![]() ĭigital interventions have demonstrated promising results in altering a wide range of health-related behaviours. Although many interventions to improve adherence to medications by people with type 2 diabetes exist, approaches have yet to be standardised or delivered at scale, resulting in inconsistent outcomes. Non-adherence to diabetes medications can lead to poor diabetes control and poor outcomes, and in the UK is estimated to cost £100 million annually in avoidable treatment costs. Despite this, many people with type 2 diabetes report concerns about medications or difficulty taking them as prescribed. Īlthough type 2 diabetes poses significant health risks, the risks of complications from the disease can be reduced through self-management behaviours such as healthy diet and exercise, and medication adherence. $1.3 trillion in 2015 to $2.2 trillion in 2030 and reflects the health risk posed by type 2 diabetes complications such as cardiovascular disease, stroke, renal failure and retinopathy. The global economic cost of diabetes has been projected to increase from U.S. Approximately 4.7 million people in the UK are currently living with a type 2 diabetes diagnosis. Type 2 diabetes is a lifelong condition characterised by the ineffective use of insulin, and accounts for the majority of people with diabetes around the world. 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. 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. 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. Staff see the potential for a text message-based support intervention to address unmet needs and to enhance care for people with diabetes. 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’. Two themes outlined challenges to implementation, ‘Limited resources and assigning responsibility’ and ‘Treating the patient more than diabetes medication adherence’. 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. ![]() Interviews and focus groups were audio-recorded, transcribed and analysed using an inductive thematic analysis approach. 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. ![]() 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. 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.
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