The impact of a culturally tailored telehealth education programme on glycemic control and self-care behaviours in Jordanian adults with type 2 diabetes
| ISRCTN | ISRCTN81615946 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN81615946 |
| Sponsor | Petra University |
| Funder | Investigator initiated and funded |
- Submission date
- 06/02/2026
- Registration date
- 09/02/2026
- Last edited
- 09/02/2026
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Plain English summary of protocol not provided at time of registration
Contact information
Dr Derar Abdel-Qader
Public, Scientific, Principal investigator
Public, Scientific, Principal investigator
University of Petra
Amman
11196
Jordan
| Phone | +962 7 9556 3555 |
|---|---|
| d.balawi@igec.com.au |
Study information
| Primary study design | Interventional |
|---|---|
| Allocation | Randomized controlled trial |
| Masking | Blinded (masking used) |
| Control | Active |
| Assignment | Parallel |
| Purpose | Supportive care |
| Scientific title | The impact of a culturally tailored telehealth education programme on glycemic control and self-care behaviours in Jordanian adults with type 2 diabetes: a randomised controlled trial |
| Study objectives | The present study aimed to assess the impact of a culturally tailored telehealth education programme on glycemic control and self-care behaviours among Jordanian adults with T2DM. We hypothesised that participants in the intervention group would demonstrate a greater reduction in HbA1c and greater improvements in self-care behaviours, diabetes knowledge, medication adherence, and diabetes fatalism, and report high satisfaction with the intervention, in comparison to individuals receiving usual care. |
| Ethics approval(s) |
Approved 11/11/2024, University of Petra (17 Queen Alia Airport Rd, Amman, 11196, Jordan; +962; uopec@uop.edu.jo), ref: S/12/12/2024 |
| Health condition(s) or problem(s) studied | The impact of a culturally tailored telehealth education programme on glycemic control and self-care behaviours among Jordanian adults with T2DM. |
| Intervention | Following written informed consent, participants were randomized in a 1:1 ratio to either the intervention or control group. A computer-generated block randomization sequence, stratified by clinic site, was used to ensure balanced treatment allocation. Allocation was concealed from the recruitment team using a closed opaque envelope system with trailing individually numbered envelopes. Due to the behavioral aspects of the treatment, participant and diabetes educator blinding was not possible, but the outcome assessors and data analyst were blinded. The intervention involved a six-month comprehensive intervention based on Social Cognitive Theory principles, to enhance self-efficacy through education and goal setting. The cultural adaptation of the intervention was conducted through multiple phases. The panel consisted of a certified Diabetes Educator, a dietitian, and patient representatives who collaborated with regard to developing patient education. Intervention Group: The intervention group received the culturally adapted tele-health intervention programme conducted completely in Arabic. The programme was designed to be low-burden and flexible, consisting of: • WhatsApp Broadcasts: The content covered core DSME topics (e.g., diet, exercise, medication management, self-monitoring, and problem-solving). • Individual Teleconsultations: Each participant had three scheduled 15-minute phone calls with a certified diabetes educator (at the study's start, and at 3 and 6 months). Control Group Participants in the control group continued to receive standard care (usual care) from their endocrinologists and the clinic staff at the participating hospital in Amman, Jordan. • Procedures: This standard care typically included routine outpatient clinic visits scheduled every 3 to 6 months. During these visits, they received standard medical management and advice as per routine clinical practice. • Exclusion: Participants in the control group were not exposed to any components of the telehealth programme (WhatsApp broadcasts or telephonic coaching) provided to the intervention group. |
| Intervention type | Other |
| Primary outcome measure(s) |
|
| Key secondary outcome measure(s) | |
| Completion date | 31/07/2025 |
Eligibility
| Participant type(s) | |
|---|---|
| Age group | Mixed |
| Lower age limit | 18 Years |
| Upper age limit | 100 Years |
| Sex | All |
| Target sample size at registration | 104 |
| Total final enrolment | 92 |
| Key inclusion criteria | 1. Adults aged 18 years or older 2. A clinical diagnosis of Type 2 Diabetes Mellitus (T2DM) for at least one year 3. A baseline HbA1c between 7.5% and 11.0% 4. Ownership of a smartphone with the WhatsApp application 5. The ability to read Arabic |
| Key exclusion criteria | 1. Type 1 diabetes 2. Pregnancy or lactation 3. Severe diabetes-related complications (e.g., end-stage renal disease) 4. A cognitive impairment that would preclude meaningful participation |
| Date of first enrolment | 01/01/2025 |
| Date of final enrolment | 31/01/2025 |
Locations
Countries of recruitment
- Jordan
Study participating centres
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not expected to be made available |
| IPD sharing plan |
Editorial Notes
09/02/2026: Study’s existence confirmed by the Ethical Committee of the University of Petra, Jordan.
