Lyndsay A. Nelson|Shelagh A. Mulvaney|Kevin B. Johnson|Chandra Y. Osborn
mHealth Intervention Elements and User Characteristics Determine Utility: A Mixed-Methods Analysis
Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University Medical Center
background mobile health mhealth interventions improving medication adherence adults type 2 diabetes mellitus t2dm studies examine users experience interventions therefore used mixedmethods approach understand t2dm users experience text messaging interactive voice response ivrdelivered medication adherence intervention called messaging diabetes med methods adults t2dm used med part 3month pilot study med sends daily tailored text messages addressing adherence barriers daily assessment text messages asking adherence weekly tailored ivr calls providing adherence feedback encouragement questions facilitate problem solving sixty participants completed feedback interviews used mixedmethods approach understand experience examining associations participants characteristics feedback results participants completed feedback interviews average 500 101 years old 65 female 62 nonwhite 15 less high school education 70 annual incomes less 20k average hemoglobin a1c 80 19 participants rated intervention element favorably common reasons meds helpfulness included receiving novel information diabetes medications emotional support reminders take medication people younger recently diagnosed t2dm favorable experiences using med general users valued text messages ivr calls conclusions consideration user experience critical developing engaging mhealth interventions user feedback reveals mhealth elements value users target optimize interventions utility appeal