The impact of the Le-Diabet application on self-efficacy and blood glucose levels in diabetes mellitus patients

Submitted: 15 October 2023
Accepted: 16 May 2024
Published: 1 July 2024
Abstract Views: 238
PDF: 80
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Authors

Le-Diabet is an Android mobile application developed for diabetes management whose effectiveness has remained unknown. This research aimed to investigate its impact on self-efficacy and blood glucose levels in patients with diabetes. Employing a quasi-experimental approach, the study utilized a pretest and posttest control group design. The sample included 28 respondents in the control group and 34 in the intervention group, selected through purposive sampling based on criteria such as diagnosed diabetes, smartphone usage, and 6 weeks of using the Le-Diabet application. Self-efficacy was measured using the Diabetes Management Self-Efficacy Scale, while blood glucose levels were monitored with a glucometer. Data analysis involved paired and unpaired t-tests. The results revealed a significant increase in self-efficacy scores by 3.1 points [p=0.000, 95% confidence interval (CI) = -6.006 to -1.876] in the intervention group, whereas the control group experienced a decrease of 1.9 points. Both groups exhibited an increase in blood glucose levels, with a significant rise of 35.6 mg/dL (p=0.035, 95% CI = -68.578 to -2.636) in the control group and a non-significant increase of 3.59 mg/dL (p=0.076, 95% CI = -22.759 to 15.582) in the intervention group. The research concludes that the use of the Le-Diabet application enhances self-efficacy and maintains blood glucose level stability; however, it has not shown an impact on metabolic syndrome indicators in diabetic patients. Further research is needed, utilizing a larger and more diverse sample from various age groups and extending the duration of the study to evaluate the long-term impact of the applied intervention.

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Mboi N, Syailendrawati R, Ostroff SM, et al. The state of health in Indonesia’s provinces, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Glob Health 2022;10:e1632-45.
Soelistijo SA. Pedoman Pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia. Available from: https://pbperkeni.or.id/wp-content/uploads/2021/06/Pedoman-Pengelolaan-DM-Tipe-2-Dewasa-di-Indonesia-eBook-PDF.pdf. [Material in Indonesian].
Kemenkes RI. Laporan nasional riset kesehatan dasar. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf. Kementeri Kesehat RI. Published online 2018:1-582.
National Institute for Health Research and Development. Riset kesehatan dasar. 2013.
Hikmatul N, Harmiadillah S, Puspita T. Lima pilar diabetes mellitus. Rismedia Pustaka Indonesia. 2022.
Arifin B, Probandari A, Purba AKR, et al. ‘Diabetes is a gift from god’ a qualitative study coping with diabetes distress by Indonesian outpatients. Qual Life Res 2020;29:109-25. DOI: https://doi.org/10.1007/s11136-019-02299-2
Widyaningsih V, Febrinasari RP, Sari V, et al. Potential and challenges for an integrated management of tuberculosis, diabetes mellitus, and hypertension: a scoping review protocol. PLoS One 2022;17:e0271323. DOI: https://doi.org/10.1371/journal.pone.0271323
Kusnanto K, Pradipta RO, Arifin H, et al. What I felt as a diabetes fatigue survivor: a phenomenology study. J Diabetes Metab Disord 2022;21:1753-62. DOI: https://doi.org/10.1007/s40200-022-01147-4
Joeliantina A, Norontoko DA, Adinata AA, et al. Self-care of chronic illness prevents the risk of diabetic foot ulcers in patients with diabetes: a cross-sectional study. J Ners 2024;19:39-46. DOI: https://doi.org/10.20473/jn.v19i1.48387
Handayanu DS, Yudianto K, Kurniawan T. Perilaku self-management pasien diabetes melitus (DM) Self-Management Behaviour of Patient with Diabetes Mellitus (DM). Padjadjaran Nurs J 2013;1. doi:10.24198/jkp.v1i1.49. DOI: https://doi.org/10.24198/jkp.v1i1.49
Setiyorini E, Qomaruddin MB, Wibisono S, et al. Complementary and alternative medicine for glycemic control of diabetes mellitus: a systematic review. J Public Health Res 2022;11: 22799036221106582. DOI: https://doi.org/10.1177/22799036221106582
Estuningsih Y, Rochmah TN, Andriani M, Mahmudiono T. Effect of self-regulated learning for improving dietary management and quality of life in patients with type-2 diabetes mellitus at Dr. Ramelan Naval Hospital, Surabaya, Indonesia. Kesmas 2019;14:51-7. DOI: https://doi.org/10.21109/kesmas.v14i1.2257
Sabil FA, Kadar KS, Sjattar EL. Faktor – faktor pendukung self care management diabetes mellitus tipe 2: a literature review. J Keperawatan 2019;10:41-7. [Article in Indonesian]. DOI: https://doi.org/10.22219/jk.v10i1.6417
Novianti D, Indriyawati N, Arif S. Efektivitas diabetes self management education & community based interactive approach terhadap self care penderita diabetes mellitus. JNJ 2019;3:1-10. DOI: https://doi.org/10.31983/jnj.v3i1.4453
Viandarisa N, Priyono D, Tanjungpura M, et al. Penggunaan mobile health berbasis smartphone untuk meningkatkan self management pada pasien diabetes melitus tipe 2: literature review. J Untan 2022;7:1-18.
Zainuddin, Abdullah AZ, Jafar N, et al. Health literacy brisk walking exercise on clinical outcomes of blood sugar in patients with type 2 diabetes mellitus in Indonesia. Pharmacogn J 2023;15:433-8. DOI: https://doi.org/10.5530/pj.2023.15.68
Sukartini T, Nursalam N, Pradipta RO, Ubudiyah M. Potential methods to improve self-management in those with type 2 diabetes: a narrative review. Int J Endocrinol Metab 2023;21:e119698. DOI: https://doi.org/10.5812/ijem-119698
Badan Pusat Statistik. Statistik Telekomunikasi Indonesia 2021. Available from: https://www.bps.go.id/id/publication/2022/09/07/bcc820e694c537ed3ec131b9/statistik-telekomunikasi-indonesia-2021.html.
Ratnasari I, Ngadiarti I, Ahmad LF. Application of diabetes self-management education and support in outpatients with type II DM. Media Gizi Indones 2022;17:43-50. DOI: https://doi.org/10.20473/mgi.v17i1.43-50
Luawo HP, Sjattar EL, Bahar B, et al. Aplikasi e-diary DM sebagai alat monitoring manajemen selfcare pengelolaan diet pasien DM. Nurscope 2019;5:32-8. DOI: https://doi.org/10.30659/nurscope.5.1.32-38
Hasanah N, Ikawati Z, Zainai ZA. The effectiveness of smartphone application-based education teman diabetes on clinical outcomes of type-2 diabetes mellitus patients. Res J Pharm Technol 2021:14:3625-30. DOI: https://doi.org/10.52711/0974-360X.2021.00627
Erlina L. Desain aplikasi Le-Diabet. Poltekkes Kemenkes Bandung. 2023.
Marbun AS, Siregar R, Harefa K, et al. Pengaruh diabetes self management education (dsme) berbasis aplikasi whatsapp terhadap self efficacy pada pasien dm tipe 2 di puskesmas hamparan perak. J Mutiara Ners 2021;4. DOI: https://doi.org/10.51544/jmn.v4i2.2071
Marleni L, Mulkanaziman A. Hubungan efikasi diri dengan kejadian komplikasi diabetes mellitus tipe 2. J Keperawatan Sriwij 2020;7:59-65. DOI: https://doi.org/10.32539/JKS.v7i1.12248
Oktovin O, Unja EE, Rachman A. Systematic review: penggunaan smartphone untuk program management life style pasien diabetes melitus tipe 2. JKSI 2018;3:1-10.
Association American Diabetes. Guidelines ADA J Clin Appl Res Educ Diabetes Care 2022;45.

How to Cite

Erlina, L., & Hastuti, W. (2024). The impact of the Le-Diabet application on self-efficacy and blood glucose levels in diabetes mellitus patients. Healthcare in Low-Resource Settings, 12(3). https://doi.org/10.4081/hls.2024.11984