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 |
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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 |
doi_str_mv | 10.1093/jamia/ocz091 |
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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 <.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.</description><identifier>ISSN: 1527-974X</identifier><identifier>ISSN: 1067-5027</identifier><identifier>EISSN: 1527-974X</identifier><identifier>DOI: 10.1093/jamia/ocz091</identifier><identifier>PMID: 31403688</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>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</subject><ispartof>Journal of the American Medical Informatics Association : JAMIA, 2019-10, Vol.26 (10), p.1099-1108</ispartof><rights>The Author(s) 2019. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><rights>The Author(s) 2019. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-38ee9433688d51df2e42018b7dcb56762d7694aa41bac0a058b30e0ab20336b03</citedby><cites>FETCH-LOGICAL-c384t-38ee9433688d51df2e42018b7dcb56762d7694aa41bac0a058b30e0ab20336b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748809/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748809/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31403688$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mayberry, Lindsay S</creatorcontrib><creatorcontrib>Bergner, Erin M</creatorcontrib><creatorcontrib>Harper, Kryseana J</creatorcontrib><creatorcontrib>Laing, Simone</creatorcontrib><creatorcontrib>Berg, Cynthia A</creatorcontrib><title>Text messaging to engage friends/family in diabetes self-management support: acceptability and potential to address disparities</title><title>Journal of the American Medical Informatics Association : JAMIA</title><addtitle>J Am Med Inform Assoc</addtitle><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 <.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.</description><subject>Adult</subject><subject>Aged</subject><subject>Cell Phone</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Digital Divide</subject><subject>Family</subject><subject>Female</subject><subject>Friends</subject><subject>Healthcare Disparities</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Research and Applications</subject><subject>Self-Management</subject><subject>Social Support</subject><subject>Telemedicine</subject><subject>Text Messaging</subject><subject>Vulnerable Populations</subject><issn>1527-974X</issn><issn>1067-5027</issn><issn>1527-974X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1rFTEUhoMotl7duZYsXTjefMynC0GKH4VCNy24CyfJmTFlJhmT3OJ1418319uWukogT57zcl5CXnP2nrNBbm9gcbAN5jcb-BNyyhvRVUNXf3_66H5CXqR0wxhvhWyekxPJaybbvj8lf67wV6YLpgST8xPNgaKfYEI6Rofepu1Y_POeOk-tA40ZE004j9UCvmAL-kzTbl1DzB8oGINrBu1ml_cUvKVryIVwMB_MYG0sk4oorRBddphekmcjzAlf3Z0bcv3l89XZt-ri8uv52aeLysi-zpXsEYdaHjLbhttRYC0Y73VnjW7arhW2a4caoOYaDAPW9FoyZKAFK580kxvy8ehdd3pBa0qoCLNao1sg7lUAp_5_8e6HmsKtaru678ueN-TtnSCGnztMWS0uGZxn8Bh2SQnRCcG7lh_Qd0fUxJBSxPFhDGfq0Jn615k6dlbwN4-jPcD3Jcm_hH2YbQ</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Mayberry, Lindsay S</creator><creator>Bergner, Erin M</creator><creator>Harper, Kryseana J</creator><creator>Laing, Simone</creator><creator>Berg, Cynthia A</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20191001</creationdate><title>Text messaging to engage friends/family in diabetes self-management support: acceptability and potential to address disparities</title><author>Mayberry, Lindsay S ; Bergner, Erin M ; Harper, Kryseana J ; Laing, Simone ; Berg, Cynthia A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-38ee9433688d51df2e42018b7dcb56762d7694aa41bac0a058b30e0ab20336b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cell Phone</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Digital Divide</topic><topic>Family</topic><topic>Female</topic><topic>Friends</topic><topic>Healthcare Disparities</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Research and Applications</topic><topic>Self-Management</topic><topic>Social Support</topic><topic>Telemedicine</topic><topic>Text Messaging</topic><topic>Vulnerable Populations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mayberry, Lindsay S</creatorcontrib><creatorcontrib>Bergner, Erin M</creatorcontrib><creatorcontrib>Harper, Kryseana J</creatorcontrib><creatorcontrib>Laing, Simone</creatorcontrib><creatorcontrib>Berg, Cynthia A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Medical Informatics Association : JAMIA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mayberry, Lindsay S</au><au>Bergner, Erin M</au><au>Harper, Kryseana J</au><au>Laing, Simone</au><au>Berg, Cynthia A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Text messaging to engage friends/family in diabetes self-management support: acceptability and potential to address disparities</atitle><jtitle>Journal of the American Medical Informatics Association : JAMIA</jtitle><addtitle>J Am Med Inform Assoc</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>26</volume><issue>10</issue><spage>1099</spage><epage>1108</epage><pages>1099-1108</pages><issn>1527-974X</issn><issn>1067-5027</issn><eissn>1527-974X</eissn><abstract>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 <.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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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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