Table 7.

Recommended changes to patient-reported outcome text messages from user testing sessions.

PROa categories and original messages		Original timing	Revised message	Revised timing
Medication adherence
	Have you taken all of your diabetes medications as prescribed today?	Daily at 7 AM	Retain as is	Allow patients to decide if they want the message in the AM or PM, or both (11 AM and 9 PM)
Lifestyle
	Reply with 1-4 to track ONE healthy living goal: 1=Lose weight 2=Eat more fruits and vegetables 3=Eat less sweets and carbohydrates 4=Have better portion control	Daily at 7 AM	Retain for all patients. Separate less carbs and sweets to 2 separate goals	Changes so patients choose healthy goal at baseline visit (with option to change goal every 3 months)
	How successful were you in achieving your goal to (custom text healthy goal) yesterday? Response: 0 (not at all) to 10 (very successful)	Daily at 2 PM	How successful were you in achieving your goal to (custom text healthy goal) this past week?b	Change timing to weekly at 2 PM
	In general, how healthy your overall diet was today?	Daily at 7 AM	Retain message but change timing to assessing overall diet yesterdayb	Change to daily at 10 AM
	Rate your sleep quality last night. Think how easily you fell asleep, how often you woke up and if sleep was refreshing. Response: 0 (poor) to 10 (excellent)	Daily at 7 AM	Reply with the number that best describes how well you slept last night	Change to daily at 9 AM
	How many days in the past week did you do any physical activities like brisk walking where you breathed harder than normal?	Weekly at noon	Other than your regular job, did you do any physical activities like brisk walking for at least 30 min today?	Change to daily at 8 PM
Diabetes quality of life
	Reply with the number that best describes how much control you felt you had over your diabetes over the past 2 weeks	Biweekly at noon	Retain as is change timing to weekly	Change to weekly at 3 PM
Emotional health
	Reply with the number that best describes how irritable or moody you felt today owing to your diabetes	Daily at 7 PM	Remove	N/Ac

^aPRO: patient-reported outcome.

^bText in italics show the changes made to the PRO timing across user testing sessions.

^cN/A: not applicable.