Text messaging to engage friends/family in diabetes self-management support: acceptability and potential to address disparities

Explore acceptability of engaging family/friends in patients' type 2 diabetes (T2D) self-management using text messaging. Participants (N = 123) recruited from primary care clinics for a larger trial evaluating mobile phone support for T2D completed self-report measures and a hemoglobin A1c tes...

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Veröffentlicht in:Journal of the American Medical Informatics Association : JAMIA 2019-10, Vol.26 (10), p.1099-1108
Hauptverfasser: Mayberry, Lindsay S, Bergner, Erin M, Harper, Kryseana J, Laing, Simone, Berg, Cynthia A
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container_end_page 1108
container_issue 10
container_start_page 1099
container_title Journal of the American Medical Informatics Association : JAMIA
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creator Mayberry, Lindsay S
Bergner, Erin M
Harper, Kryseana J
Laing, Simone
Berg, Cynthia A
description Explore acceptability of engaging family/friends in patients' type 2 diabetes (T2D) self-management using text messaging. Participants (N = 123) recruited from primary care clinics for a larger trial evaluating mobile phone support for T2D completed self-report measures and a hemoglobin A1c test and then had the option to invite an adult support person to receive text messages. We examined characteristics and reasons of participants who did/did not invite a support person, responses to the invitation, and feedback from patients and support persons. Participants were 55.9 ± 10.1 years old, 55% female, 53% minority, and 54% disadvantaged (low income, less than high school degree/GED, uninsured, and/or homeless). Participants who invited a support person (48%) were slightly younger, more likely to be partnered, and reported more depressive symptoms and more emergency department visits in the year prior to study enrollment as compared to participants who did not (all p
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Participants (N = 123) recruited from primary care clinics for a larger trial evaluating mobile phone support for T2D completed self-report measures and a hemoglobin A1c test and then had the option to invite an adult support person to receive text messages. We examined characteristics and reasons of participants who did/did not invite a support person, responses to the invitation, and feedback from patients and support persons. Participants were 55.9 ± 10.1 years old, 55% female, 53% minority, and 54% disadvantaged (low income, less than high school degree/GED, uninsured, and/or homeless). Participants who invited a support person (48%) were slightly younger, more likely to be partnered, and reported more depressive symptoms and more emergency department visits in the year prior to study enrollment as compared to participants who did not (all p &lt;.05). Participants' reasons for inviting a support person included needing help and seeing benefits of engaging others, while reasons for not inviting a support person included concerns about being a "burden" and support person's ability or desire to text. Support persons reported the texts increased awareness, created dialogue, and improved their own health behaviors. Patients inviting a support person had higher need and thus may stand to benefit most. Most support persons were open to engagement via text messages. Across race and socioeconomic status, text messaging may engage support persons to increase health-related support-particularly for patients with higher levels of need. 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Participants (N = 123) recruited from primary care clinics for a larger trial evaluating mobile phone support for T2D completed self-report measures and a hemoglobin A1c test and then had the option to invite an adult support person to receive text messages. We examined characteristics and reasons of participants who did/did not invite a support person, responses to the invitation, and feedback from patients and support persons. Participants were 55.9 ± 10.1 years old, 55% female, 53% minority, and 54% disadvantaged (low income, less than high school degree/GED, uninsured, and/or homeless). Participants who invited a support person (48%) were slightly younger, more likely to be partnered, and reported more depressive symptoms and more emergency department visits in the year prior to study enrollment as compared to participants who did not (all p &lt;.05). Participants' reasons for inviting a support person included needing help and seeing benefits of engaging others, while reasons for not inviting a support person included concerns about being a "burden" and support person's ability or desire to text. Support persons reported the texts increased awareness, created dialogue, and improved their own health behaviors. Patients inviting a support person had higher need and thus may stand to benefit most. Most support persons were open to engagement via text messages. Across race and socioeconomic status, text messaging may engage support persons to increase health-related support-particularly for patients with higher levels of need. 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Participants (N = 123) recruited from primary care clinics for a larger trial evaluating mobile phone support for T2D completed self-report measures and a hemoglobin A1c test and then had the option to invite an adult support person to receive text messages. We examined characteristics and reasons of participants who did/did not invite a support person, responses to the invitation, and feedback from patients and support persons. Participants were 55.9 ± 10.1 years old, 55% female, 53% minority, and 54% disadvantaged (low income, less than high school degree/GED, uninsured, and/or homeless). Participants who invited a support person (48%) were slightly younger, more likely to be partnered, and reported more depressive symptoms and more emergency department visits in the year prior to study enrollment as compared to participants who did not (all p &lt;.05). Participants' reasons for inviting a support person included needing help and seeing benefits of engaging others, while reasons for not inviting a support person included concerns about being a "burden" and support person's ability or desire to text. Support persons reported the texts increased awareness, created dialogue, and improved their own health behaviors. Patients inviting a support person had higher need and thus may stand to benefit most. Most support persons were open to engagement via text messages. Across race and socioeconomic status, text messaging may engage support persons to increase health-related support-particularly for patients with higher levels of need. Clinicaltrials.gov NCT02409329.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>31403688</pmid><doi>10.1093/jamia/ocz091</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; PubMed Central; EZB Electronic Journals Library; Oxford Journals
subjects Adult
Aged
Cell Phone
Diabetes Mellitus, Type 2 - therapy
Digital Divide
Family
Female
Friends
Healthcare Disparities
Humans
Male
Middle Aged
Research and Applications
Self-Management
Social Support
Telemedicine
Text Messaging
Vulnerable Populations
title Text messaging to engage friends/family in diabetes self-management support: acceptability and potential to address disparities
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