期刊
JOURNAL OF DIABETES RESEARCH
卷 2016, 期 -, 页码 -出版社
HINDAWI LTD
DOI: 10.1155/2016/7586385
关键词
-
资金
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) through Vanderbilt Center for Diabetes Translational Research [P30DK092986]
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) [K01DK106306]
- Agency for Healthcare Research Quality [K12HS022990]
- National Center for Advancing Translational Sciences [2 UL1 TR000445-06]
- NIDDK [R01DK092939, DP3DK103999, K01DK087894, R01DK100694]
Family members' helpful and harmful actions affect adherence to self-care and glycemic control among adults with type 2 diabetes (T2D) and low socioeconomic status. Few family interventions for adults with T2D address harmful actions or use text messages to reach family members. Through user-centered design and iterative usability/feasibility testing, we developed a mHealth intervention for disadvantaged adults with T2D called FAMS. FAMS delivers phone coaching to set self-care goals and improve patient participant's (PP) ability to identify and address family actions that support/impede self-care. PPs receive text message support and can choose to invite a support person (SP) to receive text messages. We recruited 19 adults with T2D from three Federally Qualified Health Centers to use FAMS for two weeks and complete a feedback interview. Coach-reported data captured coaching success, technical data captured user engagement, and PP/SP interviews captured the FAMS experience. PPs were predominantly African American, 83% had incomes <$35,000, and 26% weremarried. Most SPs (n = 7) were spouses/partners or adult children. PPs reported FAMS increased self-care and both PPs and SPs reported FAMS improved support for and communication about diabetes. FAMS is usable and feasible and appears to help patients manage self-care support, although some PPs may not have a SP.
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