FEASIBILITY STUDY USING A ONE-WAY AND TWO-WAY TEXT MESSAGING SELF-MANAGEMENT PROGRAM IN A SAMPLE OF AFRO-CARIBBEANS WITH TYPE 2 DIABETES MELLITUS LIVING IN THE U.S. VIRGIN ISLANDS
FEASIBILITY STUDY USING A ONE-WAY AND TWO-WAY TEXT MESSAGING SELF-MANAGEMENT PROGRAM IN A SAMPLE OF AFRO-CARIBBEANS WITH TYPE 2 DIABETES MELLITUS LIVING IN THE U.S. VIRGIN ISLANDS
Date
2018-12
Authors
Storer, Andrew
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Yen-Wang, Chen
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Nursing
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Type 2 diabetes is a global problem that has reached pandemic proportions. T2DM leads to significant premature morbidity and mortality. The risk for death among individuals with diabetes is almost twice that of individuals without diabetes. With the increasing onus of diabetes, an innovative and multifaceted approach to detection, self-management, screening, and delivery of care are needed. Non-white individuals suffer significant disparity in both the prevalence and treatment of T2DM. Among U.S. Virgin Islanders, there is an increased burden on Blacks, Hispanics, the poor, and those lacking education. There has been a rapid increase in the adoption of mobile technology and use of mobile technology for the promotion of health management behaviors in recent years. Mobile technology has allowed researchers to investigate the use of smartphones in health care support and interventions. However, the role and effectiveness of mobile technology remains unclear. The lack of evidence is particularly prevalent in underserved health care regions, such as the U.S. Virgin Islands. The purpose of the study was to explore the feasibility of using a SMS-based diabetes self-management program among Afro-Caribbean individuals with T2DM residing in the U.S. Virgin Islands. Participants in the feasibility study received a text message intervention related to diet and exercise over a two-week time frame. The mixed methods research indicated that a clinical research study able to achieve statistical significance is warranted on the topic. All participants viewed the one- and two-way text messaging intervention favorably with few drawbacks. Participants reported making better dietary decisions and becoming more active because of the text message intervention. Participants shared their desire for a long-term one- and two-way text messaging diabetes self-management program. However, as a feasibility study generalizability is limited due to the small non-representative sample size.
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Nursing,
Afro-Caribbeans,
Diabetes,
Diabetes Self-Management,
Text Message Intervention,
U.S. Virgin Islands
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140 pages
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