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. 2021 Nov 19;6(4):e32320. doi: 10.2196/32320

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©Stephanie A Robinson, Dane Netherton, Mark Zocchi, Carolyn Purington, Arlene S Ash, Stephanie L Shimada. Originally published in JMIR Diabetes (https://diabetes.jmir.org), 19.11.2021.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Diabetes, is properly cited. The complete bibliographic information, a link to the original publication on https://diabetes.jmir.org/, as well as this copyright and license information must be included.

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Moderated mediation between secure messaging (SM) use in 2017 and percent time in control of hemoglobin A_1c in 2018 (A_1c%TIC), via diabetes self-management, moderated by rurality. Numbers represent parameter estimates. Model adjusts for age, gender, and income. *95% CI does not include 0.00 and P<.05.