver M et al. Relationship of depression and diabetes self-care, medication adherence, and preventive care. Diabetes Care. 2004; 27(9): 2154-60.

Stein MB, Cox BJ, Afifi TO, Belik SL, Sareen J. Does co-morbid depressive illness magnify the impact of chronic physical illness? A population-based perspective. Psychol Med. 2006; 36(5): 587-96.

Piccinelli M, Wilkinson G. Gender differences in depression: critical review. Br J Psychiatr. 2000; 177: 486-92. doi: 10.1192/bjp.177.6.486. PMID: 11102321.

Collins MM, Corcoran P, Perry IJ: Anxiety and depression symptoms in patients with diabetes. Diabet Med. 2009; 26(2): 153-61. doi: 10.1111/j.1464-5491.2008.02648.x. PMID: 19236618.

Childs E, O'Connor S, de Wit H. Bidirectional interactions between acute psychosocial stress and acute intravenous alcohol in healthy men. Alcohol Clin Exp Res. 2011; 35(10): 1794-803. doi:10.1111/j.1530-0277.2011.01522.x

Hernandez-Tejada MA, Campbell JA, Walker RJ, Smalls BL, Davis KS, Egede LE. Diabetes empowerment, medication adherence and self-care behaviors in adults with type 2 diabetes. Diabetes Technol Ther. 2012; 14: 630-4. doi: 10.1089/dia.2011.0287.

Kebede MM, Pischke CR. Popular Diabetes Apps and the Impact of Diabetes App Use on Self-Care Behaviour: A Survey Among the Digital Community of Persons With Diabetes on Social Media. Front Endocrinol (Lausanne). 2019 Mar 1;10:135. doi: 10.3389/fendo.2019.00135. Erratum in: Front Endocrinol (Lausanne). 2019; 10: 220. PMID: 30881349; PMCID: PMC6407478.