Type II Diabetes Mellitus Clinical Trial
Official title:
The Impact of a Motivational Interviewing (MI) Informed Text Messaging (SMS) Program Tailored to Level of Patient Activation on Glycemic Control in a Population of Poorly Controlled Diabetic Patients.
Despite advances in medical therapy for diabetes, significant numbers of patients fail to
achieve adequate blood glucose control. Diabetic patients who engage in more self-care
behaviors have better glycemic control, as measured by HbA1C. Patient "activation", defined
as the knowledge, skills, beliefs, and behaviors to manage a chronic disease, is key to the
performance of these self-care behaviors.
There is a growing literature on diabetes behavioral change interventions; however
interventions are often developed and implemented without consideration of patients readiness
to engage in lifestyle changes. Additionally, patient-tailored interventions require
intensive clinical and financial resources, making them difficult to integrate into clinical
practice. Mobile text messaging (SMS) programs have been successfully used to promote smoking
cessation, alcohol cessation, and weight loss in diverse patient populations. SMS
interventions for diabetes have also been developed, but they have been designed primarily to
provide feedback on blood glucose management, rather than to motivate behavioral change. The
few studies that included motivational content as a primary feature, did not tailor their
intervention to a patient's readiness for change or rigorously describe their motivational
intervention, and show limited efficacy.
To address these concerns, we will perform a three-month randomized controlled pilot study to
develop and test a Motivational Interviewing (MI)-informed SMS intervention tailored to
patient level of activation for patients with poorly controlled type II diabetes.
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