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首页> 美国卫生研究院文献>Journal of Diabetes Science and Technology >Mobile Health and Diabetes: Development and Feasibility of a Text Messaging and Interactive Voice Response Intervention for Low-Income Diverse Adults with Type 2 Diabetes Mellitus
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Mobile Health and Diabetes: Development and Feasibility of a Text Messaging and Interactive Voice Response Intervention for Low-Income Diverse Adults with Type 2 Diabetes Mellitus

机译：移动健康和糖尿病：文本消息传递和交互式语音响应干预技术的发展和可行性适用于低收入多样化的2型糖尿病成年人

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Low-income, racial/ethnic minorities are often nonadherent to diabetes medications, have uncontrolled glycemia, and have high rates of diabetes-related morbidity. Cell phones provide a viable modality to support medication adherence, but few cell phone-based interventions have been designed for low-income persons, a population with more feature phone penetration than smartphone penetration. In an effort to reach the broadest range of patients, we leveraged the voice and text messaging capabilities shared by all cell phones to design the MEssaging for Diabetes intervention. We specifically advanced and adapted an existing tailored text messaging system to include interactive voice response functionality and support the medication adherence barriers of low-income, diverse adults with type 2 diabetes mellitus. We report on the design process and feasibility testing results (i.e., technical use patterns and subjective user experiences) from patients from the target population who used the intervention in one of three user-centered design iterations. The types of challenges encountered in design were related to providing text message content with valued information and support that engages patients. The design process also highlighted the value of obtaining mixed methods data to provide insight into legitimate versus illegitimate missing data, patterns of use, and subjective user experiences. The iterative testing process and results outlined here provide a potential template for other teams seeking to design technology-based self-care support solutions for comparable patient populations.
机译：低收入，种族/族裔少数民族通常不遵守糖尿病药物，血糖不受控制，并且与糖尿病相关的发病率很高。手机提供了一种可行的方式来支持药物依从性，但是针对低收入人群设计的基于手机的干预措施寥寥无几，这些人群的功能手机渗透率比智能手机渗透率高。为了覆盖最广泛的患者，我们利用了所有手机共享的语音和文本消息传递功能来设计用于糖尿病干预的MEssaging。我们专门改进和改编了现有的量身定制的文本消息传递系统，以包括交互式语音响应功能，并支持低收入，多样化的2型糖尿病成年人的用药依从性障碍。我们从目标人群的患者中报告了设计过程和可行性测试结果（即技术使用模式和主观用户体验），这些患者在三个以用户为中心的设计迭代之一中进行了干预。设计中遇到的挑战类型与为短信内容提供有价值的信息和吸引患者的支持有关。设计过程还强调了获得混合方法数据的价值，以提供对合法和非法丢失数据，使用模式和主观用户体验的洞察。此处概述的迭代测试过程和结果为其他团队寻求为可比较的患者群体设计基于技术的自我护理支持解决方案提供了潜在的模板。

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