REACH-Es: Adapting a Digital Health Tool to Improve Diabetes Medication Adherence Among Latino Adults
Latino individuals, the fastest growing ethnic minority population in the United States, have a higher prevalence of type 2 diabetes and diabetes-related complications, and are more likely to report inconsistent use of diabetes medications than non-Hispanic White individuals. The proposed project will test an interactive text message-based tool tailored to address barriers to taking diabetes medications that are relevant to Latino adults. If found feasible, acceptable, and usable, this intervention could serve as a scalable tool to improve diabetes management and reduce diabetes-related complications among Latino adults in the United States.
• Type 2 diabetes mellitus
• Have current or prior (since 2018) HbA1c ≥8.0%
• Take at least one diabetes medication
• Receive care at MGH- affiliated primary care practices (≥2 visits in the past 3 years)
• ≥18 yrs
• Identify as Latino and/or Hispanic
• Speak and read in Spanish as preferred language
• Willing and able to provide informed consent
• Access to a mobile telephone with text messaging capability
• Suboptimal diabetes medication adherence, assessed using the first 2 items in the Adherence to Refill and Medication Scale (ARMS-d) questionnaire combined: How frequently do you forget or decide to not take your diabetes medications? Participants who answer sometimes, almost always, and/or always will be considered eligible for the study.