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Text message program to improve the health of people with type 2 diabetes.

The effectiveness of a text message intervention on lifestyle risk factor modification and diabetes self-management compared to usual care for people with type 2 diabetes: a randomised controlled trial.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12617000416392
Enrollment
395
Registered
2017-03-23
Start date
2017-07-03
Completion date
2018-10-11
Last updated
2020-03-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The aim of this study is to determine the effectiveness of a text message intervention on lifestyle risk factor modification and diabetes self-management for people with type 2 diabetes. A pragmatic randomised controlled trial will be conducted in New South Wales. The intervention group will receive mobile phone text messages for 6 months; the messages will provide information, motivation and support on physical activity, nutrition, weight, smoking cessation and diabetes self-management. The control group will receive usual care. The primary outcome measure will be HbA1c; secondary measures will include physical activity, nutrition, body mass index, blood lipids, and medication adherence. A sample of 340 will be needed in the trial. People will be recruited through various sources such as the Illawarra Shoalhaven Local Health District (Ambulatory and Primary Health Care, hospitals & the Diabetes Service), general practices, local newspapers, pharmacists, podiatrists, and Diabetes NSW. People will be eligible to participate if they: have type 2 diabetes (HbA1c 7.0% or above); have a mobile phone; are 18 years or older; able to read and speak English; and have medical clearance from their doctor. Exclusion criterion will be pregnancy.

Interventions

The intervention group will receive mobile phone text messages for 6 months. For Phase 1 (the first 3 months), participants in the intervention group will receive a text message every day at a random time between 8 am and 5 pm. The text messages will provide information, motivation and support on physical activity, nutrition, weight, and diabetes self-management. Participants who smoke tobacco or take medication for diabetes (ie tablets or insulin) will also receive an additional message on smok

The intervention group will receive mobile phone text messages for 6 months. For Phase 1 (the first 3 months), participants in the intervention group will receive a text message every day at a random time between 8 am and 5 pm. The text messages will provide information, motivation and support on physical activity, nutrition, weight, and diabetes self-management. Participants who smoke tobacco or take medication for diabetes (ie tablets or insulin) will also receive an additional message on smoking and medication adherence each fortnight. For Phase 2 (4th to 6th month) participants will receive the text messages four times per week. Participants who smoke tobacco or take medication for diabetes (ie tablets or insulin) will also receive an additional message on smoking and medication adherence each month. The information in the text messages is based on validated guidelines for people with type 2 diabetes, advice from academic and clinical experts, and the published literature. The delivery of the text messages will be unidirectional. The messaging software will provide a report on the delivery of messages to participants.

Sponsors

Dr Susan Furber
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Primary purpose
Treatment

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

People 18 years and older who have a mobile phone People with type 2 diabetes (HbA1c7.0% or above) People who can read and speak English People who have received medical clearance from their doctor

Exclusion criteria

Women who are pregnant.

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 3, 2026