Purpose: Mobile health holds strong promise to increase access to diabetes self-management education (DSME) programs in underserved communities. In this report, we examined the preliminary outcomes of a social media-based DSME intervention in low-income Chinese immigrants with type 2 diabetes (T2D) .

Methods: We conducted a single-group pilot study in 30 Chinese immigrants with T2D living in NYC in 2020. Over 12 weeks, participants received 2 brief culturally and linguistically tailored DSME videos each week via WeChat, a free and popular social media app among Chinese immigrants. Participants completed baseline and 6-month surveys with self-efficacy, diabetes self-care behaviors, dietary intake, and physical activity measures. Paired t-tests were used to examine changes over time.

Results: Of the 30 participants, mean (SD) age was 61.2 (6.7) years, 70.0% were women, 63.3% reported high school education, 84.0% reported annual family income of < $25,000, 63.3% were married, and 86.7% had limited English proficiency. Compared to baseline, there were significant improvements in participants’ self-efficacy, diabetes self-care behaviors, dietary intake and physical activity at 6 months (see Table 1) .

Conclusions: Our social media-based DSME intervention demonstrated promising results in improving psychosocial and behavioral outcomes in low-income older Chinese immigrants with T2D.


L.Hu: None. N.Islam: None. N.Jiang: None. K.Tamura: None. R.Jagannathan: None. A.Y.Kharmats: None. O.Bubu: None. M.Sevick: None.


NIH K99MD0128 (PI Dr. Lu Hu) ; NIH R00MD0128 (PI Dr. Lu Hu) , Dr. Anna Kharmats was supported by a postdoctoral training grant from the National Institutes of Health (5T32HL129953-04)

Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.