» Articles » PMID: 35409916

Perspectives and Views of Primary Care Professionals Regarding DiabeText, a New MHealth Intervention to Support Adherence to Antidiabetic Medication in Spain: A Qualitative Study

Abstract

Background: Antidiabetic medication is effective in preventing diabetes-related complications. However, 40% of type 2 diabetic patients do not adhere to their medication regimes adequately. Brief text messages represent a promising approach to support medication adherence. The aim of this study was to explore the perspectives of primary care professionals (PCPs) concerning the DiabeText intervention, a new text messaging intervention to be developed to support medication adherence in people with type 2 diabetes (T2D) in Mallorca, Spain.

Methods: We conducted four focus groups ( = 28) and eight semi-structured interviews with doctors and nurses. Data collection and analysis were carried out by researchers independently following Braun and Clark's methodology.

Results: Three main themes were identified: (1) text messaging interventions have the potential to effectively support diabetes self-management; (2) involving PCPs in the intervention would facilitate its design and implementation; (3) obtaining evidence supporting the cost-effectiveness is a key prerequisite for large-scale implementation of the intervention. PCPs identified barriers and enablers of the design and implementation of the intervention and made suggestions about the content and format of the text messages.

Conclusion: The DiabeText intervention is perceived as useful and acceptable by PCPs provided its cost-effectiveness.

Citing Articles

Impact of an SMS intervention to support type 2 diabetes self-management: DiabeText clinical trial.

Zamanillo-Campos R, Fiol-deRoque M, Serrano-Ripoll M, Llobera-Canaves J, Llobera J, Taltavull-Aparicio J Br J Gen Pract. 2024; .

PMID: 39362693 PMC: 11755587. DOI: 10.3399/BJGP.2024.0206.

References
1.
Ramachandran A, Snehalatha C, Ram J, Selvam S, Simon M, Nanditha A . Effectiveness of mobile phone messaging in prevention of type 2 diabetes by lifestyle modification in men in India: a prospective, parallel-group, randomised controlled trial. Lancet Diabetes Endocrinol. 2014; 1(3):191-8. DOI: 10.1016/S2213-8587(13)70067-6. View

2.
Zamanillo-Campos R, Serrano-Ripoll M, Taltavull-Aparicio J, Gervilla-Garcia E, Ripoll J, Fiol-deRoque M . Patients' Views on the Design of DiabeText, a New mHealth Intervention to Improve Adherence to Oral Antidiabetes Medication in Spain: A Qualitative Study. Int J Environ Res Public Health. 2022; 19(3). PMC: 8834698. DOI: 10.3390/ijerph19031902. View

3.
Bashi N, Hassanzadeh H, Varnfield M, Wee Y, Walters D, Karunanithi M . Multidisciplinary Smartphone-Based Interventions to Empower Patients With Acute Coronary Syndromes: Qualitative Study on Health Care Providers' Perspectives. JMIR Cardio. 2019; 2(2):e10183. PMC: 6834227. DOI: 10.2196/10183. View

4.
Walsh D, Moran K, Cornelissen V, Buys R, Cornelis N, Woods C . Electronic Health Physical Activity Behavior Change Intervention to Self-Manage Cardiovascular Disease: Qualitative Exploration of Patient and Health Professional Requirements. J Med Internet Res. 2018; 20(5):e163. PMC: 11340777. DOI: 10.2196/jmir.9181. View

5.
Jain S, Sui Y, Ng C, Chen Z, Goh L, Shorey S . Patients' and healthcare professionals' perspectives towards technology-assisted diabetes self-management education. A qualitative systematic review. PLoS One. 2020; 15(8):e0237647. PMC: 7430746. DOI: 10.1371/journal.pone.0237647. View