PURPOSE: We pilot-tested a text message-based @entity6 care program in an urban African-American population in which automated text messages were sent to @entity1 with personalized medication, foot care, and appointment reminders and text messages were received from @entity1 on adherence. METHODS: Eighteen @entity1 participated in a 4-week pilot study. Baseline surveys collected data about demographics, historical cell phone usage, and adherence to core @entity6 care measures. Exit interview surveys (using close-coded and open-ended questions) were administered to @entity1 at the end of the program. A 1-month follow-up interview was conducted surveying @entity1 on perceived self-efficacy. Wilcoxon signed-rank tests were used to compare baseline survey responses about self-management activities to those at the pilot's end and at 1-month follow-up. RESULTS: Eighteen urban African-American @entity1 completed the pilot study. The average age was 55 and the average number of years with @entity6 was 8. Half the @entity1 were initially uncomfortable with text messaging. Example messages include "Did you take your @entity6 medications today" and "How many times did you check your feet for wounds this week?" @entity1 averaged 220 text messages with the system, responded to messages 80% of the time, and on average responded within 6 minutes. @entity1 strongly agreed that text messaging was easy to perform and helped with @entity6 self-care. Missed medication doses decreased from 1.6 per week to 0.6 (p = .003). @entity1 confidence in @entity6 self-management was significantly increased during and 1 month after the pilot (p = .002, p = .008). CONCLUSIONS: Text messaging may be a feasible and useful approach to improve @entity6 self-management in urban African Americans.

Feasibility and usability of a text message-based program for XXXX self-management in an urban African-American population.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'Participants', 'Patient'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes']
@entity6 :: (MESH:D003920,Disease) :: ['diabetes']
