Using Mobile Health to Improve Social Support for Low-Income Latino Patients with Diabetes: A Mixed-Methods Analysis of the Feasibility Trial of TExT-MED + FANS. Burner, E., Lam, C., N., DeRoss, R., Kagawa Singer, M., Menchine, M., & Arora, S. 2017.
Paper
Website abstract bibtex Background: Social support interventions can improve diabetes self-care, particularly for Latinos, but are time and resource intensive. Mobile health may overcome these barriers by engaging and training supporters remotely.
Methods: We conducted a randomized controlled feasibility trial of emergency department patients with diabetes to determine the feasibility of enrolling patients and supporters, acceptability of the intervention, and preliminary efficacy results to power a larger trial. All patients received an existing mHealth curriculum (TExTMED). After identifying a supporter, patients were randomized to intervention: supporters receiving FANS (family and friends network support), a text message support curriculum synchronized to patient messages, or control: supporters receiving a mailed pamphlet of the same information. Participants followed up at 3 months. FANS intervention participants came to postintervention interviews as part of a qualitative analysis.
Results: We enrolled 44 patients (22 per arm) and followed up 36 at 3 months. Participants were positive about the program. FANS intervention improved HbA1c (intervention mean decreased from 10.4% to 9.0% vs. from 10.1% to 9.5%, delta -0.8%, confidence interval [CI] -0.4 to 2, P = 0.30), self-monitoring of glucose (intervention increased 1.6 days/week vs. control decreased 2 days/week, delta 2.3 days/week, CI 4–0.6, P = 0.02), and physical activity (mean Godin leisure time activity score improved 16.1 vs. decreased 9.6 for control, delta 25.7, CI 49.2–2.3, P = 0.10). In qualitative analysis, patients reported improved motivation, behaviors, and relationships. Supporters reported making healthier decisions for themselves.
Conclusions: mHealth is a feasible, acceptable, and promising avenue to improve social support and diabetes outcomes.
@misc{
title = {Using Mobile Health to Improve Social Support for Low-Income Latino Patients with Diabetes: A Mixed-Methods Analysis of the Feasibility Trial of TExT-MED + FANS},
type = {misc},
year = {2017},
source = {Diabetes Technology & Therapeutics},
identifiers = {[object Object]},
keywords = {Diabetes mellitus,Disease management,Latinos,Social support,Text messaging},
pages = {dia.2017.0198},
websites = {http://online.liebertpub.com/doi/10.1089/dia.2017.0198},
id = {e3b65ce0-31c8-3559-b01c-7b2824ff33b7},
created = {2018-08-29T15:13:27.037Z},
accessed = {2018-05-21},
file_attached = {true},
profile_id = {b29b8212-e243-391a-9ac7-cf5e1615a27c},
group_id = {ab9f36d1-9ef7-3e1e-9174-791781e41a24},
last_modified = {2018-08-29T15:13:27.167Z},
read = {false},
starred = {false},
authored = {false},
confirmed = {true},
hidden = {false},
private_publication = {false},
abstract = {Background: Social support interventions can improve diabetes self-care, particularly for Latinos, but are time and resource intensive. Mobile health may overcome these barriers by engaging and training supporters remotely.
Methods: We conducted a randomized controlled feasibility trial of emergency department patients with diabetes to determine the feasibility of enrolling patients and supporters, acceptability of the intervention, and preliminary efficacy results to power a larger trial. All patients received an existing mHealth curriculum (TExTMED). After identifying a supporter, patients were randomized to intervention: supporters receiving FANS (family and friends network support), a text message support curriculum synchronized to patient messages, or control: supporters receiving a mailed pamphlet of the same information. Participants followed up at 3 months. FANS intervention participants came to postintervention interviews as part of a qualitative analysis.
Results: We enrolled 44 patients (22 per arm) and followed up 36 at 3 months. Participants were positive about the program. FANS intervention improved HbA1c (intervention mean decreased from 10.4% to 9.0% vs. from 10.1% to 9.5%, delta -0.8%, confidence interval [CI] -0.4 to 2, P = 0.30), self-monitoring of glucose (intervention increased 1.6 days/week vs. control decreased 2 days/week, delta 2.3 days/week, CI 4–0.6, P = 0.02), and physical activity (mean Godin leisure time activity score improved 16.1 vs. decreased 9.6 for control, delta 25.7, CI 49.2–2.3, P = 0.10). In qualitative analysis, patients reported improved motivation, behaviors, and relationships. Supporters reported making healthier decisions for themselves.
Conclusions: mHealth is a feasible, acceptable, and promising avenue to improve social support and diabetes outcomes.},
bibtype = {misc},
author = {Burner, Elizabeth and Lam, Chun Nok and DeRoss, Rebecca and Kagawa Singer, Marjorie and Menchine, Michael and Arora, Sanjay}
}
Downloads: 0
{"_id":"o2TMfJ9TK99ShQscg","bibbaseid":"burner-lam-deross-kagawasinger-menchine-arora-usingmobilehealthtoimprovesocialsupportforlowincomelatinopatientswithdiabetesamixedmethodsanalysisofthefeasibilitytrialoftextmedfans-2017","authorIDs":[],"author_short":["Burner, E.","Lam, C., N.","DeRoss, R.","Kagawa Singer, M.","Menchine, M.","Arora, S."],"bibdata":{"title":"Using Mobile Health to Improve Social Support for Low-Income Latino Patients with Diabetes: A Mixed-Methods Analysis of the Feasibility Trial of TExT-MED + FANS","type":"misc","year":"2017","source":"Diabetes Technology & Therapeutics","identifiers":"[object Object]","keywords":"Diabetes mellitus,Disease management,Latinos,Social support,Text messaging","pages":"dia.2017.0198","websites":"http://online.liebertpub.com/doi/10.1089/dia.2017.0198","id":"e3b65ce0-31c8-3559-b01c-7b2824ff33b7","created":"2018-08-29T15:13:27.037Z","accessed":"2018-05-21","file_attached":"true","profile_id":"b29b8212-e243-391a-9ac7-cf5e1615a27c","group_id":"ab9f36d1-9ef7-3e1e-9174-791781e41a24","last_modified":"2018-08-29T15:13:27.167Z","read":false,"starred":false,"authored":false,"confirmed":"true","hidden":false,"private_publication":false,"abstract":"Background: Social support interventions can improve diabetes self-care, particularly for Latinos, but are time and resource intensive. Mobile health may overcome these barriers by engaging and training supporters remotely.\nMethods: We conducted a randomized controlled feasibility trial of emergency department patients with diabetes to determine the feasibility of enrolling patients and supporters, acceptability of the intervention, and preliminary efficacy results to power a larger trial. All patients received an existing mHealth curriculum (TExTMED). After identifying a supporter, patients were randomized to intervention: supporters receiving FANS (family and friends network support), a text message support curriculum synchronized to patient messages, or control: supporters receiving a mailed pamphlet of the same information. Participants followed up at 3 months. FANS intervention participants came to postintervention interviews as part of a qualitative analysis.\nResults: We enrolled 44 patients (22 per arm) and followed up 36 at 3 months. Participants were positive about the program. FANS intervention improved HbA1c (intervention mean decreased from 10.4% to 9.0% vs. from 10.1% to 9.5%, delta -0.8%, confidence interval [CI] -0.4 to 2, P = 0.30), self-monitoring of glucose (intervention increased 1.6 days/week vs. control decreased 2 days/week, delta 2.3 days/week, CI 4–0.6, P = 0.02), and physical activity (mean Godin leisure time activity score improved 16.1 vs. decreased 9.6 for control, delta 25.7, CI 49.2–2.3, P = 0.10). In qualitative analysis, patients reported improved motivation, behaviors, and relationships. Supporters reported making healthier decisions for themselves.\nConclusions: mHealth is a feasible, acceptable, and promising avenue to improve social support and diabetes outcomes.","bibtype":"misc","author":"Burner, Elizabeth and Lam, Chun Nok and DeRoss, Rebecca and Kagawa Singer, Marjorie and Menchine, Michael and Arora, Sanjay","bibtex":"@misc{\n title = {Using Mobile Health to Improve Social Support for Low-Income Latino Patients with Diabetes: A Mixed-Methods Analysis of the Feasibility Trial of TExT-MED + FANS},\n type = {misc},\n year = {2017},\n source = {Diabetes Technology & Therapeutics},\n identifiers = {[object Object]},\n keywords = {Diabetes mellitus,Disease management,Latinos,Social support,Text messaging},\n pages = {dia.2017.0198},\n websites = {http://online.liebertpub.com/doi/10.1089/dia.2017.0198},\n id = {e3b65ce0-31c8-3559-b01c-7b2824ff33b7},\n created = {2018-08-29T15:13:27.037Z},\n accessed = {2018-05-21},\n file_attached = {true},\n profile_id = {b29b8212-e243-391a-9ac7-cf5e1615a27c},\n group_id = {ab9f36d1-9ef7-3e1e-9174-791781e41a24},\n last_modified = {2018-08-29T15:13:27.167Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {Background: Social support interventions can improve diabetes self-care, particularly for Latinos, but are time and resource intensive. Mobile health may overcome these barriers by engaging and training supporters remotely.\nMethods: We conducted a randomized controlled feasibility trial of emergency department patients with diabetes to determine the feasibility of enrolling patients and supporters, acceptability of the intervention, and preliminary efficacy results to power a larger trial. All patients received an existing mHealth curriculum (TExTMED). After identifying a supporter, patients were randomized to intervention: supporters receiving FANS (family and friends network support), a text message support curriculum synchronized to patient messages, or control: supporters receiving a mailed pamphlet of the same information. Participants followed up at 3 months. FANS intervention participants came to postintervention interviews as part of a qualitative analysis.\nResults: We enrolled 44 patients (22 per arm) and followed up 36 at 3 months. Participants were positive about the program. FANS intervention improved HbA1c (intervention mean decreased from 10.4% to 9.0% vs. from 10.1% to 9.5%, delta -0.8%, confidence interval [CI] -0.4 to 2, P = 0.30), self-monitoring of glucose (intervention increased 1.6 days/week vs. control decreased 2 days/week, delta 2.3 days/week, CI 4–0.6, P = 0.02), and physical activity (mean Godin leisure time activity score improved 16.1 vs. decreased 9.6 for control, delta 25.7, CI 49.2–2.3, P = 0.10). In qualitative analysis, patients reported improved motivation, behaviors, and relationships. Supporters reported making healthier decisions for themselves.\nConclusions: mHealth is a feasible, acceptable, and promising avenue to improve social support and diabetes outcomes.},\n bibtype = {misc},\n author = {Burner, Elizabeth and Lam, Chun Nok and DeRoss, Rebecca and Kagawa Singer, Marjorie and Menchine, Michael and Arora, Sanjay}\n}","author_short":["Burner, E.","Lam, C., N.","DeRoss, R.","Kagawa Singer, M.","Menchine, M.","Arora, S."],"urls":{"Paper":"https://bibbase.org/service/mendeley/b29b8212-e243-391a-9ac7-cf5e1615a27c/file/12c66541-246f-57ad-716e-9209d866209b/Using_Mobile_Health_to_Improve_Social_Support_for_Low_Income_Latino_Patients_with_Diabetes_A_Mixed_Methods_Analysis_of_t.pdf.pdf","Website":"http://online.liebertpub.com/doi/10.1089/dia.2017.0198"},"bibbaseid":"burner-lam-deross-kagawasinger-menchine-arora-usingmobilehealthtoimprovesocialsupportforlowincomelatinopatientswithdiabetesamixedmethodsanalysisofthefeasibilitytrialoftextmedfans-2017","role":"author","keyword":["Diabetes mellitus","Disease management","Latinos","Social support","Text messaging"],"downloads":0},"bibtype":"misc","creationDate":"2019-11-09T05:25:20.756Z","downloads":0,"keywords":["diabetes mellitus","disease management","latinos","social support","text messaging"],"search_terms":["using","mobile","health","improve","social","support","low","income","latino","patients","diabetes","mixed","methods","analysis","feasibility","trial","text","med","fans","burner","lam","deross","kagawa singer","menchine","arora"],"title":"Using Mobile Health to Improve Social Support for Low-Income Latino Patients with Diabetes: A Mixed-Methods Analysis of the Feasibility Trial of TExT-MED + FANS","year":2017}