James E. Aikens|Kara Zivin|Ranak Trivedi|John D. Piette
Diabetes self-management support using mHealth and enhanced informal caregiving
abstract objective characterize diabetes patient engagement clinician notifications mhealth interactive voice response ivr service design observational study methods three six months va patients diabetes received weekly ivr calls assessing health status selfcare along tailored education patients could enroll informal caregiver received suggestions selfmanagement support notifications issued clinicians patients reported significant problems results patients n 303 participated total 5684 patientweeks 84 calls completed odds call completion decreased time aor 096 p conclusions providing information reliable valid actionable ivrbased mhealth services may increase access betweenvisit monitoring diabetes selfmanagement support system detects abnormal glycemia blood pressure levels might otherwise go unreported although thresholds clinician notifications might require adjustment avoid overloading clinicians patient engagement might enhanced addressing health literacy psychological distress