Division of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Meharry Medical College, Nashville, Tennessee, USA.
J Am Med Inform Assoc. 2019 Oct 1;26(10):1099-1108. doi: 10.1093/jamia/ocz091.
Explore acceptability of engaging family/friends in patients' type 2 diabetes (T2D) self-management using text messaging.
Participants (N = 123) recruited from primary care clinics for a larger trial evaluating mobile phone support for T2D completed self-report measures and a hemoglobin A1c test and then had the option to invite an adult support person to receive text messages. We examined characteristics and reasons of participants who did/did not invite a support person, responses to the invitation, and feedback from patients and support persons.
Participants were 55.9 ± 10.1 years old, 55% female, 53% minority, and 54% disadvantaged (low income, less than high school degree/GED, uninsured, and/or homeless). Participants who invited a support person (48%) were slightly younger, more likely to be partnered, and reported more depressive symptoms and more emergency department visits in the year prior to study enrollment as compared to participants who did not (all p <.05). Participants' reasons for inviting a support person included needing help and seeing benefits of engaging others, while reasons for not inviting a support person included concerns about being a "burden" and support person's ability or desire to text. Support persons reported the texts increased awareness, created dialogue, and improved their own health behaviors.
Patients inviting a support person had higher need and thus may stand to benefit most. Most support persons were open to engagement via text messages.
Across race and socioeconomic status, text messaging may engage support persons to increase health-related support-particularly for patients with higher levels of need.
Clinicaltrials.gov NCT02409329.
探索使用短信让家人/朋友参与 2 型糖尿病（T2D）患者自我管理的可接受性。
参与者（N=123）从初级保健诊所招募参加一项评估手机支持 T2D 的更大规模试验，他们完成了自我报告措施和血红蛋白 A1c 测试，然后可以选择邀请一名成年支持人员接收短信。我们检查了邀请支持人员的参与者和不邀请支持人员的参与者的特征和原因、对邀请的反应以及患者和支持人员的反馈。
参与者的年龄为 55.9±10.1 岁，55%为女性，53%为少数民族，54%为弱势群体（低收入、未完成高中学业/普通教育发展证书、没有保险和/或无家可归）。与未邀请支持人员的参与者相比，邀请支持人员的参与者（48%）年龄稍小，更有可能有伴侣，并且在研究入组前一年报告更多的抑郁症状和更多的急诊就诊（所有 p<0.05）。参与者邀请支持人员的原因包括需要帮助和看到让他人参与的好处，而不邀请支持人员的原因包括担心成为“负担”以及支持人员的能力或意愿发送短信。支持人员报告说，短信增加了意识，创造了对话，并改善了他们自己的健康行为。
邀请支持人员的患者需求更高，因此可能受益最大。大多数支持人员愿意通过短信参与。
跨越种族和社会经济地位，短信可能会让支持人员参与进来，增加与健康相关的支持——特别是对需求较高的患者。
Clinicaltrials.gov NCT02409329。
