- By FYH News Team
[ad_1]
doi: 10.1093/tbm/ibad020.
Online ahead of print.
1
, Kimberly L Savin
2
, Emily C Soriano
1
, Emily Rose N San Diego
1
, Natalia Orendain
1
, Taylor Clark
2
, Haley Sandoval
1
, Mariya Chichmarenko
1
, Perla Perez-Ramirez
2
, Emilia Farcas
3
, Job Godino
3
4
, Linda C Gallo
5
, Athena Philis-Tsimikas
1
, Addie L Fortmann
1
Affiliations
Affiliations
- 1 Scripps Whittier Diabetes Institute, Scripps Health, San Diego, CA, USA.
- 2 San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.
- 3 Qualcomm Institute, University of California San Diego, La Jolla, CA, USA.
- 4 Laura Rodriguez Research Institute, Family Health Centers of San Diego, San Diego, CA, USA.
- 5 Department of Psychology, San Diego State University, San Diego, CA, USA.
Item in Clipboard
Samantha R Spierling Bagsic et al.
Transl Behav Med.
.
Display options
Format
doi: 10.1093/tbm/ibad020.
Online ahead of print.
Authors
1
, Kimberly L Savin
2
, Emily C Soriano
1
, Emily Rose N San Diego
1
, Natalia Orendain
1
, Taylor Clark
2
, Haley Sandoval
1
, Mariya Chichmarenko
1
, Perla Perez-Ramirez
2
, Emilia Farcas
3
, Job Godino
3
4
, Linda C Gallo
5
, Athena Philis-Tsimikas
1
, Addie L Fortmann
1
Affiliations
- 1 Scripps Whittier Diabetes Institute, Scripps Health, San Diego, CA, USA.
- 2 San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.
- 3 Qualcomm Institute, University of California San Diego, La Jolla, CA, USA.
- 4 Laura Rodriguez Research Institute, Family Health Centers of San Diego, San Diego, CA, USA.
- 5 Department of Psychology, San Diego State University, San Diego, CA, USA.
Item in Clipboard
Display options
Format
Abstract
Type 2 diabetes disproportionately impacts ethnic minorities and individuals from low socioeconomic status. Diabetes self-management education and support has been shown to improve clinical outcomes in these populations, and mobile health (mHealth) interventions can reduce barriers to access. Dulce Digital-Me (DD-Me) was developed to integrate adaptive mHealth technologies to enhance self-management and reduce disparities in the high-risk, underserved Hispanic population. The objective of the present study was to evaluate reach, adoption, and implementation of an mHealth diabetes self-management education and support intervention in this underrepresented population. The present analysis is a multimethod process evaluation using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. The study was effective in reaching a sample that was representative of the intended population; only modest but significant differences were observed in sex and age. The DD-Me health coach (HC) cited several important facilitators of intervention adoption, including outreach frequency and personalization, and the automated HC report. Implementation fidelity was high, with participants receiving >90% of intended interventions. Participants who received DD-Me with support from a HC were most engaged, suggesting utility and acceptability of integrating HCs with mHealth interventions. Perceptions of implementation among study participants were positive and consistent across study arms. This evaluation revealed the target population was successfully reached and engaged in the digital health interventions, which was implemented with high fidelity. Further studies should evaluate the efficacy and maintenance of the study following the RE-AIM model to determine whether this intervention warrants expansion to additional settings and populations.
Keywords:
Diabetes; Dulce Digital; RE-AIM; mHealth.
Plain language summary
Type 2 diabetes disproportionately impacts ethnic minorities, including Hispanic individuals; however, these populations are often underrepresented in clinical research, especially in studies using digital technologies. The Dulce Digital-Me study was developed to provide diabetes self-management education and support using mobile health technologies with the goal of improving clinical outcomes by reducing barriers to accessing support. This analysis revealed that the Dulce Digital-Me study was successful at reaching the target population and engaging them with the intervention, while also delivering the study intervention with high fidelity. This process evaluation provides critical context for understanding the study’s clinical outcomes and the potential for further dissemination.
© Society of Behavioral Medicine 2023. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
[ad_2]
Source link
Trending Topics
Features
- Drive Toolkit
Download and distribute powerful vaccination QI resources for your community.
- Health Champions
Sign up now to support health equity and sustainable health outcomes in your community.
- Cancer Early Detection
MCED tests use a simple blood draw to screen for many kinds of cancer at once.
- PR
FYHN is a bridge connecting health information providers to BIPOC communities in a trusted environment.
- Medicare
Discover an honest look at our Medicare system.
- Alliance for Representative Clinical Trials
ARC was launched to create a network of community clinicians to diversify and bring clinical trials to communities of color and other communities that have been underrepresented.
- Reducing Patient Risk
The single most important purpose of our healthcare system is to reduce patient risk for an acute event.
- Victor Mejia
- Victor Mejia
















