Impact of a Text Messaging Intervention as an In-Between Support to Diabetes Group Visits in Federally Qualified Health Centers: Cluster Randomized Controlled Study
Abstract BackgroundIn the United States, 1 in 11 people receive primary care from a federally qualified health center (FQHC). Text messaging interventions (TMIs) are accessible ways to deliver health information, engage patients, and improve health outcomes in the health cente...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2024-11-01
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| Series: | JMIR Diabetes |
| Online Access: | https://diabetes.jmir.org/2024/1/e55473 |
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| author | Allie Z Yan Erin M Staab Daisy Nuñez Mengqi Zhu Wen Wan Cynthia T Schaefer Amanda Campbell Michael T Quinn Arshiya A Baig |
| author_facet | Allie Z Yan Erin M Staab Daisy Nuñez Mengqi Zhu Wen Wan Cynthia T Schaefer Amanda Campbell Michael T Quinn Arshiya A Baig |
| author_sort | Allie Z Yan |
| collection | DOAJ |
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Abstract
BackgroundIn the United States, 1 in 11 people receive primary care from a federally qualified health center (FQHC). Text messaging interventions (TMIs) are accessible ways to deliver health information, engage patients, and improve health outcomes in the health center setting.
ObjectiveWe aimed to evaluate the impact of a TMI implemented with a group visit (GV) intervention among patients with type 2 diabetes mellitus (T2DM) at FQHCs on patient-reported outcomes and clinical outcomes based on patient TMI engagement.
MethodsA TMI was implemented for 11 health centers participating in a cluster randomized study of diabetes GVs in Midwestern FQHCs targeting adults with T2DM. FQHC patients participated in 6 monthly GVs either in person or online and a concurrent 25-week TMI. Outcome measures included clinical markers such as glycated hemoglobin A1c
ResultsIn total, 101 of 124 GV patients (81.5%) enrolled in the TMI. The average age of the population in the TMI was 53 years. Of the 101 respondents, 61 (60%) were racial or ethnic minorities, while 42 of 82 respondents (51%) had a high school diploma/General Education Development or less, and 56 of 80 respondents (71%) reported an annual income less than US $30,000. In addition, 70 of 81 respondents (86%) owned a smartphone and 74 of 80 respondents (93%) had an unlimited texting plan. The median response rate was 41% and the mean response rate was 41.6%. Adjusted models showed significantly improved diabetes knowledge (PPP1cPPPPPPP
ConclusionsIn a FQHC safety net population participating in a combined TMI and GV intervention, our study showed improved diabetes distress, social support, knowledge, self-care, self-efficacy, and quality of life among patients highly engaged in the SMS text messaging program. |
| format | Article |
| id | doaj-art-2a6e2b42d2cb44eda924d4fd51aad4f0 |
| institution | OA Journals |
| issn | 2371-4379 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Diabetes |
| spelling | doaj-art-2a6e2b42d2cb44eda924d4fd51aad4f02025-08-20T02:31:23ZengJMIR PublicationsJMIR Diabetes2371-43792024-11-019e55473e5547310.2196/55473Impact of a Text Messaging Intervention as an In-Between Support to Diabetes Group Visits in Federally Qualified Health Centers: Cluster Randomized Controlled StudyAllie Z Yanhttp://orcid.org/0009-0005-0422-2473Erin M Staabhttp://orcid.org/0000-0001-7326-8946Daisy Nuñezhttp://orcid.org/0009-0007-6850-0393Mengqi Zhuhttp://orcid.org/0000-0001-5733-8131Wen Wanhttp://orcid.org/0000-0002-7464-6563Cynthia T Schaeferhttp://orcid.org/0000-0002-3115-3224Amanda Campbellhttp://orcid.org/0009-0005-3847-7511Michael T Quinnhttp://orcid.org/0000-0001-5643-1764Arshiya A Baighttp://orcid.org/0000-0003-3368-9054 Abstract BackgroundIn the United States, 1 in 11 people receive primary care from a federally qualified health center (FQHC). Text messaging interventions (TMIs) are accessible ways to deliver health information, engage patients, and improve health outcomes in the health center setting. ObjectiveWe aimed to evaluate the impact of a TMI implemented with a group visit (GV) intervention among patients with type 2 diabetes mellitus (T2DM) at FQHCs on patient-reported outcomes and clinical outcomes based on patient TMI engagement. MethodsA TMI was implemented for 11 health centers participating in a cluster randomized study of diabetes GVs in Midwestern FQHCs targeting adults with T2DM. FQHC patients participated in 6 monthly GVs either in person or online and a concurrent 25-week TMI. Outcome measures included clinical markers such as glycated hemoglobin A1c ResultsIn total, 101 of 124 GV patients (81.5%) enrolled in the TMI. The average age of the population in the TMI was 53 years. Of the 101 respondents, 61 (60%) were racial or ethnic minorities, while 42 of 82 respondents (51%) had a high school diploma/General Education Development or less, and 56 of 80 respondents (71%) reported an annual income less than US $30,000. In addition, 70 of 81 respondents (86%) owned a smartphone and 74 of 80 respondents (93%) had an unlimited texting plan. The median response rate was 41% and the mean response rate was 41.6%. Adjusted models showed significantly improved diabetes knowledge (PPP1cPPPPPPP ConclusionsIn a FQHC safety net population participating in a combined TMI and GV intervention, our study showed improved diabetes distress, social support, knowledge, self-care, self-efficacy, and quality of life among patients highly engaged in the SMS text messaging program.https://diabetes.jmir.org/2024/1/e55473 |
| spellingShingle | Allie Z Yan Erin M Staab Daisy Nuñez Mengqi Zhu Wen Wan Cynthia T Schaefer Amanda Campbell Michael T Quinn Arshiya A Baig Impact of a Text Messaging Intervention as an In-Between Support to Diabetes Group Visits in Federally Qualified Health Centers: Cluster Randomized Controlled Study JMIR Diabetes |
| title | Impact of a Text Messaging Intervention as an In-Between Support to Diabetes Group Visits in Federally Qualified Health Centers: Cluster Randomized Controlled Study |
| title_full | Impact of a Text Messaging Intervention as an In-Between Support to Diabetes Group Visits in Federally Qualified Health Centers: Cluster Randomized Controlled Study |
| title_fullStr | Impact of a Text Messaging Intervention as an In-Between Support to Diabetes Group Visits in Federally Qualified Health Centers: Cluster Randomized Controlled Study |
| title_full_unstemmed | Impact of a Text Messaging Intervention as an In-Between Support to Diabetes Group Visits in Federally Qualified Health Centers: Cluster Randomized Controlled Study |
| title_short | Impact of a Text Messaging Intervention as an In-Between Support to Diabetes Group Visits in Federally Qualified Health Centers: Cluster Randomized Controlled Study |
| title_sort | impact of a text messaging intervention as an in between support to diabetes group visits in federally qualified health centers cluster randomized controlled study |
| url | https://diabetes.jmir.org/2024/1/e55473 |
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