title: Spanish-speaking patients' engagement in interactive voice response (IVR) support calls for chronic disease self-management: data from three countries.
abstract: We measured Spanish-speaking patients' engagement in Interactive Voice Response (IVR) calls using data from self-management support studies in Honduras, Mexico and the US. A total of 268 patients with diabetes or hypertension participated in 6-12 weeks of weekly IVR follow-up. Participants had an average of 6.1 years of education, and 73% of them were women. After 2443 person-weeks of follow-up, patients had completed 1494 IVR assessments. The call completion rates were higher in the US (75%) than in Honduras (59%) or Mexico (61%; P < 0.001). Patients participating with an informal caregiver were more likely to complete calls (adjusted odds ratio 1.5; P = 0.03) while patients reporting fair or poor health at enrolment were less likely (adjusted odds ratio 0.59; P = 0.02). Satisfaction rates were high, with 98% of patients reporting that the system was easy to use, and 86% reporting that the calls helped them a great deal in managing their health problems. IVR self-management support is feasible among Spanish-speaking patients with chronic disease, including those living in less-developed countries. Involving informal caregivers may increase patient engagement.
authors.affiliation: Department of Veterans Affairs, Ann Arbor, Michigan 48113-0170, USA. jpiette@umich.edu
authors.forename: John D
authors.initials: JD
authors.lastname: Piette
authors.forename: Nicolle
authors.initials: N
authors.lastname: Marinec
authors.forename: Esther C
authors.initials: EC
authors.lastname: Gallegos-Cabriales
authors.forename: Juana Mercedes
authors.initials: JM
authors.lastname: Gutierrez-Valverde
authors.forename: Joel
authors.initials: J
authors.lastname: Rodriguez-Saldaña
authors.forename: Milton
authors.initials: M
authors.lastname: Mendoz-Alevares
authors.forename: Maria J
authors.initials: MJ
authors.lastname: Silveira
mesh_terms: D000328:Adult; D000368:Aged; D003920:Diabetes Mellitus / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D006630:Hispanic or Latino; D006721:Honduras; D006801:Humans; D006973:Hypertension / Q000628:therapy*; D007802:Language; D008297:Male; D008800:Mexico; D008875:Middle Aged; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D012044:Regression Analysis; D017010:Reminder Systems / Q000706:statistics & numerical data; D012648:Self Care; D049250:Speech Recognition Software; D017216:Telemedicine / Q000379:methods* / Q000706:statistics & numerical data; D013689:Telephone; D014481:United States