Short messaging service (SMS) texting for uncontrolled diabetes among persons experiencing homelessness: Study protocol for a randomized trial

Asgary, Ramin; Beideck, Elena; Naderi, Rosanna; Schoenthaler, Antoinette

doi:10.1016/j.cct.2023.107149

Cited by 2 publications

(9 citation statements)

References 47 publications

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“…If there is an urgent matter, the RA and study coordinator will direct patients to clinic providers or the emergency room for assistance. We have already identified a technology company and phone service provider to provide the automated messaging and phone plan respectively in English and Spanish without charge to participants 51…”

Section: Methods and Analysismentioning

confidence: 99%

“…When there are no comorbidities, we define stage 2/uncontrolled HTN as ≥140/90<160/100, and ‘stage 3/very uncontrolled≥160/100’. Appointment attendance is collected via medical records as a ratio of the number of kept appointments to all appointments scheduled (0%–100%) 51 52…”

Section: Methods and Analysismentioning

confidence: 99%

“…We have already identified a technology company and phone service provider to provide the automated messaging and phone plan respectively in English and Spanish without charge to participants. 51 …”

Section: Methods and Analysismentioning

confidence: 99%

“…Duration of texting: Patients will receive SMS texts for both the INT and CL groups for a duration of 6 months to facilitate patient retention. 51 …”

Section: Methods and Analysismentioning

confidence: 99%

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SMS text intervention for uncontrolled hypertension among hypertensive homeless adults in shelter clinics of New York City: protocol for a pragmatic randomised trial study

Asgary,

Bauder,

Naderi

et al. 2023

BMJ Open

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IntroductionUncontrolled hypertension (HTN) is prevalent in persons experiencing homelessness (PEH) and contributes to significant suffering and financial cost. Mobile health approaches such as short messaging service (SMS) texting have led to better control of HTN in the general population. Despite the high utilisation of mobile phones by PEH, SMS texting to support HTN control has not been evaluated among this population. We hypothesise that an SMS testing programme will enhance health communication, information management, outreach and care coordination, and provide behavioural support to address some barriers to HTN management in PEH.Methods and analysisThis study will use a mixed-methods study design to address two objectives: First, it will evaluate, in a randomised controlled trial, the efficacy of a 6-month SMS texting strategy vs an attention control on blood pressure reduction and adherence to medications and clinical appointments in 120 adults PEH with uncontrolled HTN. Outcomes will be measured at 0, 2, 4 and 6 months. Second, it will assess patients’ and providers’ acceptability and experience of SMS texting using semistructured interviews with PEH (n=30) and providers (n=10). The study will be conducted in shelter clinics in New York City in collaboration with community organisations. The primary statistical analysis will be on an intention-to-treat basis. The trial results will be reported as comparative summary statistics (difference in response rate or means) with 95% CIs and in accordance with the Consolidated Standards of Reporting Trials (CONSORT). Interviews will be transcribed, coded and analysed using an inductive grounded theory analysis.Ethics and disseminationThis study has been approved by the Institutional Review Board (IRB) at George Washington University. Written consent will be obtained from participants. The findings will be disseminated in peer-reviewed journals.Trial registration numberNCT05187013.

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Section: Methods and Analysismentioning

confidence: 99%

Section: Methods and Analysismentioning

confidence: 99%

Section: Methods and Analysismentioning

confidence: 99%

“…Duration of texting: Patients will receive SMS texts for both the INT and CL groups for a duration of 6 months to facilitate patient retention. 51 …”

Section: Methods and Analysismentioning

confidence: 99%

See 2 more Smart Citations

SMS text intervention for uncontrolled hypertension among hypertensive homeless adults in shelter clinics of New York City: protocol for a pragmatic randomised trial study

Asgary,

Bauder,

Naderi

et al. 2023

BMJ Open

Self Cite

View full text Add to dashboard Cite

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“…The major focus of this body of research in the global West has been on various health-based interventions, ranging from drug abuse to mental health and even diabetes (Asgary et al, 2023; Karadzhov, 2023; Markowski et al, 2021). In a study conducted on homeless individuals in the United States, it was found that consistent access to smartphone technology and transportation empowered participants to meet the requirements for the attainment of social needs (Thurman et al, 2021).…”

Section: Dual Barriers To Mobile Phone Access: Gender and Homelessnessmentioning

confidence: 99%

Finding a home in or through mobile phones: Access and usage patterns among homeless women in shelter-homes of India

Chakraborty,

Garg

2023

Mobile Media & Communication

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With the number of mobile phone subscribers increasing across all sections of society, this paper aims to understand if homeless women in shelter-homes of India have access to mobile phones and, if so, what are their usage patterns. Facilitated by issues ranging from domestic violence to lack of employment to forced migration and even to human trafficking and rape, women residing in the shelter-homes of India have a myriad of stories to tell. Not all of them have been on streets forever and many have the basic literacy to understand how to use a mobile phone. For the purposes of the study, the researchers engaged with women above 18 years of age up to the age of 45 in a series of open-ended interviews to understand their access to mobile phones and contextualize their homelessness within an affordances-based framework for mobile phone access. This paper takes into account the dual barriers of gender and the lack of a home to study the digital divide experienced by homeless women in India, expanding on how both these factors shape their access and usage, eventually bridging the digital divide, and whether mobile phones are required/desired by the women themselves. The study found that the women staying in shelter-homes see a window of hope in their use of mobile phones in the form of an independent financial future or an independent marital life, but the biased perception of using a mobile phone among women hinders women’s access to and use of these devices, which ultimately results in the loss of any kind of opportunity before it has even been explored, perhaps leading to the loss of a chance at a bright future.

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Short messaging service (SMS) texting for uncontrolled diabetes among persons experiencing homelessness: Study protocol for a randomized trial

Cited by 2 publications

References 47 publications

SMS text intervention for uncontrolled hypertension among hypertensive homeless adults in shelter clinics of New York City: protocol for a pragmatic randomised trial study

SMS text intervention for uncontrolled hypertension among hypertensive homeless adults in shelter clinics of New York City: protocol for a pragmatic randomised trial study

Finding a home in or through mobile phones: Access and usage patterns among homeless women in shelter-homes of India

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