Research Article

The Design, Usability, and Feasibility of a Family-Focused Diabetes Self-Care Support mHealth Intervention for Diverse, Low-Income Adults with Type 2 Diabetes

Table 3

Participant feedback on FAMS.

Phone coaching

I would have never set a goal [without the coaching]. I would just, you know - just took it day-by-day, not really set a goal. (PP, 57-year-old AA female)

Well, it gave me incentive to try to cut down - my goal was to cut down on my colas. And you gave me incentive to do that, but you also left me some leeway, you know, where I could still maybe have one a day, you know. But you gave me some wiggle room instead of just saying, “Stop it.” You know, it was almost like a detox, a gradual detox from cola. (PP, 60-year-old Caucasian male)

It made me be more honest about my health issues to my fiancé. (PP, 46-year-old Caucasian female)

Well, it made me want to tell [my family] more about [my diabetes]. And then it makes them want to be more interested, you know, in what I have to say. If they come to realize how important, you know, diabetes is. (PP, 55-year-old AA female)

Patient participant text message support

I liked reading them. They were short, so it was not like I spent a lot of time reading them…It felt like I had a little bit of support that normally you just don’t have. You had backup that you just normally - like I say, I have nobody, and it felt like I’d come to have somebody there for a while. (PP, 36-year-old Hispanic female)

Well, when I get a text from the program - then people are like, “Who’s that?” I’m like, “Oh, it’s the study I’m doing for my diabetes.” And they’re like, “Oh. Well, what does it do?” You know, so, it opens a conversation for some people, you know, that I wouldn’t have told probably. (PP, 50-year-old male, race unknown)

And it wasn’t real intrusive. Just a gentle reminder, “Hey,” you know, a text popped up. And just addressed some different things I might possibly be going through. And, you know, it was perfect. (PP 58-year-old Caucasian male)

Support person text messages

I think it was fun. I mean, I kind of looked forward to getting to see what it was going to be the next time, you know? [I would think], “Well, it’s going to come through here in a minute.” You know, because it gave me an idea of what to - kind of get it in my head, you know, what I need to ask him for that evening, you know, just to throw it out there. I usually try to call him on my way home, and we discuss things. And that just kind of gives me an idea of something to actually throw out there, you know, and get his input on it. And he was always very open and honest and told me… I enjoyed the text messages. (SP, ex-wife)

Interviewer: Did you discuss any of the text messages with [the PP]?
Every last one of them. (SP, husband)

It made us talk when I got a text and she got a text…She gets her text. I get my text, we sit and discuss them when we both get them. Because I get mine early in the morning, and she gets hers at night. It reminds [family members] of what they’re not doing, or it brings it up so me and her can talk about it. (SP, boyfriend)

Overall opinions and experiences

It reminds her that somebody actually cares about what she’s doing, what’s going on with her and her health. (SP; fiancé)

It was a really good goal for me. And to do it, it’s been wonderful. [My husband] and I have been doing stuff more together. And I’ve been getting more exercise because of it. And, you know, it’s had the benefit of we’re more tired by the end of the day. (PP, 61-year-old Caucasian female)

AA, African American; PP, patient participant; and SP, support person.