Evidence map›Paper›PMID 41372595›Full record

ArticleNPJ digital medicine2025

A CFIR-guided qualitative study of digital health engagement among Black adults with type 2 diabetes.

Aseel El Zein, Druss Hays, Grace Glidden, Samuel Johnson, Tejossy John, Tanjila Nawshin, Larry Hearld, Tapan Mehta

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Aseel El ZeinDepartment of Family and Community Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. aelzein@uab.edu.
Druss HaysDepartment of Family and Community Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Grace GliddenDepartment of Family and Community Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Samuel JohnsonDepartment of Family and Community Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Tejossy JohnDepartment of Family and Community Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Tanjila NawshinDepartment of Family and Community Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Larry HearldDepartment of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA.
Tapan MehtaDepartment of Family and Community Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Funding

Investigator Development CoreP50MD017338 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BASKIN, MONICA L. · 2021 to 2025
$27.7M
NIMHD NIH HHS P50 MD017338
6 · The paper itself

Abstract

Digital health tools such as remote patient monitoring (RPM) and digital health coaching (DHC) offer promising strategies for type 2 diabetes (T2D) management, yet little is known about how underserved Black adults experience these technologies. Guided by the Consolidated Framework for Implementation Research (CFIR), we conducted semi-structured interviews with 34 Black adults with uncontrolled T2D in Alabama and Mississippi (mean age 55 years; 71% female; 44% with food insecurity; most with Area Deprivation Index ≥8). Participants described multilevel factors shaping engagement. RPM increased disease awareness, provided real-time clinical feedback from a care team, and allowed flexible blood glucose monitoring, though fingerstick burden and emotional resistance to high glucose readings reduced use. DHC provided personalized, relationship-based support that motivated behavior change, yet environmental constraints and competing life demands limited sustained impact. Engagement often evolved from skepticism to confidence when benefits were evident and supported by social networks. Sustained participation requires trusted, personalized digital tools responsive to structural barriers.

Identifiers

PMID41372595
PMCPMC12695977

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.