This randomized study compared the impact of daily inspirational text messages with and without the addition of a diabetes self-management support program on the health outcomes of rural, underserved African-American women with diabetes. While improvements in clinical outcomes were modest for both groups and differences between the groups were not statistically significant, participants reported that the daily text message inspiration motivated them to practice healthy behaviors.
- Structured diabetes self-management group visits with educational and self-empowerment components were beneficial to the study participants. The women in the Call2Health intervention greatly valued the diabetes self-management and wellness information provided during the group sessions and also benefitted from the social connections established during the group sessions.
- Daily customized text messages were very popular and women in both groups of the study appreciated the daily gentle reminders to stay focused on their own health and well-being. The text messages were a convenient and helpful mode of delivering healthy reminders.
Most women preferred spiritual or Bible-based text messages. Spirituality is important to this group of women and including God and faith in the intervention was an important aspect of addressing health and chronic disease among the women.