scholarly journals Text Messages and Financial Incentives for Physical Activity: Insights from Virtual Group Interviews of Adolescents with Prediabetes and Type 2 Diabetes (Preprint)

JMIR Diabetes ◽  
10.2196/33082 ◽  
2021 ◽  
Author(s):  
Mary Ellen Vajravelu ◽  
Talia Alyssa Hitt ◽  
NaDea Mak ◽  
Aliya Edwards ◽  
Jonathan Mitchell ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Financial Incentives ◽  
Text Messages ◽  
Virtual Group ◽  
Group Interviews

scholarly journals Text Messages and Financial Incentives for Physical Activity: Insights from Virtual Group Interviews of Adolescents with Prediabetes and Type 2 Diabetes (Preprint)

2021 ◽  
Author(s):  
Mary Ellen Vajravelu ◽  
Talia Alyssa Hitt ◽  
NaDea Mak ◽  
Aliya Edwards ◽  
Jonathan Mitchell ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Clinical Trial ◽  
Financial Incentives ◽  
Text Messaging ◽  
Text Messages ◽  
Physically Active ◽  
Group Interviews ◽  
Text Messaging Intervention

BACKGROUND Despite recommendations that physical activity be a major component of treatment for adolescents with obesity and prediabetes or type 2 diabetes, physical activity is especially low in this population. OBJECTIVE To obtain end-user feedback on text message content and to assess acceptability of a planned text messaging intervention with financial incentives to motivate youth with prediabetes or type 2 diabetes to increase physical activity METHODS Adolescents with overweight or obesity and prediabetes or type 2 diabetes who attended a large academic pediatric endocrinology clinic were recruited to participate in group interviews (2-4/group) via videoconferencing. Participants were asked to share their thoughts about use of text messages and financial incentives to remind and motivate individuals like themselves to be more physically active. They rated and provided feedback on specific messages to be used in a clinical trial. To explore attitudes about the use of financial incentives for physical activity, participants were asked about their personal experience with rewards to motivate behavior change, as well as their anticipated reactions to rewards provided for goal attainment (gain-framing) versus provided and then taken away if a goal was not met (loss-framing). Interviews were conducted by two trained facilitators and an observer/recorder. Content analysis was used to explore themes. RESULTS Focus groups were completed in 20 participants (11 female; 15 type 2 diabetes/5 prediabetes) of mean age 15 years (range 12-18) and body mass index range of 32-52 kg/m2 (>95th percentile for age/sex). The majority were Non-Hispanic Black (70%), and 2 were Hispanic (10%). Fifty-three percent (n=8) of participants with type 2 diabetes were prescribed insulin. All agreed that text messages would serve as good reminders to be physically active, and there was strong consensus about the need for short messages. Favorable content included references to what they will likely to be doing when the messages are sent (e.g., homework, watching television), as well as messages that were encouraging or informative. Specific physical activity suggestions were rated favorably, but participants differed in the perceived utility of including links to exercise videos. Attitudes about financial incentives varied, with approximately half reporting that loss-framed incentives could be highly motivating in order to avoid the frustration of loss. CONCLUSIONS Adolescents with obesity and diabetes or prediabetes endorsed support for text messages that are short, encouraging, and informative for physical activity promotion. Participants were familiar with the concept of rewards for behavior change, but only half expected that loss-framed incentives would be motivating. A text messaging intervention employing financial incentives to motivate youth with prediabetes or type 2 diabetes to be more physically active is theoretically acceptable, but the impact on actual activity level in this population requires prospective evaluation in a clinical trial.

An Adaptive, Algorithm-based Text Message Intervention to Promote Health Behavior Adherence in Type 2 Diabetes: Treatment Development and Proof-of-Concept Trial

2021 ◽  
pp. 193229682110650
Author(s):  
Christopher M. Celano ◽  
Christina Massey ◽  
Jessica Long ◽  
Sonia Kim ◽  
Olivia Velasquez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Adaptive Algorithm ◽  
Controlled Trial ◽  
Text Message ◽  
Self Care ◽  
Well Being ◽  
Psychological Outcomes ◽  
Text Messages

Background: Most individuals with type 2 diabetes (T2D) struggle to adhere to one or more health behaviors. Text message interventions (TMIs) have the potential to improve adherence but have had mixed effects on diet and activity in T2D. We developed an eight-week, adaptive, algorithm-driven TMI to promote physical activity, diet, self-care, and well-being. Then, in a single-arm trial, we assessed its feasibility, acceptability, and preliminary efficacy in 15 individuals with T2D and suboptimal adherence. Methods: Participants received daily text messages and were asked to rate the utility of each message (0=not helpful, 10=very helpful). These ratings were used by an algorithm to select subsequent messages based on each participant’s prior ratings. We assessed intervention feasibility by rates of message transmission/response and acceptability through ratings of message utility and burden. Finally, we examined pre-post changes in diabetes self-care, diet, physical activity, and psychological outcomes and calculated effect sizes (Cohen’s d). Results: All text messages were delivered, and participants provided ratings for 79% of messages, above our a priori thresholds for feasibility. Participants rated the individual messages and overall TMI as subjectively useful (utility: 8.1 [SD=2.1] and 7.8 [SD=2.0], respectively) and not burdensome (burden: 0.8 [SD=1.8]). The intervention led to significant, medium- to large-sized improvements in self-care ( d=0.77), diet ( d=0.99), and activity ( d=0.61) but minimal change in psychological outcomes. Conclusions: The TMI was feasible and well-accepted, and it led to promising improvements in adherence-related outcomes. These findings should be confirmed in a larger randomized controlled trial.

The Effectiveness of Mobile Phone Messaging-Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis (Preprint)

2021 ◽  
Author(s):  
Mohammed Alsahli ◽  
Alaa Abd-Alrazaq ◽  
Mowafa Househ ◽  
Stathis Konstantinidis ◽  
Holly Blake
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Meta Analysis ◽  
Text Messages ◽  
Risk Of Bias ◽  
Anthropometric Measures

BACKGROUND Type 2 diabetes mellitus (T2DM) is increasing in prevalence worldwide. Physical activity (PA) is an important aspect of self-care and first-line management for T2DM. Mobile text messages (SMS) can be used to support self-management in people with T2DM, but the effectiveness of mobile text messages-based interventions in increasing physical activity is still unclear. OBJECTIVE The study aimed to assess the effectiveness of mobile phone messaging on PA in people with T2DM by summarizing and pooling the findings of previous literature. METHODS A systematic review was conducted to accomplish this objective. Search sources included 5 bibliographic databases (MEDLINE, Cochrane Library, CINAHL, Web of Science, EMBASE), the search engine “Google Scholar”, and backward and forward reference list checking of the included studies and relevant reviews. Two reviewers independently carried out the study selection, data extraction, risk of bias assessment, and quality of evidence evaluation. Results of included studies were synthesized narratively and statistically, as appropriate. RESULTS We included 6 of 541 retrieved studies. Four of the studies showed a statistically significant effect of text messages on physical activity. Although a meta-analysis of results of two studies showed a statistically significant effect (P=.05) of text messages on physical activity, the effect was not clinically important. A meta-analysis of findings of 2 studies showed a non-significant effect (P=.14) of text messages on glycaemic control. Two studies found a non-significant effect of text messages on anthropometric measures (weight and BMI). CONCLUSIONS Text messaging interventions show promise for increasing physical activity. However, it is not possible to conclude from this review whether text messages have a significant effect on physical activity, glycaemic control, or anthropometric measures among patients with T2DM. This is due to the limited number of studies, the high overall risk of bias in most of the included studies and the low quality of meta-analysed evidence. There is a need for more high-quality primary studies.

How to Maintain a Healthy Body Weight

2006 ◽  
Vol 76 (4) ◽  
pp. 208-215 ◽  
Author(s):  
Astrup
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Weight Loss ◽  
Body Weight ◽  
Glycemic Index ◽  
Dairy Products ◽  
Weight Control ◽  
Healthy Body Weight ◽  
Healthy Body

The epidemic of both obesity and type 2 diabetes is due to environmental factors, but the individuals developing the conditions possess a strong genetic predisposition. Observational surveys and intervention studies have shown that excess body fatness is the major environmental cause of type 2 diabetes, and that even a minor weight loss can prevent its development in high-risk subjects. Maintenance of a healthy body weight in susceptible individuals requires 45–60 minutes physical activity daily, a fat-reduced diet with plenty of fruit, vegetables, whole grain, and lean meat and dairy products, and moderate consumption of calorie containing beverages. The use of table values to predict the glycemic index of meals is of little – if any – value, and the role of a low-glycemic index diet for body weight control is controversial. The replacement of starchy carbohydrates with protein from lean meat and lean dairy products enhances satiety, and facilitate weight control. It is possible that dairy calcium also promotes weight loss, although the mechanism of action remains unclear. A weight loss of 5–10% can be induced in almost all obese patients providing treatment is offered by a professional team consisting of a physician and dieticians or nurses trained to focus on weight loss and maintenance. Whereas increasing daily physical activity and regular exercise does not significantly effect the rate of weight loss in the induction phase, it plays an important role in the weight maintenance phase due to an impact on daily energy expenditure and also to a direct enhancement of insulin sensitivity.

2268-PUB: Level of Physical Activity and Perceived Barriers to Exercise in Adults with Type 2 Diabetes in Argentina

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 2268-PUB
Author(s):  
CAROLINA GOMEZ MARTIN ◽  
MARIA L. POMARES ◽  
CAROLINA M. MURATORE ◽  
SUSANA APOLONI ◽  
PABLO J. AVILA ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Perceived Barriers ◽  
Barriers To Exercise

170-OR: Association of Timing of Physical Activity Bouts with Cardiorespiratory Fitness in Adults with Type 2 Diabetes in the Look AHEAD Study

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 170-OR
Author(s):  
JINGYI QIAN ◽  
MICHAEL P. WALKUP ◽  
SHYH-HUEI CHEN ◽  
PETER H. BRUBAKER ◽  
DALE BOND ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Cardiorespiratory Fitness ◽  
Look Ahead ◽  
The Look
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