George Washington University
This mixed method study includes a Randomized Controlled Trial (RCT) and qualitative methods to assess the impact of a SMS text strategy in diabetes control among persons who experience homelessness.
Diabetes mellitus (DM) is common among persons experiencing homelessness (PEH), often inadequately managed, and carries significant costs. SMS strategies for DM have not been tested among PEH despite the accessibility of mobile phones. This study uses a SMS strategy to offer better communication, education, and information management; improve outreach; facilitate care coordination; explore barriers to care; and support behavior changes. This mixed-methods (RCT and qualitative) study will be implemented in shelter-clinics in New York City in collaboration with community organizations, allowing…
Inclusion Criteria: * Homeless person age ≥ 21 * Diagnosed with type 2 DM * Most recent visit HbA1c ≥ 8% * English/Spanish speaking * Connected to study sites' shelter-clinics for care Exclusion Criteria: * Pregnant or within 3 months postpartum * Has an uncontrolled severe illness * Has had a heart attack or stroke in the previous 6 months * Inability to read/respond to texts * Inability to provide informed consent * Receiving inpatient care for severe substance abuse
6 months of diabetes management support via SMS texts including reminders for medication adherence, appointments, and diabetes self-care activities as well as education, and support
6 months of texts for general health promotion
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