Table 1 Intervention components
Physician and staff education model for all intervention groups | ||
|---|---|---|
GROUP 1 PAI + Texting | GROUP 2 Texting only | |
Baseline visit | Group visit • Office-GAP PAI • Way2Health Texting program • BP Check • Surveys and checklist use | Group visit • Way2Health Texting program Only • BP Check • Complete Surveys |
PAI (group 1) | • Baseline evaluation and patients complete all study questionnaires • Introduction to CVD/DM and lifestyle changes • Discussion of benefits of using each cardiac/diabetes medication • Discussion of goal setting, shared decision-making, and patient engagement • Review of patients’ medications and completion of the Office-GAP agreement • Review of ACP Booklet Living with Diabetes & Medication Adherence video • Pre and post evaluation of the group visit | |
Texting (Care4Life) (groups 1 and 2) | • Medication Adherence Intervention: Way2Health sends educational messages and quizzes on medication and adherence User responds to quiz • DM Self-Management Way2Health sends educational messages and quizzes on DM self-management User responds to quiz • Blood Sugar Control Intervention Way2Health sends educational messages about healthy blood sugar Way2Health sends blood sugar testing reminders User enters blood sugar readings and receives feedback on goals • Blood Pressure Control Intervention Way2Health sends educational messages about healthy BP Way2Health sends reminders to check and record BP User enters BP readings and receives feedback on goals • Appointment Attendance Intervention Way2Health sends appointment reminders User confirms appointment or reschedules | |
6 and 12 months | -PAI Decision checklist -BP Check -Review of texting use - Surveys and exit interviews | -BP Check - Review of Texting use -Follow-up surveys -Exit Interviews |