Behavioral Characteristics of Medical Students on Social Media Platforms: Topic Modeling and Social Network Analysis.

Type 2 diabetes mellitus (T2DM), a chronic metabolic disorder characterized by insulin resistance and impaired glucose regulation, presents a significant public health concern, imposing a substantial burden on individual well-being and the health care system in the United States. According to the National Diabetes Statistics Report published by the Centers for Disease Control and Prevention, approximately 38.4 million individuals are currently struggling to manage uncontrolled diabetes. Concurrently, an estimated 8.7 million adults remain undiagnosed with the condition []. Primary care physicians (PCPs) play a central role in diabetes management, delivering care to approximately 90% of individuals diagnosed with the condition amid a nationwide shortage of board-certified endocrinologists [-]. PCPs assume multifaceted responsibilities for early detection, routine monitoring, treatment planning, and lifestyle counseling [,]. However, high patient volumes and limited consultation time contribute to a substantial workload burden. The median primary care visit lasts only 15.7 minutes and typically addresses 6 distinct clinical issues [], constraining the capacity to deliver comprehensive diabetes care [-]. People with T2DM face numerous daily challenges, including a significant need for lifestyle modification [,], consistent medication adherence [], and psychosocial difficulties [,], adapting to physical symptoms and management of comorbidities [-]. Digital health coaching (DHC) emerged as an evidence-based intervention to alleviate the burden on PCPs and enhance patient outcomes. DHC applies behavioral science, clinical strategies, and skillful conversation to promote sustainable health behavior change, thereby improving diabetes self-management, fostering lifestyle changes, and enhancing clinical outcomes [-].