TY - JOUR AU - Sarmiento, Annie Jane AU - Bernardo, Diane Carla AU - Isip-Tan, Iris Thiele PY - 2019/07/30 Y2 - 2024/03/28 TI - A Randomized Controlled Trial on the Effectiveness of Short Message Service (SMS) Reminders in Improving Postpartum Follow-up among Gestational Diabetes Mellitus Patients JF - Journal of the ASEAN Federation of Endocrine Societies JA - J ASEAN Fed Endocr Soc VL - 34 IS - 1 SE - Original Articles DO - 10.15605/jafes.034.01.10 UR - https://asean-endocrinejournal.org/index.php/JAFES/article/view/489 SP - 62 AB - <center><p style="text-align: justify;"><strong><a href="/public/site/images/admin/GUTIERREZ_HP.png" target="_blank"><img src="/public/site/images/admin/GUTIERREZ_HP.png" alt="" /></a></strong></p></center><h6><em>*Visual Abstract by Dr. Jerico Gutierrez</em></h6><p style="text-align: justify;"><strong><br /></strong></p><p style="text-align: justify;"><strong>Objective.</strong> This study assessed whether short message service (SMS) reminders would improve follow-up rate among gestational diabetes mellitus (GDM) patients by 12 weeks postpartum.</p><p style="text-align: justify;"><strong>Methodology.</strong> In this single-center, single-blind randomized controlled trial, we assigned 308 patients with GDM to either of 2 arms, usual care alone versus usual care with SMS reminders. In the usual care group, 154 patients received a 10-minute short lecture on GDM and a 75 g oral glucose tolerance test (OGTT) request prior to discharge. In the SMS group, 154 patients received twice a week SMS reminders at 4 weeks, 8 weeks, and 10 weeks after delivery in addition to usual care. The primary outcome was clinic visit within 6 to 12 weeks postpartum with a 75 g OGTT result.</p><p style="text-align: justify;"><strong>Results.</strong> In our population, the overall follow-up rate was 19.8% (61/308). Follow up rates were 20.1% (31/154) for the usual care group and 19.5% (30/154) for the SMS. The addition of SMS reminders was not associated with an increase in follow-up rate at 12 weeks postpartum (adjusted RR 0.98, 95% CI 0.63-1.52; <em>p</em>=0.932). The use of insulin or metformin for GDM control was associated with increased follow-up (adjusted RR 1.92, 95% CI 1.20-3.07; <em>p</em>=0.006).</p><p style="text-align: justify;"><strong>Conclusion.</strong> SMS reminders did not improve postpartum follow-up rate among GDM patients at 12 weeks postpartum.</p><a href="/index.php/JAFES/editor/viewMetadata/FIGURE1.jpg" target="_blank"><img src="/index.php/JAFES/editor/viewMetadata/FIGURE1.jpg" alt="" /></a> ER -