Lyndsay A. Nelson|Shelagh A. Mulvaney|Tebeb Gebretsadik|Yun-Xian Ho|Kevin B. Johnson|Chandra Y. Osborn
Disparities in the use of a mHealth medication adherence promotion intervention for low-income adults with type 2 diabetes
Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University
mobile health mhealth interventions may improve diabetes outcomes require engagement little known factors impede engagement authors examined relationship patient factors engagement mhealth medication adherence promotion intervention lowincome adults type 2 diabetes t2dmeighty patients t2dm participated 3month mhealth intervention called messaging diabetes leveraged mobile communications platform participants received daily text messages addressing assessing medication adherence weekly interactive automated calls adherence feedback questions problem solving longitudinal repeated measures analyses assessed relationship participants baseline characteristics probability engaging texts callson average participants responded 840 texts participated 571 calls compared whites nonwhites 63 decreased relative odds adjusted odds ratio aor 037 95 confidence interval ci 019073 participating calls addition lower health literacy associated decreased odds participating calls aor 067 95 ci 046099 p 04 whereas older age pnonlinear 01 depressive symptoms aor 062 95 ci 038102 p 059 trended toward decreased odds responding textsracialethnic minorities older adults persons lower health literacy depressive symptoms appeared least engaged mhealth intervention facilitate equitable intervention impact future research identify address factors interfering mhealth engagement