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Text Messaging for Longitudinal Data Collection From Adults With Glomerular Disease: Lessons From the Cure
Chia-Shi Wang1, Jonathan P Troost2, Pietro A Canetta3
1Division of Pediatric Nephrology, Emory University School of Medicine, Atlanta, GA.
Text messaging supports chronic disease self-management. However, younger, more educated, and English-speaking patients were more responsive in a global study, highlighting potential equity gaps in mobile health data collection.
Area of Science:
- Nephrology
- Digital Health
- Clinical Research
Background:
- Mobile health (mHealth) technologies, like text messaging, are increasingly used for chronic disease self-management.
- This study investigates the utility and responsiveness of text messaging for data collection in an international, longitudinal, observational study.
Purpose of the Study:
- To assess the reach, response rates, and engagement of text messaging for data collection in the Cure Glomerulonephropathy Network.
- To identify participant characteristics associated with responsiveness to text message-based data collection.
Main Methods:
- A longitudinal text messaging program was implemented in the Cure Glomerulonephropathy Network observational study.
- Participants received monthly texts regarding symptoms, medication adherence, relapses, or remissions and responded via text.
- Multivariable logistic regression analyzed associations between responsiveness and participant characteristics (age, education, language).
Main Results:
- 71% of participants did not opt out of the text messaging program.
- 54% of non-opt-out participants responded to at least one text message.
- Younger age, higher education, and primary English language were associated with higher response rates. Responders also lived in areas with greater community resources.
Conclusions:
- Text messaging can facilitate remote data collection in chronic disease studies, potentially reducing participation barriers.
- Vulnerable populations, including older adults and those with lower education or non-English primary language, showed lower responsiveness.
- Targeted engagement strategies are necessary to ensure equitable data collection and research participation across diverse populations.
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