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Implementing a text message-based intervention to support type 2 diabetes medication adherence in primary care: a
Karen Butler1, Yvonne Kiera Bartlett2, Nikki Newhouse3
1Health Behaviour Change Research Group, School of Psychology, University of Galway, University Road, Galway, Ireland.
BMC Health Services Research
|June 10, 2023
Summary
General practice staff see potential in mobile messaging for type 2 diabetes care. Successful implementation requires technology integration, clear benefits, and alignment with holistic patient care priorities.
Area of Science:
- Digital health interventions
- Behavioral science in chronic disease management
- General practice innovation
Background:
- The Support through Mobile Messaging and digital health Technology for Diabetes (SuMMiT-D) project developed a mobile intervention for type 2 diabetes medication adherence.
- The study investigated general practice staff perceptions to refine and implement this digital health technology.
Purpose of the Study:
- To explore general practice staff views on implementing a text message-based intervention for type 2 diabetes medication adherence.
- To identify facilitators and barriers to integrating digital health tools into diabetes care within general practice.
Main Methods:
- Conducted seven focus groups and five interviews with 46 general practice staff.
- Utilized inductive thematic analysis to analyze transcribed audio recordings of interviews and focus groups.
Main Results:
- Identified five key themes regarding technology potential, implementation challenges (resources, holistic care), and recommendations for adoption.
- Staff recognized technology's potential as a patient ally but highlighted resource limitations and the need for interventions to complement existing care.
Conclusions:
- General practice staff perceive significant potential for text message interventions to address unmet needs in diabetes care.
- Successful digital interventions must be compatible with existing systems, demonstrate clear benefits, be incentivized, and align with general practice priorities like holistic and multicultural care.
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