Related Experiment Video
Updated: May 15, 2025
07:13
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
4.2K
Adapting a Text Messaging Intervention to Improve Diabetes Medication Adherence in a Spanish-Speaking Population:
Jacqueline Seiglie1,2, Seth Tobolsky2, Ricaurte Crespo Trevino3
1Department of Medicine, Harvard Medical School, Boston, MA, United States.
JMIR Human Factors
|May 1, 2025
Summary
Latino adults with type 2 diabetes (T2D) face medication adherence challenges. The REACH-Español platform was adapted to address these barriers, improving adherence and health outcomes for Spanish-speaking individuals.
Area of Science:
- Health Disparities
- Behavioral Science
- Digital Health
Background:
- Latino adults with type 2 diabetes (T2D) exhibit higher medication nonadherence rates compared to non-Hispanic White adults.
- The REACH (Rapid Encouragement/Education And Communications for Health) platform, based on the information-motivation-behavioral skills model, improved adherence and HbA1c but is English-only.
Purpose of the Study:
- To adapt the REACH platform's content addressing diabetes medication adherence barriers for a Latino population, creating REACH-Español.
- To ensure cultural relevance and address specific barriers faced by Spanish-speaking individuals with T2D.
Main Methods:
- A qualitative study involving 5 focus groups with 22 Latino adults preferring Spanish and diagnosed with T2D.
- Focus groups ranked adherence barriers and discussed translation and cultural modifications for SMS content.
- Thematic content analysis was used to analyze transcribed focus group data.
Main Results:
- Key barriers included medication burden, fear of side effects (personal motivation), and forgetting medication (behavioral skills).
- Information barriers were most frequently ranked among the top 10.
- Participants were older adults (mean age 63.2 years) with a mean HbA1c of 8.5%.
Conclusions:
- A stakeholder-driven adaptation process successfully identified and prioritized barriers relevant to Latino adults with T2D.
- This facilitated the adaptation of the REACH platform into REACH-Español, a culturally tailored intervention for Spanish speakers.
Related Concept Videos
01:14SBAR II: Application of SBAR
4.2K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.2K
01:15Diabetes: Management and Pharmacotherapy
214
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
214
01:16Insulin: Dosing Regimen and Adverse Effects
129
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
129
01:22Diabetes Mellitus: Overview and Type I Subtype
2.3K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.3K
01:22Diabetes Mellitus: Type 2 and Gestational
2.1K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.1K
01:36Carbohydrate Metabolism
10.6K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.6K