PMID- 28438728
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230507
IS  - 2291-5222 (Print)
IS  - 2291-5222 (Electronic)
IS  - 2291-5222 (Linking)
VI  - 5
IP  - 4
DP  - 2017 Apr 24
TI  - Designing Patient-Centered Text Messaging Interventions for Increasing Physical 
      Activity Among Participants With Type 2 Diabetes: Qualitative Results From the 
      Text to Move Intervention.
PG  - e54
LID - 10.2196/mhealth.6666 [doi]
LID - e54
AB  - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a disease affecting approximately 
      29.1 million people in the United States, and an additional 86 million adults 
      have prediabetes. Diabetes self-management education, a complex health 
      intervention composed of 7 behaviors, is effective at improving self-care 
      behaviors and glycemic control. Studies have employed text messages for 
      education, reminders, and motivational messaging that can serve as "cues to 
      action," aiming to improve glucose monitoring, self-care behaviors, appointment 
      attendance, and medication adherence. OBJECTIVES: The Text to Move (TTM) study 
      was a 6-month 2-parallel group randomized controlled trial of individuals with 
      T2DM to increase physical activity, measured by a pedometer. The intervention arm 
      received text messages twice daily for 6 months that were tailored to the 
      participant's stage of behavior change as defined by the transtheoretical model 
      of behavior change. METHODS: We assessed participants' attitudes regarding their 
      experience with text messaging, focusing on perceived barriers and facilitators, 
      through two focus groups and telephone interviews. All interviews were 
      audiorecorded, transcribed verbatim, coded, and analyzed using a grounded theory 
      approach. RESULTS: The response rate was 67% (31/46 participants). The average 
      age was 51.4 years and 61% (19/31 participants) were male. The majority of 
      individuals were English speakers and married, had completed at least 12th grade 
      and approximately half of the participants were employed full-time. Overall, 
      participants were satisfied with the TTM program and recalled the text messages 
      as educational, informational, and motivational. Program involvement increased 
      the sense of connection with their health care center. The wearing of pedometers 
      and daily step count information served as motivational reminders and created a 
      sense of accountability through the sentinel effect. However, there was 
      frustration concerning the automation of the text message program, including the 
      repetitiveness, predictability of text time delivery, and lack of customization 
      and interactivity of text message content. Participants recommended 
      personalization of texting frequency as well as more contact time with personnel 
      for a stronger sense of support, including greater surveillance and feedback 
      based on their own results and comparison to other participants. CONCLUSIONS: 
      Participants in a theory-based text messaging intervention identified key 
      facilitators and barriers to program efficacy that should be incorporated into 
      future texting interventions to optimize participant satisfaction and outcomes. 
      TRIAL REGISTRATION: Clinicaltrials.gov NCT01569243; 
      http://clinicaltrials.gov/ct2/show/NCT01569243 (Archived by Webcite at 
      http://www.webcitation.org/6pfH6yXag).
CI  - (c)Gabrielle N Horner, Stephen Agboola, Kamal Jethwani, Aswita Tan-McGrory, Lenny 
      Lopez. Originally published in JMIR Mhealth and Uhealth 
      (http://mhealth.jmir.org), 24.04.2017.
FAU - Horner, Gabrielle N
AU  - Horner GN
AUID- ORCID: 0000-0003-1147-8192
AD  - Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, 
      United States.
FAU - Agboola, Stephen
AU  - Agboola S
AUID- ORCID: 0000-0002-2161-8091
AD  - Center for Connected Health, Massachusetts General Hospital, Boston, MA, United 
      States.
FAU - Jethwani, Kamal
AU  - Jethwani K
AUID- ORCID: 0000-0002-0122-8002
AD  - Center for Connected Health, Massachusetts General Hospital, Boston, MA, United 
      States.
FAU - Tan-McGrory, Aswita
AU  - Tan-McGrory A
AUID- ORCID: 0000-0001-6096-0386
AD  - Disparities Solutions Center, Massachusetts General Hospital, Boston, MA, United 
      States.
FAU - Lopez, Lenny
AU  - Lopez L
AUID- ORCID: 0000-0001-5552-8775
AD  - Division of Hospital Medicine, University of California San Francisco, San 
      Francisco, CA, United States.
LA  - eng
SI  - ClinicalTrials.gov/NCT01569243
GR  - K23 DK098280/DK/NIDDK NIH HHS/United States
PT  - Journal Article
DEP - 20170424
PL  - Canada
TA  - JMIR Mhealth Uhealth
JT  - JMIR mHealth and uHealth
JID - 101624439
PMC - PMC5422654
OTO - NOTNLM
OT  - diabetes mellitus, type 2
OT  - exercise
OT  - qualitative research
OT  - text messaging
COIS- Conflicts of Interest: None declared.
EDAT- 2017/04/26 06:00
MHDA- 2017/04/26 06:01
PMCR- 2017/04/24
CRDT- 2017/04/26 06:00
PHST- 2016/09/21 00:00 [received]
PHST- 2017/02/12 00:00 [accepted]
PHST- 2016/12/29 00:00 [revised]
PHST- 2017/04/26 06:00 [entrez]
PHST- 2017/04/26 06:00 [pubmed]
PHST- 2017/04/26 06:01 [medline]
PHST- 2017/04/24 00:00 [pmc-release]
AID - v5i4e54 [pii]
AID - 10.2196/mhealth.6666 [doi]
PST - epublish
SO  - JMIR Mhealth Uhealth. 2017 Apr 24;5(4):e54. doi: 10.2196/mhealth.6666.