Implementing a text message-based intervention to support type 2 diabetes medication adherence in primary care: a qualitative study with general practice staff

Abstract Background The Support through Mobile Messaging and digital health Technology for Diabetes (SuMMiT-D) project has developed, and is evaluating, a mobile phone-based intervention delivering brief messages targeting identified behaviour change techniques promoting medication use to people wit...

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Main Authors: Karen Butler (Author), Yvonne Kiera Bartlett (Author), Nikki Newhouse (Author), Andrew Farmer (Author), David P. French (Author), Cassandra Kenning (Author), Louise Locock (Author), Rustam Rea (Author), Veronika Williams (Author), Jenny Mc Sharry (Author)
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Published: BMC, 2023-06-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Karen Butler  |e author 
700 1 0 |a Yvonne Kiera Bartlett  |e author 
700 1 0 |a Nikki Newhouse  |e author 
700 1 0 |a Andrew Farmer  |e author 
700 1 0 |a David P. French  |e author 
700 1 0 |a Cassandra Kenning  |e author 
700 1 0 |a Louise Locock  |e author 
700 1 0 |a Rustam Rea  |e author 
700 1 0 |a Veronika Williams  |e author 
700 1 0 |a Jenny Mc Sharry  |e author 
245 0 0 |a Implementing a text message-based intervention to support type 2 diabetes medication adherence in primary care: a qualitative study with general practice staff 
260 |b BMC,   |c 2023-06-01T00:00:00Z. 
500 |a 10.1186/s12913-023-09571-9 
500 |a 1472-6963 
520 |a Abstract Background The Support through Mobile Messaging and digital health Technology for Diabetes (SuMMiT-D) project has developed, and is evaluating, a mobile phone-based intervention delivering brief messages targeting identified behaviour change techniques promoting medication use to people with type 2 diabetes in general practice. The present study aimed to inform refinement and future implementation of the SuMMiT-D intervention by investigating general practice staff perceptions of how a text message-based intervention to support medication adherence should be implemented within current and future diabetes care. Methods Seven focus groups and five interviews were conducted with 46 general practice staff (including GPs, nurses, healthcare assistants, receptionists and linked pharmacists) with a potential role in the implementation of a text message-based intervention for people with type 2 diabetes. Interviews and focus groups were audio-recorded, transcribed and analysed using an inductive thematic analysis approach. Results Five themes were developed. One theme 'The potential of technology as a patient ally' described a need for diabetes support and the potential of technology to support medication use. Two themes outlined challenges to implementation, 'Limited resources and assigning responsibility' and 'Treating the patient; more than diabetes medication adherence'. The final two themes described recommendations to support implementation, 'Selling the intervention: what do general practice staff need to see?' and 'Fitting the mould; complementing current service delivery'. Conclusions Staff see the potential for a text message-based support intervention to address unmet needs and to enhance care for people with diabetes. Digital interventions, such as SuMMiT-D, need to be compatible with existing systems, demonstrate measurable benefits, be incentivised and be quick and easy for staff to engage with. Interventions also need to be perceived to address general practice priorities, such as taking a holistic approach to care and having multi-cultural reach and relevance. Findings from this study are being combined with parallel work with people with type 2 diabetes to ensure stakeholder views inform further refinement and implementation of the SuMMiT-D intervention. 
546 |a EN 
690 |a Implementation science 
690 |a Text message-based intervention 
690 |a Primary care 
690 |a General practice 
690 |a Medication adherence 
690 |a Diabetes 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n BMC Health Services Research, Vol 23, Iss 1, Pp 1-10 (2023) 
787 0 |n https://doi.org/10.1186/s12913-023-09571-9 
787 0 |n https://doaj.org/toc/1472-6963 
856 4 1 |u https://doaj.org/article/9da6e044d1e44633a86b45e776c96d2b  |z Connect to this object online.