Diabetes Disparities: Texting to Extend Treatment (DD-TXT)

Completed · Not applicable

Conditions studied: Diabetes Mellitus, Type 2

In brief

One way to help Veterans improve their diabetes control is through the use of technology to help provide information, motivation, and reminders necessary to support diabetes self-management. The study will seek input from diverse groups of Veterans living with diabetes to help develop a new customizable, interactive texting intervention that allows Veterans to choose what kinds of diabetes self-management support they need, and when. This diabetes support will be provided to Veterans through "Annie for Veterans", a VA texting system for self-management support. Patients will be randomized to receive a once-daily standard diabetes self-management texting intervention called DSMS based on standard diabetes self-management education content or a customizable, patient-centered diabetes self-management support intervention with additional features called DSMS Plus (DSMS+) in order to test the comparative effectiveness of these two texting interventions.

Key facts

Study ID

NCT04227379

Run by

VA Office of Research and Development

People needed

366

Starts

2023-01-30

Expected to finish

2025-04-30

Last updated by the study team

2026-06-26

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Veterans
• Active VHA patients with type 2 diabetes
• Had at least 4 VA outpatient encounters in the previous year
• Have a future appointment scheduled, and not be hospitalized or institutionalized or have participated in texting intervention development
• Have HbA1c lab data (2+ values) in the 12 months prior to RCT recruitment.
• Have inadequate glycemic control for at least 50% of the 6 months before invitation to participate

You may not qualify if…

• Non-Veterans
• Not having access to their own or a cohabiting family member's cell phone or smartphone for participation
• Not willing and able to text
• A visual impairment that would prevent them from reading or replying to text messages
• Cognitively incapable of consent to participate (Failure of Short Blessed Test)

Where it is running

• North Florida/South Georgia Veterans Health System, Gainesville, FL — Gainesville, Florida, United States
• Jesse Brown VA Medical Center, Chicago, IL — Chicago, Illinois, United States
• VA Bedford HealthCare System, Bedford, MA — Bedford, Massachusetts, United States

Full record on ClinicalTrials.gov

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