{"doi":"10.1093/abm/kaae077","title":"Dulce Digital-Me: results of a randomized comparative trial of static versus adaptive digital interventions for Latine adults with diabetes","abstract":"OBJECTIVE: To compare the effectiveness of a static, text-based diabetes education and support intervention (Dulce Digital, DD) versus a dynamic approach with personalized feedback and goal setting (Dulce Digital-Me, DD-Me) in improving diabetes outcomes. DESIGN AND METHODS: Comparative effectiveness trial in 310 Latine adults with poorly managed type 2 diabetes in a Federally Qualified Health Center in Southern California, randomized to DD, DD-Me-Auto (algorithm-driven text-based personalized feedback), or DD-Me-Tel (coach delivered personalized feedback). Changes in HbA1c (primary outcome), low-density lipoprotein-cholesterol, systolic blood pressure, and patient-reported outcomes were examined across 6 and 12 months, with the primary comparison being DD versus DD-Me (combined automated and telephonic). RESULTS: Participants were 52.1 (±10.2) years old, 69.7% female, with HbA1c 9.3% (±1.6) at baseline. Across groups, there was a statistically significant improvement in HbA1c at 6 months (mean∆ per month = -0.17, 95% CI -0.20, -0.14; P < .001) and 12 months (mean∆ per month = -0.07, 95% CI -0.09, -0.05; P < .001). However, there were no time-by-group interaction effects indicating group differences in clinical outcomes across 6 or 12 months. The DD-Me groups showed greater improvements across time than the DD group for diabetes self-management behaviors. CONCLUSIONS: Static and adaptive digital interventions for Latine adults with type 2 diabetes had similar and clinically significant effects on HbA1c across 12 months. Simple digital approaches can be integrated within primary care-based chronic care models to reduce diabetes disparities. CLINICALTRIALS.GOV REGISTRATION: NCT03130699, Initial Release 04/24/2017, https://clinicaltrials.gov/ct2/show/NCT03130699?term=NCT03130699&draw=2&rank=1.","journal":"Annals of Behavioral Medicine","year":2024,"id":461789,"datarank":0.21421722253030714,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"self_citation_contribution":0.20794415416798362,"citation_network_contribution":0.0062730683623235224,"self_endowment_contribution":0.20794415416798362,"citer_contribution":0.0062730683623235224,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":3,"citers_with_citation_signal":1,"citers_with_endowment":1,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9538,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT03130699"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":453300,"name":"Addie L. Fortmann","orcid":"0000-0002-0350-5288","position":1,"is_corresponding":false},{"id":453302,"name":"Taylor L. Clark","orcid":"0000-0002-3689-0071","position":2,"is_corresponding":false},{"id":437955,"name":"Samantha R. Spierling Bagsic","orcid":"0000-0003-1274-3736","position":3,"is_corresponding":false},{"id":804092,"name":"Emilia Farcas","orcid":"0000-0001-6485-0141","position":4,"is_corresponding":false},{"id":453304,"name":"Scott C. Roesch","orcid":"0000-0001-6574-1916","position":5,"is_corresponding":false},{"id":324467,"name":"James Schultz","orcid":null,"position":6,"is_corresponding":false},{"id":453305,"name":"Todd Gilmer","orcid":"0000-0002-8360-3522","position":7,"is_corresponding":false},{"id":631933,"name":"Job Godino","orcid":"0000-0002-4852-6277","position":8,"is_corresponding":false},{"id":453303,"name":"Kimberly L. Savin","orcid":"0000-0003-1658-1228","position":9,"is_corresponding":false},{"id":1098346,"name":"Mariya Chichmarenko","orcid":null,"position":10,"is_corresponding":false},{"id":527528,"name":"Jennifer A. Jones","orcid":null,"position":11,"is_corresponding":false},{"id":454129,"name":"Haley Sandoval","orcid":null,"position":12,"is_corresponding":false},{"id":421766,"name":"Linda C. Gallo","orcid":"0000-0002-3678-5888","position":13,"is_corresponding":false},{"id":231685,"name":"Athena Philis‐Tsimikas","orcid":"0000-0002-3986-9630","position":0,"is_corresponding":true}],"reference_count":39,"raw_metadata":null,"created_at":"2026-07-19T02:04:16.410510Z","pmid":"39707158","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}