@文章{信息:doi/10.2196/41011，作者=“Lenoir, Kristin M and Sandberg, Joanne C and Miller, David P and Wells, Brian J”，标题=“针对性短信运动鼓励糖尿病筛查的患者视角:定性研究”，期刊=“JMIR Form Res”，年=“2023”，月=“1”，日=“17”，卷=“7”，页=“e41011”，关键词=“移动健康;糖尿病筛查;电子健康记录;短信;临床决策支持;移动健康;糖尿病;mHealth干预”，摘要=“背景:美国成年人中有相当大比例的前驱糖尿病和糖尿病病例未被诊断。利用电子健康记录(EHRs)的面向患者的临床决策支持(CDS)工具有可能增加糖尿病筛查。鉴于手机在不同群体中的广泛使用，短信提供了一种直接向患者发送警报的可行模式。 The use of unsolicited text messages to offer hemoglobin A1c (HbA1c) screening has not yet been studied. It is imperative to gauge perceptions of ``cold texts'' to ensure that information and language are optimized to promote engagement with text messages that affect follow-through with health behaviors. Objective: This study aims to gauge the perceptions of and receptiveness to text messages to inform content that would facilitate engagement with text messages intended to initiate a mobile health (mHealth) intervention for targeted screening. Messages were designed to invite those not already diagnosed with diabetes to make a decision to take part in HbA1c screening and walk them through the steps required to perform the behavior based solely on an automated text exchange. Methods: In total, 6 focus groups were conducted at Wake Forest Baptist Health (WFBH) between September 2019 and February 2020. The participants were adult patients without diabetes who had completed an in-person visit at the Family and Community Medicine Clinic within the previous year. We displayed a series of text messages and asked the participants to react to the message content and suggest improvements. Content was deductively coded with respect to the Health Belief Model (HBM) and inductively coded to identify other emergent themes that could potentially impact engagement with text messages. Results: Participants (N=36) were generally receptive to the idea of receiving a text-based alert for HbA1c screening. Plain language, personalization, and content, which highlighted perceived benefits over perceived susceptibility and perceived severity, were important to participants' understanding of and receptiveness to messages. The patient-physician relationship emerged as a recurring theme in which patients either had a desire or held an assumption that their provider would be working behind the scenes throughout each step of the process. Participants needed further clarification to understand the steps involved in following through with HbA1c screening and receiving results. Conclusions: Our findings suggest that patients may be receptive to text messages that alert them to a risk of having an elevated HbA1c in direct-to-patient alerts that use cold texting. Using plain and positive language, integrating elements of personalization, and defining new processes clearly were identified by participants as modifiable content elements that could act as facilitators that would help overcome barriers to engagement with these messages. A patient's relationship with their provider and the financial costs associated with texts and screening may affect receptiveness and engagement in this process. ", issn="2561-326X", doi="10.2196/41011", url="https://formative.www.mybigtv.com/2023/1/e41011", url="https://doi.org/10.2196/41011", url="http://www.ncbi.nlm.nih.gov/pubmed/36649056" }