PMID- 34702437 OWN - NLM STAT- MEDLINE DCOM- 20211125 LR - 20211125 IS - 1945-7359 (Electronic) IS - 1087-3244 (Linking) VI - 45 IP - 5 DP - 2021 Sep 30 TI - Effect of Multimedia Messaging Service on Exercise Self-efficacy in Diabetic Patients. PG - 902-915 LID - 10.5993/AJHB.45.5.10 [doi] AB - Objectives: To increase patients' self-efficacy for initiation of physical activity, there is a need to include physical activity into patient education in clinic settings. In this study, we aimed to assess the effectiveness of multimedia messaging service (MMS) education on exercise self-efficacy in patients with type 2 diabetes mellitus (T2DM). Methods: We used a quasi-experimental, pretest-posttest design to study 98 patients with T2DM. The intervention group received MMS education targeting exercise self-efficacy for 2 months, and the control group received routine care only. Patients in both groups completed the Exercise Self-efficacy scale at 3 stages (at baseline, at 4 weeks, and at 8 weeks post-intervention). Results: We found a slight increase between baseline, first follow-up, and second follow-up in interpersonal and competing demands factors in the intervention group (p = .002, p = .001, respectively), but no improvement in the control group in any of the 3 factors over time (p > .05). Also, Cohen's d values indicated a medium effect size in all exercise self-efficacy subscales (interpersonal [0.734], competing demands [0.665], and internal feelings [0.696]). Conclusions: Health education using theoretically-based MMS targeting exercise self-efficacy was effective and affordable in promoting and changing patients' beliefs and physical activity behaviors. FAU - Alyahya, Mohammad S AU - Alyahya MS AD - Mohammad S. Alyahya, Associate Professor, Department of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan;, Email: msalyahya@just.edu.jo. FAU - Al-Sheyab, Nihaya A AU - Al-Sheyab NA AD - Nihaya A. Al-Sheyab, Professor of Child and Adolescent Health, Allied Medical Sciences Department/Faculty of Applied Medical Sciences, Adjunct Professor, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan. FAU - Alqudah, Jumana A AU - Alqudah JA AD - Jumana A. Alqudah, Department of Public Health, Community Medicine and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan. FAU - Younis, Othman Beni AU - Younis OB AD - Othman Beni Younis, MD, Clinical Assistant Professor of Family Medicine, Department of Public Health, Community Medicine and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan. FAU - Khader, Yousef S AU - Khader YS AD - Yousef S. Khader, Professor of Epidemiology, Medical Education and Biostatistics, Department of Public Health, Community Medicine and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Am J Health Behav JT - American journal of health behavior JID - 9602338 SB - IM MH - *Diabetes Mellitus, Type 2/therapy MH - Exercise MH - Humans MH - Multimedia MH - Self Efficacy MH - *Text Messaging EDAT- 2021/10/28 06:00 MHDA- 2021/11/26 06:00 CRDT- 2021/10/27 05:47 PHST- 2021/10/27 05:47 [entrez] PHST- 2021/10/28 06:00 [pubmed] PHST- 2021/11/26 06:00 [medline] AID - 10.5993/AJHB.45.5.10 [doi] PST - ppublish SO - Am J Health Behav. 2021 Sep 30;45(5):902-915. doi: 10.5993/AJHB.45.5.10.