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ethnically diverse.The study assessed four primary outcomes: patient activation, chronic disease self-efficacy, health-related quality of life (HRQOL), and self-reported medication adherence.Analyses showed that individuals in all three groups showed improvements in activation, self-efficacy, and HRQOL, but not in medication adherence.No between-group differences were statistically significant.Given the failure to find differences between the control and experimental groups, interpretation of the study's findings must be limited to the observation that participants showed improvements in key outcomes, but that it is not clear why.Given positive feedback from participants in follow-up interviews, these findings highlight the potential of mobile health interventions to support chronic disease self-management in diverse populations, regardless of specific reading level adaptations.Future research could further explore the nuances of these findings and the potential for digital health tools to bridge gaps in health literacy and self-management capabilities.
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Raymond L. Ownby (2024) studied this question.
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