TY - JOUR
T1 - Factors Affecting Adoption of a Technology-Based Tool for Diabetes Self-Management Education and Support Among Adult Patients with Type 2 Diabetes in South Texas
AU - Baek, Juha
AU - Lin, Sherry
AU - Bolin, Jane N.
AU - Ory, Marcia
AU - Flores, Starr
AU - Kash, Bita A.
N1 - Funding Information:
The authors would like to thank Jacob M. Kolman, the Senior Scientific Writer of the Houston Methodist Center for Outcomes Research, for his review and editorial support. The preparation of this article is based on work supported by the National Science Foundation (NSF) under Grant No. IIP-0832439. Findings and conclusions in this material are those of the authors and do not necessarily reflect the views of the NSF.
Publisher Copyright:
© 2021 The Author(s).
PY - 2021/6
Y1 - 2021/6
N2 - Purpose: The purpose of this study is to describe a novel computerized diabetes education tool and explore factors influencing self-selection and use among primarily Hispanic patients diagnosed with type 2 diabetes in south Texas. Methods: Study participants included 953 adult patients with type 2 diabetes enrolled in a diabetes education program between July 1, 2016, and June 30, 2017. Participants were asked to choose either a new technology-based diabetes education tool with a touch-screen device or a traditional face-to-face education method. Multivariate logistic regression analysis was applied to identify factors associated with adopting the computerized diabetes education tool among the patients. Results: When comparing technology-based tool adopters and nonadopters, several demographic and health-related factors differentiated technology use in bivariate analyses. The multivariate logistic regression model showed that Hispanic patients were less likely to choose a technology-based tool. Patients who perceived their health status as excellent/good were more likely to adopt the technologic education method than those with fair/poor perceived health status. A1C level was negatively associated with self-selection of technology. Conclusions: Specific demographic and health-related characteristics are significant contributing factors to patients’ adoption of a technology-based diabetes education tool. Health care providers can utilize these findings to target and refer specific patients to a computerized diabetes education tool for more effective diabetes care and to optimize technology adoption success.
AB - Purpose: The purpose of this study is to describe a novel computerized diabetes education tool and explore factors influencing self-selection and use among primarily Hispanic patients diagnosed with type 2 diabetes in south Texas. Methods: Study participants included 953 adult patients with type 2 diabetes enrolled in a diabetes education program between July 1, 2016, and June 30, 2017. Participants were asked to choose either a new technology-based diabetes education tool with a touch-screen device or a traditional face-to-face education method. Multivariate logistic regression analysis was applied to identify factors associated with adopting the computerized diabetes education tool among the patients. Results: When comparing technology-based tool adopters and nonadopters, several demographic and health-related factors differentiated technology use in bivariate analyses. The multivariate logistic regression model showed that Hispanic patients were less likely to choose a technology-based tool. Patients who perceived their health status as excellent/good were more likely to adopt the technologic education method than those with fair/poor perceived health status. A1C level was negatively associated with self-selection of technology. Conclusions: Specific demographic and health-related characteristics are significant contributing factors to patients’ adoption of a technology-based diabetes education tool. Health care providers can utilize these findings to target and refer specific patients to a computerized diabetes education tool for more effective diabetes care and to optimize technology adoption success.
UR - http://www.scopus.com/inward/record.url?scp=85120840433&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85120840433&partnerID=8YFLogxK
U2 - 10.1177/26350106211004885
DO - 10.1177/26350106211004885
M3 - Article
C2 - 34000914
AN - SCOPUS:85120840433
VL - 47
SP - 189
EP - 198
JO - The science of diabetes self-management and care
JF - The science of diabetes self-management and care
SN - 2635-0114
IS - 3
ER -