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 5
Coaching Assessment data evaluating FAMS protocol success.
Goal setting
Was the patient able to set a SMART goal?
47%: yes, independently
32%: yes, with help from the coach
21%: no, needed the coach to set a goal for them
What type of goal was set?
53%: diet (e.g., decrease to one 12-ounce soda, eat 3 servings of vegetables)
47%: exercise (e.g., walk 15 min or until feet hurt, lift canned goods as weights for 10 min)
Discussing helpful & harmful family actions
Could the patient identify helpful family actions he/she had experienced?
74%: yes, independently
16%: yes, with help from the coach
10%: no
Could the patient identify harmful family actions he/she had experienced?
42%: yes, independently
16%: yes, with help from the coach
42%: no
Skill building
84% engaged in the skill building exercise (percentages below reflect the 16 participants who completed skill building)
Desired change used for skill building:
86%: wanted helpful action (e.g., choose healthy places to eat out, cook meals with me, exercise with me, do accountability calls or texts)
13%: unwanted harmful action (e.g., stop bringing unhealthy food to my house, stop bringing food over after dinner time)
68% were able to role play or teach back the skills learned
Was there any portion of the coaching protocol the patient did not “buy into”?
21% () did not accept a connection between health goal and loved ones’ actions
5% () tried assertive communication with his wife with no results—the assertive communication skill was not a good fit
5% () has good support and lacks personal motivation
5% () didn’t accept idea that family could be harmful to diabetes self-care
Verbal contract
79% made a verbal contract to implement the skill with an identified family member
Participants’ confidence he/she can complete the verbal contract on scale 1–10 (How confident are you that you can use assertive communication to ask your sister to walk with you?)
1 – 6% (not at all confident)
8 – 18%
10 – 53% (totally confident)
7 – 12%
9 – 12%
Participants’ confidence in success on scale 1–10 (How confident are you that doing so will result in your sister walking with you?)
