Perception of nurses on the use of mobile phone text messaging for the management of diabetes mellitus in rural Ghana

Nurs Open. 2023 May;10(5):3415-3423. doi: 10.1002/nop2.1596. Epub 2023 Jan 7.


Aim: This study aims to explore the perception of nurses on the use of mobile phone SMS for managing diabetes in rural Ghana.

Design: Exploratory Descriptive Qualitative Design.

Methods: Purposive sampling was used to recruit (13) participants relative to data saturation after ethical clearance (REDACTED); using a semi-structured interview guide. All interviews were transcribed verbatim and analysed using thematic content analysis.

Results: Participants believe SMS was useful in facilitating interaction between nurses, clients, family and statistically significant others; improving medication adherence and supporting blood glucose monitoring. The use of infographics was preferred to traditional SMS among digitally literate patients and voice calls for those who were illiterate. Participants had limited knowledge of downloadable diabetic applications. Participants were willing to accept and use SMS for the management of diabetes mellitus.

Patient or public contribution: Thirteen nurses actively participated in the study.

Keywords: SMS; diabetes mellitus; mHealth; nurses; nursing management; perception.

MeSH terms

  • Blood Glucose
  • Blood Glucose Self-Monitoring
  • Cell Phone*
  • Diabetes Mellitus*
  • Ghana
  • Humans
  • Nurses*
  • Perception
  • Text Messaging*


  • Blood Glucose