Jonathan Dick|Shantanu Nundy|Marla C. Solomon|Keisha N. Bishop|Marshall H. Chin|Monica E. Peek
Feasibility and Usability of a Text Message-Based Program for Diabetes Self-Management in an Urban African-American Population
University of Chicago|University of Chicago|University of Chicago|University of Chicago|University of Chicago|University of Chicago
pilottested text messagebased diabetes care program urban africanamerican population automated text messages sent participants personalized medication foot care appointment reminders text messages received participants adherenceeighteen patients participated 4week pilot study baseline surveys collected data demographics historical cell phone usage adherence core diabetes care measures exit interview surveys using closecoded openended questions administered patients end program 1month followup interview conducted surveying patients perceived selfefficacy wilcoxon signedrank tests used compare baseline survey responses selfmanagement activities pilots end 1month followupeighteen urban africanamerican participants completed pilot study average age 55 average number years diabetes 8 half participants initially uncomfortable text messaging example messages include take diabetes medications today many times check feet wounds week participants averaged 220 text messages system responded messages 80 time average responded within 6 minutes participants strongly agreed text messaging easy perform helped diabetes selfcare missed medication doses decreased 16 per week 06 p 003 patient confidence diabetes selfmanagement significantly increased 1 month pilot p 002 p 008text messaging may feasible useful approach improve diabetes selfmanagement urban african americans