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

Rocío Zamanillo-Campos, Maria Jesús Serrano-Ripoll, Joana Maria Taltavull-Aparicio, Elena Gervilla-García, Joana Ripoll, Maria Antonia Fiol-deRoque, Anne-Marie Boylan and Ignacio Ricci-Cabello
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Rocío Zamanillo-Campos: Research Group in Primary Care and Promotion—Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma de Mallorca, Spain
Maria Jesús Serrano-Ripoll: Research Group in Primary Care and Promotion—Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma de Mallorca, Spain
Joana Maria Taltavull-Aparicio: Research Group in Primary Care and Promotion—Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma de Mallorca, Spain
Elena Gervilla-García: Psychology Department, University of the Balearic Islands (UIB), 07120 Palma de Mallorca, Spain
Joana Ripoll: Research Group in Primary Care and Promotion—Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma de Mallorca, Spain
Maria Antonia Fiol-deRoque: Research Group in Primary Care and Promotion—Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma de Mallorca, Spain
Anne-Marie Boylan: Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6GG, UK
Ignacio Ricci-Cabello: Research Group in Primary Care and Promotion—Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma de Mallorca, Spain

IJERPH, 2022, vol. 19, issue 7, 1-13

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 ( n = 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.

Keywords: type 2 diabetes; SMS; self-care; medication adherence; mobile health; eHealth; qualitative research (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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