Evaluating the Impact of Mobile Phone Technology on Health Outcomes for Latinos with Type 2 Diabetes
Objectives To assess whether a Spanish-language text messaging program helps Latinos with diabetes better manage their disease. Methods Spanish-speaking Latinos with type 2 diabetes and HbA1c ≥ 8% ( N = 38) were recruited January 1, 2016–May 31, 2016, at a large integrated healthcare delivery syste...
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Published in | Journal of racial and ethnic health disparities Vol. 8; no. 2; pp. 532 - 536 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Cham
Springer International Publishing
01.04.2021
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
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Summary: | Objectives
To assess whether a Spanish-language text messaging program helps Latinos with diabetes better manage their disease.
Methods
Spanish-speaking Latinos with type 2 diabetes and HbA1c ≥ 8% (
N
= 38) were recruited January 1, 2016–May 31, 2016, at a large integrated healthcare delivery system. Participants received 1–3 Spanish-language text messages about diabetes self-care per day for 3 months with an optional 3-month extension. The Wilcoxon signed-rank test for paired data was used to compare pre-post intervention HbA1c. The Wilcoxon-Mann-Whitney nonparametric test was used to compare changes in HbA1c across groups.
Results
After 3 months, the median HbA1c reduction overall was 1.4 percentage points (IQR: 0.5–3.3,
p
< 0.01). Latinos having pre-intervention HbA1c > 10.0% had a greater reduction in median HbA1c (3.8, IQR: 0.5–5.3) compared with those having pre-intervention HbA1c ≤ 10.0% (0.9, IQR: 0.1–1.9,
p
< 0.05). This reduction in median HbA1c persisted after 6 months (1.3, IQR: 0.2–2.9,
p
< 0.01).
Conclusion
A Spanish-language text messaging program was an effective way to improve glycemic control for Latinos with type 2 diabetes.
Policy Implications
Culturally and linguistically tailored text messaging programs for managing diabetes should be considered. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 |
ISSN: | 2197-3792 2196-8837 |
DOI: | 10.1007/s40615-020-00810-x |