{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T09:47:41Z","timestamp":1793353661666,"version":"4.5.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100007187","name":"Faculty of Public Health, Mahidol University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007187","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of the study was to evaluate the effectiveness of a nurse-led intervention via the LINE Official Account (OA) application on knowledge, self-care, and clinical outcomes in patients with type 2 diabetes and comorbidities in Thailand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cluster 2-arm randomized controlled trial with assessments at baseline, 6\u2009weeks, and 12\u2009weeks was conducted in 2 noncommunicable disease clinics between October 2023 and March 2024. A total of 108 participants were recruited and randomly assigned to either the intervention group (n\u2009=\u200955) or control group (n\u2009=\u200953). Using Orem\u2019s Self-Care Deficit Nursing Theory as a conceptual framework, the 12-week intervention included knowledge and behavioral assessment, health education support, and practicing reminder via the LINE OA application. The control group received usual care. Outcomes included knowledge, self-care agency, self-care behaviors, A1C, blood pressure, and microalbuminuria (MAU). Data were analyzed using\n                      <jats:italic>t<\/jats:italic>\n                      -tests, repeated measures analysis of variance, and Cohen\u2019s\n                      <jats:italic>d<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared to the control group, at 6 and 12\u2009weeks, participants in the intervention group demonstrated significant improvements in knowledge, self-care agency, and self-care. Clinically significant changes in A1C, blood pressure, and MAU were observed at 12\u2009weeks in the intervention group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study findings highlight the effectiveness of the nurse-led intervention via LINE OA application in knowledge, self-care, MAU, and A1C improvement. Extended study duration is recommended to assess sustainability for the future study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106251371083","type":"journal-article","created":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T04:48:51Z","timestamp":1758343731000},"page":"505-516","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A Nurse-Led Intervention Program Using the LINE Official Account (OA) Application to Improve Self-Care and Clinical Outcomes in Patients With Diabetes and Comorbidities"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2974-0508","authenticated-orcid":false,"given":"Phenchan","family":"Meekaew","sequence":"first","affiliation":[{"name":"Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5320-5291","authenticated-orcid":false,"given":"Panan","family":"Pichayapinyo","sequence":"additional","affiliation":[{"name":"Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weena","family":"Thiangtham","sequence":"additional","affiliation":[{"name":"Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunee","family":"Lagampan","sequence":"additional","affiliation":[{"name":"Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ouppatham","family":"Supasyndh","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc17-1962"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.19043"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)01301-6"},{"key":"e_1_3_2_5_2","volume-title":"NCD Report 2022","author":"Bureau of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health","year":"2022","unstructured":"Bureau of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health. 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