Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team
Background. The feasibility of digital health programs to prevent and manage diabetes in low-income patients has not been adequately explored. Methods. Researchers collaborated with a digital health company to adapt a diabetes prevention program for low-income prediabetes patients at a large safety...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2016/8472391 |
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| author | Valy Fontil Kelly McDermott Lina Tieu Christina Rios Eliza Gibson Cynthia Castro Sweet Mike Payne Courtney R. Lyles |
| author_facet | Valy Fontil Kelly McDermott Lina Tieu Christina Rios Eliza Gibson Cynthia Castro Sweet Mike Payne Courtney R. Lyles |
| author_sort | Valy Fontil |
| collection | DOAJ |
| description | Background. The feasibility of digital health programs to prevent and manage diabetes in low-income patients has not been adequately explored. Methods. Researchers collaborated with a digital health company to adapt a diabetes prevention program for low-income prediabetes patients at a large safety net clinic. We conducted focus groups to assess patient perspectives, revised lessons for improved readability and cultural relevance to low-income and Hispanic patients, conducted a feasibility study of the adapted program in English and Spanish speaking cohorts, and implemented real-time adaptations to the program for commercial use and for a larger trial of in multiple safety net clinics. Results. The majority of focus group participants were receptive to the program. We modified the curriculum to a 5th-grade reading level and adapted content based on patient feedback. In the feasibility study, 54% of eligible contacted patients expressed interest in enrolling (n=23). Although some participants’ computer access and literacy made registration challenging, they were highly satisfied and engaged (80% logged in at least once/week). Conclusions. Underserved prediabetic patients displayed high engagement and satisfaction with a digital diabetes prevention program despite lower digital literacy skills. The collaboration between researchers and a digital health company enabled iterative improvements in technology implementation to address challenges in low-income populations. |
| format | Article |
| id | doaj-art-303752d5b86e4ebbbceb39607f00cdea |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-303752d5b86e4ebbbceb39607f00cdea2025-02-03T01:07:48ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/84723918472391Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research TeamValy Fontil0Kelly McDermott1Lina Tieu2Christina Rios3Eliza Gibson4Cynthia Castro Sweet5Mike Payne6Courtney R. Lyles7Division of General Internal Medicine, University of California, San Francisco (UCSF) at Zuckerberg San Francisco General Hospital and Trauma Center, P.O. Box 1364, San Francisco, CA 94143, USAOmada Health, 500 Sansome St., Suite 200, San Francisco, CA 94111, USADivision of General Internal Medicine, University of California, San Francisco (UCSF) at Zuckerberg San Francisco General Hospital and Trauma Center, P.O. Box 1364, San Francisco, CA 94143, USADivision of General Internal Medicine, University of California, San Francisco (UCSF) at Zuckerberg San Francisco General Hospital and Trauma Center, P.O. Box 1364, San Francisco, CA 94143, USAOmada Health, 500 Sansome St., Suite 200, San Francisco, CA 94111, USAOmada Health, 500 Sansome St., Suite 200, San Francisco, CA 94111, USAOmada Health, 500 Sansome St., Suite 200, San Francisco, CA 94111, USADivision of General Internal Medicine, University of California, San Francisco (UCSF) at Zuckerberg San Francisco General Hospital and Trauma Center, P.O. Box 1364, San Francisco, CA 94143, USABackground. The feasibility of digital health programs to prevent and manage diabetes in low-income patients has not been adequately explored. Methods. Researchers collaborated with a digital health company to adapt a diabetes prevention program for low-income prediabetes patients at a large safety net clinic. We conducted focus groups to assess patient perspectives, revised lessons for improved readability and cultural relevance to low-income and Hispanic patients, conducted a feasibility study of the adapted program in English and Spanish speaking cohorts, and implemented real-time adaptations to the program for commercial use and for a larger trial of in multiple safety net clinics. Results. The majority of focus group participants were receptive to the program. We modified the curriculum to a 5th-grade reading level and adapted content based on patient feedback. In the feasibility study, 54% of eligible contacted patients expressed interest in enrolling (n=23). Although some participants’ computer access and literacy made registration challenging, they were highly satisfied and engaged (80% logged in at least once/week). Conclusions. Underserved prediabetic patients displayed high engagement and satisfaction with a digital diabetes prevention program despite lower digital literacy skills. The collaboration between researchers and a digital health company enabled iterative improvements in technology implementation to address challenges in low-income populations.http://dx.doi.org/10.1155/2016/8472391 |
| spellingShingle | Valy Fontil Kelly McDermott Lina Tieu Christina Rios Eliza Gibson Cynthia Castro Sweet Mike Payne Courtney R. Lyles Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team Journal of Diabetes Research |
| title | Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team |
| title_full | Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team |
| title_fullStr | Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team |
| title_full_unstemmed | Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team |
| title_short | Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team |
| title_sort | adaptation and feasibility study of a digital health program to prevent diabetes among low income patients results from a partnership between a digital health company and an academic research team |
| url | http://dx.doi.org/10.1155/2016/8472391 |
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