调整短信干预措施以改善西班牙语人口的糖尿病药物遵守率:定性研究
Jacqueline Seiglie1,2, Seth Tobolsky2, Ricaurte Crespo Trevino3
1Department of Medicine, Harvard Medical School, Boston, MA, United States.
JMIR human factors
|May 1, 2025
概括
患有2型糖尿病 (T2D) 的拉丁裔成年人面临药物坚持挑战. REACH-Español平台被调整以解决这些障碍,改善西班牙语人士的遵守和健康结果.
科学领域:
- 健康差异 在健康上的差异
- 行为科学 行为科学
- 数字健康数字健康
背景情况:
- 与非西班牙裔白人成年人相比,患有2型糖尿病 (T2D) 的拉丁裔成年人表现出较高的不服药率.
- 基于信息-动机-行为技能模型的REACH (健康快速鼓励/教育和沟通) 平台,改善了依从性和HbA1c,但仅提供英语.
研究的目的:
- 调整REACH平台的内容,以解决拉丁裔人口的糖尿病药物坚持障碍,创建REACH-Español.
- 确保文化相关性,并解决西班牙语人士与T2D.面临的特定障碍.
主要方法:
- 一项定性研究涉及5个重点小组,其中22名拉丁裔成年人更喜欢西班牙语,被诊断患有T2D.
- 焦点小组对附加障碍进行了排名,并讨论了短信内容的翻译和文化修改.
- 专题内容分析用于分析转录的焦点组数据.
主要成果:
- 关键障碍包括药物负担,害怕副作用 (个人动机) 和忘记药物 (行为技能).
- 在前10名中,信息障碍最常出现在前10名中.
- 参与者是老年人 (平均年龄63.2岁),平均HbA1c为8.5%.
结论:
- 一个由利益相关者驱动的适应过程成功地确定和优先考虑了与T2D拉丁裔成年人相关的障碍.
- 这有助于将REACH平台调整为REACH-Español,这是针对西班牙语使用者的文化定制干预措施.
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