Denver Health and Hospital Authority, Denver, CO 80204-4507, USA.
Am J Manag Care. 2012 Feb 1;18(2):e42-7.
To assess the feasibility of engaging adults with diabetes in self management behaviors between clinic visits by using cell phone text messaging to provide blood sugar measurement prompts and appointment reminders.
Quasi-experimental pilot among adult diabetic patients with cell phones who receive regular care at a federally qualified community health center in Denver, Colorado, which serves a population that is predominantly either uninsured (41%) or on Medicaid or Medicare (56%).
Patients (N = 47) received text message prompts over a 3-month period. Blood sugar readings were requested 3 times per week (Monday, Wednesday, and Friday). Reminders were sent 7, 3, and 1 day(s) before each scheduled appointment. Acknowledgments were returned for all patient-sent messages. Focus groups were conducted in English and Spanish with selected patients (n = 8).
Patients of all ages were active participants. Correctly formatted responses were received for 67.3% of 1585 prompts. More than three-fourths (79%) of the cohort responded to more than 50% of their prompts. The appointment analysis was underpowered to detect significant changes in attendance. Participants reported increased social support, feelings that the program "made them accountable," and increased awareness of health information. Two-thirds (66%) of patients provided glucose readings when prompted during the study, compared with 12% at 2 preceding clinic visits.
For certain patients, cell phone-based text messaging may enhance chronic disease management support and patient-provider communications beyond the clinic setting.
通过手机短信为患者提供血糖测量提示和预约提醒，评估在就诊间隔期间使成年糖尿病患者参与自我管理行为的可行性。
在科罗拉多州丹佛市的一家联邦合格社区卫生中心，对使用手机接受常规护理的成年糖尿病患者进行了准实验性试点研究，该中心的服务人群主要为无保险（41%）或享受医疗补助或医疗保险（56%）的人群。
患者（N=47）在 3 个月期间内收到短信提示。每周（周一、周三和周五）请求 3 次血糖读数。在每次预约前 7、3 和 1 天发送提醒。对所有患者发送的消息都进行了确认回复。选择了一些患者（n=8）用英语和西班牙语进行了焦点小组讨论。
各个年龄段的患者都是积极的参与者。对于 1585 个提示中的 67.3%，收到了正确格式的回复。超过四分之三（79%）的患者回复了超过 50%的提示。由于出席人数的分析没有足够的效力，因此无法检测到出席情况的显著变化。参与者报告说增加了社会支持，感觉该计划“使他们承担了责任”，并提高了对健康信息的认识。在研究期间，当被提示时，有三分之二（66%）的患者提供了葡萄糖读数，而在 2 次之前的就诊时，只有 12%的患者提供了读数。
对于某些患者来说，基于手机的短信服务可能会增强慢性病管理支持和患者与提供者在诊所环境之外的沟通。
