Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study

Autores
Moyano, Daniela Luz; Morelli, Daniela; Santero, Marilina; Belizan, Maria; Irazola, Vilma; Beratarrechea, Andrea Gabriela
Año de publicación
2019
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Engagement in self-care behaviors that are essential to optimize diabetes care is challenging for many patients with diabetes. mHealth interventions have been shown to be effective in improving health care outcomes in diabetes. However, more research is needed on patient perceptions to support these interventions, especially in resource settings in low- and middle-income countries. Objective: The goal of the research was to explore perceptions and acceptability of a short message service (SMS) text messaging intervention for diabetes care in underserved people with diabetes in Argentina. Methods: A qualitative exploratory methodology was adopted as part of the evaluation of a program to strengthen diabetes services in primary care clinics located in low-resource settings. The diabetes program included a text messaging intervention for people with diabetes. A total of 24 semistructured telephone interviews were conducted with people with diabetes. Results: Twenty-four middle-aged persons with diabetes were interviewed. Acceptability was considered adequate in terms of its actual use, frequency, and the role of texts as a reminder. We found that text messages could be a mediating device in the patient's learning processes. Also, being exposed to the texts seemed to help bring about changes in risk perception and care practices and to function as psychosocial support. Another relevant finding was the role of text messaging as a potential facilitator in diabetes care. In this sense, we observed a strong association between receiving text messages and having a better patient-physician relationship. Additionally, social barriers that affect diabetes care such as socioeconomic and psychosocial vulnerability were identified. Conclusions: Our findings show positive contributions of a text messaging intervention for the care of people with diabetes. We consider that an SMS strategy has potential to be replicated in other contexts. However, further studies are needed to explore its sustainability and long-term impact from the perspective of patients.
Fil: Moyano, Daniela Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Morelli, Daniela. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Santero, Marilina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Belizan, Maria. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Beratarrechea, Andrea Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Materia
DIABETES MELLITUS
MOBILE PHONES
PUBLIC HEALTH
QUALITATIVE RESEARCH
SHORT MESSAGE SERVICE
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/148150
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/148150
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory studyMoyano, Daniela LuzMorelli, DanielaSantero, MarilinaBelizan, MariaIrazola, VilmaBeratarrechea, Andrea GabrielaDIABETES MELLITUSMOBILE PHONESPUBLIC HEALTHQUALITATIVE RESEARCHSHORT MESSAGE SERVICEhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Engagement in self-care behaviors that are essential to optimize diabetes care is challenging for many patients with diabetes. mHealth interventions have been shown to be effective in improving health care outcomes in diabetes. However, more research is needed on patient perceptions to support these interventions, especially in resource settings in low- and middle-income countries. Objective: The goal of the research was to explore perceptions and acceptability of a short message service (SMS) text messaging intervention for diabetes care in underserved people with diabetes in Argentina. Methods: A qualitative exploratory methodology was adopted as part of the evaluation of a program to strengthen diabetes services in primary care clinics located in low-resource settings. The diabetes program included a text messaging intervention for people with diabetes. A total of 24 semistructured telephone interviews were conducted with people with diabetes. Results: Twenty-four middle-aged persons with diabetes were interviewed. Acceptability was considered adequate in terms of its actual use, frequency, and the role of texts as a reminder. We found that text messages could be a mediating device in the patient's learning processes. Also, being exposed to the texts seemed to help bring about changes in risk perception and care practices and to function as psychosocial support. Another relevant finding was the role of text messaging as a potential facilitator in diabetes care. In this sense, we observed a strong association between receiving text messages and having a better patient-physician relationship. Additionally, social barriers that affect diabetes care such as socioeconomic and psychosocial vulnerability were identified. Conclusions: Our findings show positive contributions of a text messaging intervention for the care of people with diabetes. We consider that an SMS strategy has potential to be replicated in other contexts. However, further studies are needed to explore its sustainability and long-term impact from the perspective of patients.Fil: Moyano, Daniela Luz. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Morelli, Daniela. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Santero, Marilina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Belizan, Maria. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Beratarrechea, Andrea Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaJMIR Publications2019-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/148150Moyano, Daniela Luz; Morelli, Daniela; Santero, Marilina; Belizan, Maria; Irazola, Vilma; et al.; Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study; JMIR Publications; JMIR Diabetes; 4; 1; 3-2019; 1-92371-4379CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/http://diabetes.jmir.org/2019/1/e10350/info:eu-repo/semantics/altIdentifier/doi/10.2196/10350info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:53:46Zoai:ri.conicet.gov.ar:11336/148150instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:53:46.28CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study
title Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study
spellingShingle Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study
Moyano, Daniela Luz
DIABETES MELLITUS
MOBILE PHONES
PUBLIC HEALTH
QUALITATIVE RESEARCH
SHORT MESSAGE SERVICE
title_short Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study
title_full Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study
title_fullStr Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study
title_full_unstemmed Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study
title_sort Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study
dc.creator.none.fl_str_mv Moyano, Daniela Luz
Morelli, Daniela
Santero, Marilina
Belizan, Maria
Irazola, Vilma
Beratarrechea, Andrea Gabriela
author Moyano, Daniela Luz
author_facet Moyano, Daniela Luz
Morelli, Daniela
Santero, Marilina
Belizan, Maria
Irazola, Vilma
Beratarrechea, Andrea Gabriela
author_role author
author2 Morelli, Daniela
Santero, Marilina
Belizan, Maria
Irazola, Vilma
Beratarrechea, Andrea Gabriela
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv DIABETES MELLITUS
MOBILE PHONES
PUBLIC HEALTH
QUALITATIVE RESEARCH
SHORT MESSAGE SERVICE
topic DIABETES MELLITUS
MOBILE PHONES
PUBLIC HEALTH
QUALITATIVE RESEARCH
SHORT MESSAGE SERVICE
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Engagement in self-care behaviors that are essential to optimize diabetes care is challenging for many patients with diabetes. mHealth interventions have been shown to be effective in improving health care outcomes in diabetes. However, more research is needed on patient perceptions to support these interventions, especially in resource settings in low- and middle-income countries. Objective: The goal of the research was to explore perceptions and acceptability of a short message service (SMS) text messaging intervention for diabetes care in underserved people with diabetes in Argentina. Methods: A qualitative exploratory methodology was adopted as part of the evaluation of a program to strengthen diabetes services in primary care clinics located in low-resource settings. The diabetes program included a text messaging intervention for people with diabetes. A total of 24 semistructured telephone interviews were conducted with people with diabetes. Results: Twenty-four middle-aged persons with diabetes were interviewed. Acceptability was considered adequate in terms of its actual use, frequency, and the role of texts as a reminder. We found that text messages could be a mediating device in the patient's learning processes. Also, being exposed to the texts seemed to help bring about changes in risk perception and care practices and to function as psychosocial support. Another relevant finding was the role of text messaging as a potential facilitator in diabetes care. In this sense, we observed a strong association between receiving text messages and having a better patient-physician relationship. Additionally, social barriers that affect diabetes care such as socioeconomic and psychosocial vulnerability were identified. Conclusions: Our findings show positive contributions of a text messaging intervention for the care of people with diabetes. We consider that an SMS strategy has potential to be replicated in other contexts. However, further studies are needed to explore its sustainability and long-term impact from the perspective of patients.
Fil: Moyano, Daniela Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Morelli, Daniela. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Santero, Marilina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Belizan, Maria. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Beratarrechea, Andrea Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
description Background: Engagement in self-care behaviors that are essential to optimize diabetes care is challenging for many patients with diabetes. mHealth interventions have been shown to be effective in improving health care outcomes in diabetes. However, more research is needed on patient perceptions to support these interventions, especially in resource settings in low- and middle-income countries. Objective: The goal of the research was to explore perceptions and acceptability of a short message service (SMS) text messaging intervention for diabetes care in underserved people with diabetes in Argentina. Methods: A qualitative exploratory methodology was adopted as part of the evaluation of a program to strengthen diabetes services in primary care clinics located in low-resource settings. The diabetes program included a text messaging intervention for people with diabetes. A total of 24 semistructured telephone interviews were conducted with people with diabetes. Results: Twenty-four middle-aged persons with diabetes were interviewed. Acceptability was considered adequate in terms of its actual use, frequency, and the role of texts as a reminder. We found that text messages could be a mediating device in the patient's learning processes. Also, being exposed to the texts seemed to help bring about changes in risk perception and care practices and to function as psychosocial support. Another relevant finding was the role of text messaging as a potential facilitator in diabetes care. In this sense, we observed a strong association between receiving text messages and having a better patient-physician relationship. Additionally, social barriers that affect diabetes care such as socioeconomic and psychosocial vulnerability were identified. Conclusions: Our findings show positive contributions of a text messaging intervention for the care of people with diabetes. We consider that an SMS strategy has potential to be replicated in other contexts. However, further studies are needed to explore its sustainability and long-term impact from the perspective of patients.
publishDate 2019
dc.date.none.fl_str_mv 2019-03
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/148150
Moyano, Daniela Luz; Morelli, Daniela; Santero, Marilina; Belizan, Maria; Irazola, Vilma; et al.; Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study; JMIR Publications; JMIR Diabetes; 4; 1; 3-2019; 1-9
2371-4379
CONICET Digital
CONICET
url http://hdl.handle.net/11336/148150
identifier_str_mv Moyano, Daniela Luz; Morelli, Daniela; Santero, Marilina; Belizan, Maria; Irazola, Vilma; et al.; Perceptions and acceptability of text messaging for diabetes care in primary care in Argentina: Exploratory study; JMIR Publications; JMIR Diabetes; 4; 1; 3-2019; 1-9
2371-4379
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://diabetes.jmir.org/2019/1/e10350/
info:eu-repo/semantics/altIdentifier/doi/10.2196/10350
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv JMIR Publications
publisher.none.fl_str_mv JMIR Publications
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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