Stakeholder Perspectives on Implementing DiabeText: Exploring Barriers and Facilitators for a Personalized Diabetes Self-Management SMS Intervention in Spain.
Background/Objectives: Mobile health (mHealth) interventions can enhance chronic disease management, but their integration into public healthcare systems remains complex. DiabeText is the first SMS-based intervention in Spain delivering personalized diabetes self-management support using electronic...
| Published in: | Diabetology Vol. 7; no. 1; pp. 17 - 33 |
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| Main Authors: | , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
MDPI
Jan2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191304109&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191304109 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26734540 N1A2 jtl: Diabetology issn: 26734540 maglogo: N pubinfo: dt: Jan2026 vid: 7 iid: 1 pid: 97109 pub: MDPI artinfo: ui: 191304109 191304109 191304109 10.3390/diabetology7010017 191304109 ppf: 17 ppct: 16 formats: tig: atl: Stakeholder Perspectives on Implementing DiabeText: Exploring Barriers and Facilitators for a Personalized Diabetes Self-Management SMS Intervention in Spain. aug: au: Gervilla-García, Elena García-Pazo, Patricia Guillén-Solà, Mireia Leguizamo, Federico Ricci-Cabello, Ignacio Serrano-Ripoll, María Jesús Bennasar-Veny, Miquel Fiol-deRoque, Maria Antònia Angullo-Martínez, Escarlata Zamanillo-Campos, Rocío affil: Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma, Spain sug: subj: Diabetes Mellitus Drug Therapy Individualized Medicine Self-Management Telemedicine Mobile Applications Text Messaging Methods Program Implementation Psychosocial Factors Public Health Implementation Science Physician Attitudes Evaluation Administrative Personnel Psychosocial Factors Information Technology Personnel Psychosocial Factors Human Funding Source Spain Qualitative Studies Diabetic Patients Disease Management Thematic Analysis Data Security Uncertainty Information Needs Computer Literacy Health Personnel Education Diffusion of Innovation Financial Support Health Literacy Workflow Physicians Male Female Nonprobability Sample Digital Health Purposive Sample Snowball Sample Semi-Structured Interview Data Analysis Software Patient Education Time Health Services Needs and Demand Patient Preference Empowerment Communication Medication Compliance Feedback Health Services Administration Diabetes Education Electronic Health Records Male Female ab: Background/Objectives: Mobile health (mHealth) interventions can enhance chronic disease management, but their integration into public healthcare systems remains complex. DiabeText is the first SMS-based intervention in Spain delivering personalized diabetes self-management support using electronic health record data. This study explored perceived barriers and facilitators to the implementation of DiabeText in the Spanish public health context from the perspective of key stakeholders. Methods: A qualitative study was conducted using semi-structured interviews with 14 purposively selected stakeholders involved in digital health, diabetes care, data protection, and healthcare management across several Spanish regions. Interviews were thematically analyzed using Braun and Clarke's approach and guided by the Implementation Research Logic Model. Results: Participants reported several barriers, including concerns regarding data protection, uncertainty about long-term sustainability, insufficient training and engagement of healthcare professionals and low digital literacy among certain patient groups. Facilitators included favorable institutional momentum for digital innovation, funding availability, perceived clinical utility and scalability of DiabeText, and growing patient familiarity with digital tools. Recommended strategies included integration into existing healthcare systems and workflows, professional training and use of familiar communication platforms. Conclusions: Effective implementation of DiabeText requires addressing regulatory, organizational, and equity-related barriers while leveraging institutional support and readiness for innovation. Early involvement of healthcare professionals, robust data governance, and investment in digital literacy are essential to ensure sustainable and equitable adoption. These findings provide actionable insights to support the integration of mHealth tools into chronic disease care in Spain and similar settings. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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