Improving Medication Adherence Among Underserved Patients With Type 2 Diabetes

Improving Medication Adherence Among Underserved Patients With Type 2 Diabetes

This study evaluates a mobile phone-delivered intervention, called REACH (Rapid Education/Encouragement And Communications for Health), in supporting adults with type 2 diabetes in their self-management relative to a control group. The goal of this study is to determine if individually tailored content (based on the Information-Motivation-Behavioral Skills Model) delivered to the participant via text messages can improve the participant's glycemic control and adherence to diabetes medications. We will test whether our intervention improves adherence-related information, motivation, and behavioral skills and whether improving these mechanisms drives improvements in adherence and, in turn, glycemic control.

Inclusion Criteria:

• Adults aged 18 years and older
• Individuals who have received a diagnosis for type 2 diabetes mellitus
• Enrolled as a patient at a participating community health center
• Individuals currently being treated with oral and/or injectable diabetes medications

Exclusion Criteria:

• Non-English speakers
• Individuals who report they do not have a cell phone
• Individuals unwilling and/or not able to provide written informed consent
• Individuals with unintelligible speech (e.g., dysarthria)
• Individuals with a severe hearing or visual impairment
• Individuals who report a caregiver administers their diabetes medications Individuals who fail the cognitive screener administered during the baseline survey
• Individuals who cannot receive, read, and respond to a text after instruction from a trained research assistant
• Individuals whose most recent (within 12 months) HbA1c value was 6.8% or greater