Improving Medication Adherence Among Underserved Patients With Type 2 Diabetes
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Diabetes, Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 2/7/2019 |
| Start Date: | May 2016 |
| End Date: | June 2019 |
This study evaluates a mobile phone-delivered intervention, called REACH (Rapid
Education/Encouragement And Communications for Health), in supporting adults with type 2
diabetes in their self-management relative to a control group. The goal of this study is to
determine if individually tailored content (based on the Information-Motivation-Behavioral
Skills Model) delivered to the participant via text messages can improve the participant's
glycemic control and adherence to diabetes medications. We will test whether our intervention
improves adherence-related information, motivation, and behavioral skills and whether
improving these mechanisms drives improvements in adherence and, in turn, glycemic control.
Education/Encouragement And Communications for Health), in supporting adults with type 2
diabetes in their self-management relative to a control group. The goal of this study is to
determine if individually tailored content (based on the Information-Motivation-Behavioral
Skills Model) delivered to the participant via text messages can improve the participant's
glycemic control and adherence to diabetes medications. We will test whether our intervention
improves adherence-related information, motivation, and behavioral skills and whether
improving these mechanisms drives improvements in adherence and, in turn, glycemic control.
Inclusion Criteria:
- Adults aged 18 years and older
- Individuals who have received a diagnosis for type 2 diabetes mellitus
- Enrolled as a patient at a participating community health center
- Individuals currently being treated with oral and/or injectable diabetes medications
Exclusion Criteria:
- Non-English speakers
- Individuals who report they do not have a cell phone
- Individuals unwilling and/or not able to provide written informed consent
- Individuals with unintelligible speech (e.g., dysarthria)
- Individuals with a severe hearing or visual impairment
- Individuals who report a caregiver administers their diabetes medications Individuals
who fail the cognitive screener administered during the baseline survey
- Individuals who cannot receive, read, and respond to a text after instruction from a
trained research assistant
- Individuals whose most recent (within 12 months) HbA1c value was 6.8% or greater
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