Impact of a community‐based approach to patient engagement in rural, low‐income adults with type 2 diabetes

Abstract Objective Mobile health (mHealth) interventions may improve diabetes outcomes, but require engagement. Little is known about what factors impede engagement, so the authors examined the relationship between patient factors and engagement in an mHealth medication adherence promotion intervention for low-income adults with type 2 diabetes (T2DM). Materials and Methods Eighty patients with T2DM participated in a 3-month mHealth intervention called MEssaging for Diabetes that leveraged a mobile communications platform. Participants received daily text messages addressing and assessing medication adherence, and weekly interactive automated calls with adherence feedback and questions for problem solving. Longitudinal repeated measures analyses assessed the relationship between participants’ baseline characteristics and the probability of engaging with texts and calls. Results On average, participants responded to 84.0% of texts and participated in 57.1% of calls. Compared to Whites, non-Whites had a 63% decreased relative odds (adjusted odds ratio [AOR] = 0.37, 95% confidence interval [CI], 0.19-0.73) of participating in calls. In addition, lower health literacy was associated with a decreased odds of participating in calls (AOR = 0.67, 95% CI, 0.46-0.99, P = .04), whereas older age ( Pnonlinear = .01) and more depressive symptoms (AOR = 0.62, 95% CI, 0.38-1.02, P = .059) trended toward a decreased odds of responding to texts. Conclusions Racial/ethnic minorities, older adults, and persons with lower health literacy or more depressive symptoms appeared to be the least engaged in a mHealth intervention. To facilitate equitable intervention impact, future research should identify and address factors interfering with mHealth engagement.

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Effectiveness of an intensive community-based intervention for people with type 2 diabetes in Indonesia: a pilot study

Diabetes Research and Clinical Practice ◽

10.1016/j.diabres.2021.109087 ◽

2021 ◽

pp. 109087

Author(s):

Anna Wahyuni Widayanti ◽

Susan Heydon ◽

James A. Green ◽

Pauline Norris

Keyword(s):

Type 2 Diabetes ◽

Pilot Study ◽

Community Based

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Primary care-public health linkages: Older primary care patients with prediabetes & type 2 diabetes encouraged to attend community-based senior centers

Preventive Medicine Reports ◽

10.1016/j.pmedr.2016.06.023 ◽

2016 ◽

Vol 4 ◽

pp. 283-288 ◽

Cited By ~ 1

Author(s):

Polly H. Noël ◽

Michael L. Parchman ◽

Erin P. Finley ◽

Chen-Pin Wang ◽

Mary Bollinger ◽

...

Keyword(s):

Public Health ◽

Type 2 Diabetes ◽

Primary Care ◽

Community Based ◽

Senior Centers ◽

Primary Care Patients

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Sugar Sweetened Beverages Intake and Risk of Non-Communicable Chronic Diseases in Longitudinal Studies: A Systematic Review and Meta-Analysis with 1.5 Million Individuals

10.21203/rs.3.rs-950662/v1 ◽

2021 ◽

Author(s):

Leonardo Pozza Santos ◽

Denise Petrucci Gigante ◽

Felipe Mendes Delpino ◽

Ana Paula Maciel ◽

Renata Moraes Bielemann

Keyword(s):

Systematic Review ◽

Type 2 Diabetes ◽

Coronary Heart Disease ◽

Heart Disease ◽

Longitudinal Studies ◽

Low Income ◽

Meta Analysis ◽

Sugar Sweetened Beverages ◽

Sweetened Beverages

Abstract This study aimed to examine longitudinal associations between sugar-sweetened beverages (SSB) intake and type 2 diabetes, obesity, coronary heart disease and stroke in adults. We performed a systematic review and meta-analysis searching for articles in the Pubmed, Lilacs, Web of Science, Cochrane, Embase, and Scopus databases. After screening of titles and abstracts, 27 longitudinal studies were included for the narrative synthesis with all of them presenting medium or high methodological quality. None of the selected studies were from low-income countries and only three were conducted in middle-income countries. Type 2 diabetes was the most investigated disease – outcome in 15 out of 27 studies. Around 80% of the studies enrolled more than 10,000 individuals in the sample, and almost half of them followed the subjects for less than 10 years. A total of 1.5 million individuals were included in the pooled analyses, and results indicated that SSB intake increased the risk of type 2 diabetes (RR = 1.20; 95%C.I. 1.13 – 1.28), obesity (RR = 1.17; 95%C.I. 1.10 – 1.25), coronary heart disease (RR = 1.15; 95%C.I. 1.06 – 1.25), and stroke (RR = 1.10; 95%C.I. 1.01 – 1.19) in adults after adjustment for all potential confounders. Our systematic review and meta-analysis demonstrated that consumption of SSB intake appears to increase the risk non-communicable chronic disease, being the strongest evidence for type 2 diabetes. Actions are needed to be taken to reduce the SSB intake and its consequences worldwide.

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