Diabetes mellitus is a chronic disease that requires continuous self-management to prevent complications and hospital readmissions. However, discharge planning in many hospitals is often delivered verbally and lacks structured follow-up after patients return home, which may lead to poor self-management behaviors.
This study aims to evaluate the effectiveness of a digital discharge planning intervention delivered through a mobile application to improve self-management among patients with diabetes mellitus after hospital discharge. The intervention is based on the Chronic Care Model and includes educational materials, reminders, and monitoring tools related to seven dimensions of diabetes self-management.
A randomized controlled trial with a parallel-group design will be conducted among patients with diabetes mellitus. Participants in the intervention group will receive digital discharge planning through a mobile application for 90 days after discharge, while the control group will receive standard discharge planning provided by the hospital. Primary outcomes include patient self-management behavior, while secondary outcomes include glycemic control and hospital readmission within 90 days.
Patients diagnosed with diabetes mellitus.
Age 18 years or older.
Hospitalized patients who are preparing for discharge.
Able to use a smartphone and access the mobile application.
Patients with severe complications requiring intensive care.
Patients with cognitive impairment or severe mental illness that may interfere with participation.
Patients who are unable to operate a smartphone or mobile application.
Patients who decline to participate in the study.
Universitas Muhammadiyah Surakarta
Lead sponsor