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Secure Messaging for Diabetes Management: Content Analysis

BACKGROUND: Secure messaging use is associated with improved diabetes-related outcomes. However, it is less clear how secure messaging supports diabetes management. OBJECTIVE: We examined secure message topics between patients and clinical team members in a national sample of veterans with type 2 di...

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Autores principales: Robinson, Stephanie A, Zocchi, Mark, Purington, Carolyn, Am, Linda, DeLaughter, Kathryn, Vimalananda, Varsha G, Netherton, Dane, Ash, Arlene S, Hogan, Timothy P, Shimada, Stephanie L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10131591/
https://www.ncbi.nlm.nih.gov/pubmed/36951903
http://dx.doi.org/10.2196/40272
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author Robinson, Stephanie A
Zocchi, Mark
Purington, Carolyn
Am, Linda
DeLaughter, Kathryn
Vimalananda, Varsha G
Netherton, Dane
Ash, Arlene S
Hogan, Timothy P
Shimada, Stephanie L
author_facet Robinson, Stephanie A
Zocchi, Mark
Purington, Carolyn
Am, Linda
DeLaughter, Kathryn
Vimalananda, Varsha G
Netherton, Dane
Ash, Arlene S
Hogan, Timothy P
Shimada, Stephanie L
author_sort Robinson, Stephanie A
collection PubMed
description BACKGROUND: Secure messaging use is associated with improved diabetes-related outcomes. However, it is less clear how secure messaging supports diabetes management. OBJECTIVE: We examined secure message topics between patients and clinical team members in a national sample of veterans with type 2 diabetes to understand use of secure messaging for diabetes management and potential associations with glycemic control. METHODS: We surveyed and analyzed the content of secure messages between 448 US Veterans Health Administration patients with type 2 diabetes and their clinical teams. We also explored the relationship between secure messaging content and glycemic control. RESULTS: Explicit diabetes-related content was the most frequent topic (72.1% of participants), followed by blood pressure (31.7% of participants). Among diabetes-related conversations, 90.7% of patients discussed medication renewals or refills. More patients with good glycemic control engaged in 1 or more threads about blood pressure compared to those with poor control (37.5% vs 27.2%, P=.02). More patients with good glycemic control engaged in 1 more threads intended to share information with their clinical team about an aspect of their diabetes management compared to those with poor control (23.7% vs 12.4%, P=.009). CONCLUSIONS: There were few differences in secure messaging topics between patients in good versus poor glycemic control. Those in good control were more likely to engage in informational messages to their team and send messages related to blood pressure. It may be that the specific topic content of the secure messages may not be that important for glycemic control. Simply making it easier for patients to communicate with their clinical teams may be the driving influence between associations previously reported in the literature between secure messaging and positive clinical outcomes in diabetes.
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spelling pubmed-101315912023-04-27 Secure Messaging for Diabetes Management: Content Analysis Robinson, Stephanie A Zocchi, Mark Purington, Carolyn Am, Linda DeLaughter, Kathryn Vimalananda, Varsha G Netherton, Dane Ash, Arlene S Hogan, Timothy P Shimada, Stephanie L JMIR Diabetes Original Paper BACKGROUND: Secure messaging use is associated with improved diabetes-related outcomes. However, it is less clear how secure messaging supports diabetes management. OBJECTIVE: We examined secure message topics between patients and clinical team members in a national sample of veterans with type 2 diabetes to understand use of secure messaging for diabetes management and potential associations with glycemic control. METHODS: We surveyed and analyzed the content of secure messages between 448 US Veterans Health Administration patients with type 2 diabetes and their clinical teams. We also explored the relationship between secure messaging content and glycemic control. RESULTS: Explicit diabetes-related content was the most frequent topic (72.1% of participants), followed by blood pressure (31.7% of participants). Among diabetes-related conversations, 90.7% of patients discussed medication renewals or refills. More patients with good glycemic control engaged in 1 or more threads about blood pressure compared to those with poor control (37.5% vs 27.2%, P=.02). More patients with good glycemic control engaged in 1 more threads intended to share information with their clinical team about an aspect of their diabetes management compared to those with poor control (23.7% vs 12.4%, P=.009). CONCLUSIONS: There were few differences in secure messaging topics between patients in good versus poor glycemic control. Those in good control were more likely to engage in informational messages to their team and send messages related to blood pressure. It may be that the specific topic content of the secure messages may not be that important for glycemic control. Simply making it easier for patients to communicate with their clinical teams may be the driving influence between associations previously reported in the literature between secure messaging and positive clinical outcomes in diabetes. JMIR Publications 2023-03-23 /pmc/articles/PMC10131591/ /pubmed/36951903 http://dx.doi.org/10.2196/40272 Text en ©Stephanie A Robinson, Mark Zocchi, Carolyn Purington, Linda Am, Kathryn DeLaughter, Varsha G Vimalananda, Dane Netherton, Arlene S Ash, Timothy P Hogan, Stephanie L Shimada. Originally published in JMIR Diabetes (https://diabetes.jmir.org), 23.03.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Diabetes, is properly cited. The complete bibliographic information, a link to the original publication on https://diabetes.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
Robinson, Stephanie A
Zocchi, Mark
Purington, Carolyn
Am, Linda
DeLaughter, Kathryn
Vimalananda, Varsha G
Netherton, Dane
Ash, Arlene S
Hogan, Timothy P
Shimada, Stephanie L
Secure Messaging for Diabetes Management: Content Analysis
title Secure Messaging for Diabetes Management: Content Analysis
title_full Secure Messaging for Diabetes Management: Content Analysis
title_fullStr Secure Messaging for Diabetes Management: Content Analysis
title_full_unstemmed Secure Messaging for Diabetes Management: Content Analysis
title_short Secure Messaging for Diabetes Management: Content Analysis
title_sort secure messaging for diabetes management: content analysis
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10131591/
https://www.ncbi.nlm.nih.gov/pubmed/36951903
http://dx.doi.org/10.2196/40272
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