J. Med. Internet Res. - Use of a text message program to raise type 2 diabetes risk awareness and promote health behavior change (part II): assessment of participants' perceptions on efficacy.

Tópicos

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Resumo

CKGROUND: Although there is great enthusiasm in both the public and private sector for the further development and use of large-scale consumer-facing public health applications for mobile platforms, little is known about user experience and satisfaction with this type of approach. As a part of the Beacon Community Cooperative Agreement Program, txt4health, a public-facing, mobile phone-based health information service targeting type 2 diabetes, was launched in 3 Beacon Communities: the Southeast Michigan Beacon Community in Detroit, MI, the Greater Cincinnati Beacon Community in Cincinnati, OH, and the Crescent City Beacon Community in New Orleans, LA. This program was marketed via large public health campaigns and drew many users within the respective communities.OBJECTIVE: The purpose of this investigation was to use the RE-AIM framework to document txt4health efficacy by focusing on perceptions of satisfaction, usage, and behavior change among individuals who used txt4health in pilot studies in Southeast Michigan and Greater Cincinnati.METHODS: We conducted a multimodal user survey with txt4health users recruited via text message through the program to understand participant perceptions of program use and satisfaction, as well as self-reported perceptions of behavior change as a result of using txt4health.RESULTS: Txt4health users reported very high levels of program satisfaction, with 67.1% (108/161) reporting satisfaction scores of =8 on a 10-point scale, with 10 equivalent to most satisfied (mean 8.2, SD 1.6). All survey participants agreed/strongly agreed that the messages included in txt4health were clear and easy to understand (100.0%, 160/160), and most found txt4health made them knowledgeable about their risk for type 2 diabetes (88.1%, 140/159) and made them conscious of their diet and physical activity (88.8%, 142/160). Most participants reported that txt4health helped them to make behavior changes related to diet; after having completed txt4health, most agreed/strongly agreed that they are more likely to replace sugary drinks, such as juice or soda, with water (78.0%, 124/159), have a piece of fresh fruit instead of dessert (74.2%, 118/159), substitute a small salad for chips or fries when dining out (76.1%, 121/159), buy healthier foods when grocery shopping (79.7%, 126/158), and eat more grilled, baked, or broiled foods instead of fried (75.5%, 120/159).CONCLUSIONS: Results from this study suggest that participants in txt4health, a large-scale, public health-focused text message program targeting type 2 diabetes, have positive perceptions of the program and that participation has led to positive behavior change.

Resumo Limpo

ckground although great enthusiasm public privat sector develop use largescal consumerfac public health applic mobil platform littl known user experi satisfact type approach part beacon communiti cooper agreement program txthealth publicfac mobil phonebas health inform servic target type diabet launch beacon communiti southeast michigan beacon communiti detroit mi greater cincinnati beacon communiti cincinnati oh crescent citi beacon communiti new orlean la program market via larg public health campaign drew mani user within respect communitiesobject purpos investig use reaim framework document txthealth efficaci focus percept satisfact usag behavior chang among individu use txthealth pilot studi southeast michigan greater cincinnatimethod conduct multimod user survey txthealth user recruit via text messag program understand particip percept program use satisfact well selfreport percept behavior chang result use txthealthresult txthealth user report high level program satisfact report satisfact score point scale equival satisfi mean sd survey particip agreedstrong agre messag includ txthealth clear easi understand found txthealth made knowledg risk type diabet made conscious diet physic activ particip report txthealth help make behavior chang relat diet complet txthealth agreedstrong agre like replac sugari drink juic soda water piec fresh fruit instead dessert substitut small salad chip fri dine buy healthier food groceri shop eat grill bake broil food instead fri conclus result studi suggest particip txthealth largescal public healthfocus text messag program target type diabet posit percept program particip led posit behavior chang

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