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Study of Senyumanis web-based application impact on dental behaviour and glycaemic control among diabetes patients during COVID-19 pandemic

M Abd Rani, Sarah Liyana and Abdul Aziz, Aznida Firzah and Said, Abdul Hadi and Rani, Haslina and Hamat, Afendi and Zulkiflee, Nurul Syeefa and Mohd Dom, Tuti Ningseh (2024) Study of Senyumanis web-based application impact on dental behaviour and glycaemic control among diabetes patients during COVID-19 pandemic. International Journal of Public Health and Clinical Sciences, 11 (6). pp. 1-20. E-ISSN 2289-7577

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Abstract

Background: Diabetes mellitus (DM) and periodontal disease share a bidirectional relationship as chronic non-communicable conditions. However, limited awareness of this connection in Malaysia hampers patient empowerment, self-care practices, and glycaemic control. Additionally, inadequate coordination between primary medical and dental services exacerbates these challenges. This study investigates the impact of oral health awareness on adults with DM receiving conventional care and Senyumanis© at university-based primary medical clinics in Malaysia. Materials and Methods: A cluster-randomized, single-blinded trial was conducted among adults with DM (aged ≥18 years) who owned smartphones. Participants were randomized into two groups: one received conventional care with dental education materials, while the other used a web-based educational tool, Senyumanis©, during routine diabetic follow-ups. Developed collaboratively by medical and dental healthcare experts, Senyumanis© aimed to enhance oral health awareness, includes 18 topics covering oral health and medical advice for patients with diabetes (PwD). Eligible criteria included adults aged 18 years old and above, with a confirmed diagnosis of T2DM, receiving standardized treatment as per Malaysian Clinical Practice Guidelines Ministry of Health (MOH), able to understand spoken Malay or English language, owns and able to operate a smartphone. Data were analysed using SPSS version 26.0, with continuous data reported as means and standard deviations, and categorical data as frequencies and percentages. Bivariate analysis using independent t-test and Chi-square test were used to compared outcomes between the Senyumanis© and conventional care groups. Results: Of 844 individuals screened, 244 were recruited and analysed. At study completion, fasting blood sugar (FBS) levels were significantly lower in the Senyumanis© group compared to conventional care (P=0.014). A higher proportion of Senyumanis© participants (43.8%) attended dental visits versus the conventional care group (28.6%), although 27.7% deferred visits due to COVID-19 concerns. Participants who attended dental clinics reported improved glycaemic control. Conclusion: The use of Senyumanis© helps in increasing oral health awareness, increased utilisation of dental clinic services and subsequently aided improvement of glycaemic control in PwD attending primary medical care clinics. Integrating dental education into primary medical care visits is crucial for improving dental clinic attendance and glycaemic outcomes among PwD. Web-based tools like Senyumanis© effectively promote healthy behaviors, underscoring the potential of digital interventions in enhancing holistic diabetes management in Malaysia.

Item Type: Article (Journal)
Additional Information: 6765/120182
Uncontrolled Keywords: primary medical care, dental healthcare, diabetes, periodontal disease, cluster randomized trial, integrated care
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RA Public aspects of medicine > RA644.C67 Coronavirus infections. COVID-19 (Disease). COVID-19 Pandemic, 2020
R Medicine > RK Dentistry
R Medicine > RK Dentistry > RK318 Oral and Dental Medicine. Pathology. Diseases-Therapeutics-General Works
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine
Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User: nur hakimah a manan
Date Deposited: 11 Mar 2025 11:44
Last Modified: 11 Mar 2025 11:45
URI: http://irep.iium.edu.my/id/eprint/120182

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