Arabic mHealth and Pharmacist Teleconsultation for Medication Adherence, Self-Care, and Quality of Life in Iraqi Adults with Type 2 Diabetes: A Randomized Controlled Trial
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Objective: This study evaluated the effectiveness of an Arabic mobile health application combined with pharmacist-led telephone and video consultations on medication adherence, self-care behaviors, and quality of life among adults with type 2 diabetes in Iraq.
Methods and Materials: This parallel-group randomized controlled trial was conducted at the Endocrinology and Diabetes Center in Baghdad, Iraq. A total of 146 adults with type 2 diabetes completed the 6-month study and were included in the analysis: intervention group (n = 76) and standard-care control group (n = 70). Participants were stratified by baseline HbA1c and randomized. The intervention group received standard care plus the Arabic Edarat Alsukari mHealth application and biweekly pharmacist-led telephone or video consultations. Outcomes were assessed using the Iraqi Anti-Diabetic Medication Adherence Scale, Diabetic Self-Care Knowledge and Practice Scale, and Quality of Life Scale for Iraqi Diabetics.
Findings: At 6 months, medication adherence was significantly higher in the intervention group than in the control group (16.32 ± 1.83 vs. 14.10 ± 1.90, p < 0.001, d = 1.19). Total self-care also improved significantly (17.23 ± 2.08 vs. 12.10 ± 3.90, p < 0.001, d = 1.63), especially foot care (3.20 ± 0.95 vs. 1.20 ± 1.30, p < 0.001, d = 1.74). Dietary self-care did not differ significantly (p = 0.720). Quality of life was higher in the intervention group (15.79 ± 2.75 vs. 14.10 ± 3.10, p < 0.001), with lower disease burden (3.08 ± 1.53 vs. 4.15 ± 1.80, p = 0.003).
Conclusion: The Arabic mHealth and pharmacist teleconsultation intervention significantly improved adherence, self-care, and quality of life, but not dietary behavior.
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