%0 Journal Article
%@ 2371-4379
%I JMIR Publications
%V 5
%N 3
%P e17794
%T Evaluation of a Text Messaging Intervention to Support Self-Management of Diabetes During Pregnancy Among Low-Income, Minority Women: Qualitative Study
%A Yee,Lynn
%A Taylor,Shaneah
%A Young,Maria
%A Williams,Makayla
%A Niznik,Charlotte
%A Simon,Melissa
%+ Northwestern University, 250 E Superior Street, #5-2145, Chicago, IL, 60611, United States, 1 3124724685, lynn.yee@northwestern.edu
%K gestational diabetes mellitus
%K type 2 diabetes mellitus
%K mobile health
%K text messaging
%K mobile phone
%K pregnancy
%D 2020
%7 10.8.2020
%9 Original Paper
%J JMIR Diabetes
%G English
%X Background: Given the growing burden of diabetes in underserved communities and the complexity of diabetes self-management during pregnancy, the development of interventions to support low-income pregnant women with diabetes is urgently needed. Objective: This study aims to develop and pilot test a theory-driven curriculum of SMS text messaging for diabetes support and education during pregnancy. Methods: This was a prospective pilot investigation of a novel SMS text messaging intervention offered to pregnant women with pregestational or gestational diabetes mellitus and publicly funded prenatal care. Prior work yielded a conceptual model of diabetes self-management barriers and support factors in this population, which was used to guide curriculum development along with health behavior theories. Participants received three supportive or educational one-way text messages per week during pregnancy. In-depth semistructured interviews were performed at study exit to solicit feedback on the program. Narrative data were analyzed using the constant comparative technique to identify themes and subthemes. Results: Participants (N=31 enrolled and n=26 completed both interviews) consistently reported that SMS text messaging provided enhanced motivation for diabetes self-care, reduced diabetes-related social isolation, increased perceived diabetes-associated knowledge, enhanced comfort with the health care team, and reduced logistical burdens of diabetes during pregnancy. Participants requested enhanced interactive and customizable features in future intervention iterations. Conclusions: Pregnant women with diabetes who were enrolled in this pilot study of an SMS text messaging curriculum for diabetes support described enhanced motivation, knowledge, and comfort with diabetes self-care activities as a result of the health education intervention. The next steps include enriching the interactive features of the intervention and investigating the effect of the intervention on perinatal outcomes. 
%M 32773367
%R 10.2196/17794
%U http://diabetes.jmir.org/2020/3/e17794/
%U https://doi.org/10.2196/17794
%U http://www.ncbi.nlm.nih.gov/pubmed/32773367