{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:28:28Z","timestamp":1791235708215,"version":"4.1.0"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T00:00:00Z","timestamp":1734652800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health"},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR002550"],"award-info":[{"award-number":["UL1TR002550"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"name":"New York Center for Diabetes Translational Research","award":["P30 DK111022-03"],"award-info":[{"award-number":["P30 DK111022-03"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and methods<\/jats:title>\n                    <jats:p>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).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants were 52.1 (\u00b110.2) years old, 69.7% female, with HbA1c 9.3% (\u00b11.6) at baseline. Across groups, there was a statistically significant improvement in HbA1c at 6 months (mean\u2206 per month\u2005=\u2005\u22120.17, 95% CI \u22120.20, \u22120.14; P\u2005&amp;lt;\u2005.001) and 12 months (mean\u2206 per month\u2005=\u2005\u22120.07, 95% CI \u22120.09, \u22120.05; P\u2005&amp;lt;\u2005.001). 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>ClinicalTrials.gov registration<\/jats:title>\n                    <jats:p>NCT03130699, Initial Release 04\/24\/2017, https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03130699?term=NCT03130699&amp;draw=2&amp;rank=1.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/abm\/kaae077","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T15:21:35Z","timestamp":1731424895000},"source":"Crossref","is-referenced-by-count":6,"title":["Dulce Digital-Me: results of a randomized comparative trial of static versus adaptive digital interventions for Latine adults with 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Bagsic","sequence":"additional","affiliation":[{"name":"Scripps Whittier Diabetes Institute, Scripps Health , La Jolla, CA, 92037 ,\u00a0","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Farcas","sequence":"additional","affiliation":[{"name":"Qualcomm Institute, University of California , San Diego, La Jolla, CA, 92093 ,\u00a0","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott C","family":"Roesch","sequence":"additional","affiliation":[{"name":"San Diego State University\/University of California San Diego Joint Doctoral Program in Clinical Psychology , San Diego, CA, 92182 ,\u00a0","place":["United States"]},{"name":"San Diego State University Department of Psychology, , San Diego, CA, 92182 ,\u00a0","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Schultz","sequence":"additional","affiliation":[{"name":"Neighborhood 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