Digital Health Tools and Behavioral Strategies to Increase Engagement With Diabetes Self-Management Education and Support: Design and Feasibility of DM-BOOST.

Autor:	Amante DJ; Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts., Shenette L; Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts., Wainaina S; Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts., Balakrishnan K; Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts., Bhatia S; Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts., Lee JA; Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts., Lemon SC; Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts., McManus D; Department of Medicine, UMass Chan Medical School, Worcester, Massachusetts., Harlan DM; Department of Medicine, UMass Chan Medical School, Worcester, Massachusetts.; Diabetes Center of Excellence, UMass Chan Medical School, Worcester, Massachusetts., Malkani S; Department of Medicine, UMass Chan Medical School, Worcester, Massachusetts.; Diabetes Center of Excellence, UMass Chan Medical School, Worcester, Massachusetts., Gerber BS; Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts.
Jazyk:	angličtina
Zdroj:	The science of diabetes self-management and care [Sci Diabetes Self Manag Care] 2024 Dec; Vol. 50 (6), pp. 497-509. Date of Electronic Publication: 2024 Oct 14.
DOI:	10.1177/26350106241285829
Abstrakt:	Purpose: The purpose of the study was to describe the development and feasibility of implementing the DM-BOOST program in support of an established diabetes self-management education and support (DSMES) program. Methods: A patient panel of 4 adults with type 2 diabetes (T2DM) codesigned DM-BOOST. DM-BOOST is a patient-focused program that includes peer-written text messages about diabetes self-management behaviors and digital health training to improve patient portal use and initiate goal setting prior to a scheduled DSMES appointment. Adults with T2DM and A1C ≥8.0% participated in a 6-month feasibility pilot. Participants were randomly assigned (1:1) to receive either DM-BOOST or usual care. Outcomes included DSMES engagement (scheduled and attended DSMES appointments) and changes in diabetes self-efficacy and treatment satisfaction. Results: Pilot participants (n = 60) were 60.0% female with mean age 45.5 years (SD 8.3) and A1C 10.1% (SD 1.8%). All DM-BOOST participants (30/30, 100%) had DSMES appointments scheduled compared to 86.7% of usual care (26/30). DM-BOOST participants had fewer DSMES appointment no-shows/cancellations (3/30, 10%) compared to usual care (10/26, 35%). There was greater improvement in diabetes self-efficacy in the DM-BOOST group compared to usual care and no difference in treatment satisfaction. Conclusions: DM-BOOST, leveraging peer-written text messaging and digital health training, increased DSMES engagement. Implementation of DM-BOOST was determined to be feasible, with several system-level barriers identified, including obtaining provider referrals and scheduling appointments. An effectiveness trial of DM-BOOST is needed to evaluate the impact on clinical outcomes.
Databáze:	MEDLINE
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