Designing a Text Messaging Intervention to Improve Physical Activity Behavior Among Low-Income Latino Patients With Diabetes: A Discrete-Choice Experiment, Los Angeles, 2014–2015

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Ramirez, Magaly ; Wu, Shinyi ; Beale, Elizabeth
• Description:
  Introduction
  
  Automated text messaging can deliver self-management education to activate self-care behaviors among people with diabetes. We demonstrated how a discrete-choice experiment was used to determine the features of a text-messaging intervention that are important to urban, low-income Latino patients with diabetes and that could support improvement in their physical activity behavior.
  
  Methods
  
  In a discrete-choice experiment from December 2014 through August 2015 we conducted a survey to elicit information on patient preferences for 5 features of a text-messaging intervention. We described 2 hypothetical interventions and in 7 pairwise comparisons asked respondents to indicate which they preferred. Respondents (n = 125) were recruited in person from a diabetes management program of a safety-net ambulatory care clinic in Los Angeles; clinicians referred patients to the research assistant after routine clinic visits. Data were analyzed by using conditional logistic regression.
  
  Results
  
  We found 2 intervention features that were considered by the survey respondents to be important: 1) the frequency of text messaging and 2) physical activity behavior-change education (the former being more important than the latter). Physical activity goal setting, feedback on physical activity performance, and social support were not significantly important.
  
  Conclusion
  
  A discrete-choice experiment is a feasible way to elicit information on patient preferences for a text-messaging intervention designed to support behavior change. However, discrepancies may exist between patients’ stated preferences and their actual behavior. Future research should validate and expand our findings.
  
  
• Subjects:
  Adult Diabetes Mellitus Exercise Female Health Behavior Health Promotion Hispanic Or Latino Humans Logistic Models Male Middle Aged Patient Preference Poverty Safety-net Providers Self Care Social Support Text Messaging

  More +
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.160035
• ISSN:
  1545-1151
• Pubmed ID:
  28005532
• Pubmed Central ID:
  PMC5201152
• Document Type:
  Journal Article
• Place as Subject:
  Los Angeles, CA
• Volume:
  13
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:1ec9fe339265d1a7bf407b67b35f3e6acb7508f8a680d0ffa265d8ccd6708e9859a9f462b1000022bbc12b47dedd1049e9245a0b4ff3b722baa2f2abb22c2456
• Download URL:
  https://stacks.cdc.gov/view/cdc/43733/cdc_43733_DS1.pdf
• File Type:
  [PDF - 469.51 KB ]