{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T13:17:49Z","timestamp":1790083069848,"version":"4.0.1"},"reference-count":38,"publisher":"American Medical Association (AMA)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n Hispanic adults with type 2 diabetes (T2D) are more likely to develop complications and die from the disease than the US general population. Digital storytelling interventions are narrative-based videos elicited through a community-based participatory research approach to surface the authentic voices of participants overcoming obstacles to health-promoting behaviors that perpetuate health inequities; research on the effect of digital storytelling on T2D outcomes among Hispanic adults is lacking.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To assess the impact of a digital storytelling intervention on glycemic control and its acceptability among Hispanic patients with poorly controlled T2D.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n \n This was a multicenter, randomized clinical trial conducted within 2 primary care networks in Minnesota and Arizona among Hispanic adults with poorly controlled T2D (hemoglobin A\n 1c<\/jats:sub>\n level \u22658%). Enrollment and follow-up were conducted between February 14, 2019, and November 1, 2023.\n <\/jats:p>\n <\/jats:sec>\n \n Intervention<\/jats:title>\n The intervention group viewed a 12-minute digital storytelling video. The video included 4 Spanish-language stories that reinforced 4 diabetes self-management behavioral goals (healthful diet for diabetes, physical activity, medication adherence, and glucose self-monitoring). The control group received printed, culturally tailored T2D education materials.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n \n The primary outcome was the mean change from baseline to 3 months for hemoglobin A\n 1c<\/jats:sub>\n levels, adjusting for baseline hemoglobin A\n 1c<\/jats:sub>\n , age, gender, education, and income. Acceptability and narrative quality of the intervention were assessed through questionnaires.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n There were 451 study participants, with 227 (mean [SD] age, 54.3 [9.3] years; 158 [69.3%] women) randomized to the intervention group and 224 (mean [SD] age, 54.5 [9.1] years; 156 [69.3%] women) to the control group. Of these, 390 completed 3-month follow-up of the primary outcome (86% retention). There was a small improvement in the mean (SD) hemoglobin A\n 1c<\/jats:sub>\n level in the intervention group compared with the control group in the adjusted model (9.1% [1.7] to 8.4% [1.6] vs 9.4% [1.8] to 8.8% [2.0];\n P<\/jats:italic>\n \u2009=\u2009.04] but not in the unadjusted model. Acceptability and narrative quality of the intervention were high.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n In this randomized clinical trial, a digital storytelling intervention developed with and for Hispanic adults with T2D was highly acceptable and feasibly implemented within primary care settings and resulted in a modest improvement of glycemic control. This was a highly scalable intervention that may be integrated into clinical practice as part of a longitudinal diabetes self-management program for Hispanic adults.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n \n ClinicalTrials.gov Identifier:\n NCT03766438<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2024.24781","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T11:34:24Z","timestamp":1722598464000},"page":"e2424781","source":"Crossref","is-referenced-by-count":28,"title":["Digital Storytelling Intervention for Hemoglobin A\n 1c<\/sub>\n Control Among Hispanic Adults With Type 2 Diabetes"],"prefix":"10.1001","volume":"7","author":[{"given":"Mark L.","family":"Wieland","sequence":"first","affiliation":[{"name":"Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine 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