Chronic Disease Prevention
Conditions
Keywords
Disease prevention, Digital health, Text messaging
Brief summary
This was a pilot evaluation conducted to test procedures for a possible future trial and provide preliminary insights regarding whether text messages sent to Veterans could help support nutrition and/or physical activity health goals. For the purposes of the pilot, the goal was to enroll one participant.
Detailed description
The investigators prepared procedures for a one-group pilot intended to evaluate the delivery of automated text messages to Veterans. Completion of this pilot will provide preliminary insights regarding the delivering automated text messages focused on nutrition and/or physical activity health goals, and potential impacts on outcomes like self-efficacy, goal commitment, and health confidence.
Interventions
BEHAVIORALText message
Two months of daily text messages to support meeting a health goal
Sponsors
VA Office of Research and Development
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
One-group trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patient at designated VA site * Ownership of a cellular phone * Over age 18 * Pre-screened by their primary care physician for study inclusion for medical contraindication to physical activity and diet change
Exclusion criteria
* Patient outside designated VA site * Non-ownership of a cellular phone * Under age 18 * Not pre-screened by their primary care physician for study inclusion for medical contraindication to physical activity and diet change or deemed ineligible to participate by primary care physician
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-efficacy: Healthful Eating Via Revised Eating Self-Efficacy Scale (ESES-R) | Change from Baseline to 2 months | Self-reported confidence in performing healthful diet and physical activity behaviors. Self-efficacy - Healthful eating via Revised Eating Self-Efficacy Scale (ESES-R). Range: 1-10; higher values represent a better outcome. |
| Goal Commitment: Healthful Eating Via the Hollenbeck, Williams, and Klein Goal Commitment Scale | Change from Baseline to 2 months | Self-reported commitment to healthful diet and physical activity goals. Goal commitment - Healthful eating via the Hollenbeck, Williams, and Klein Goal Commitment Scale. Range: 1-5; higher values represent a better outcome. |
| Self-efficacy: Physical Activity Via the Self-efficacy for Exercise Behaviors Scale | Change from Baseline to 2 months | Self-reported confidence in performing healthful diet and physical activity behaviors. Self-efficacy - Physical activity via the Self-efficacy for Exercise Behaviors Scale. Range: 1-5; higher values represent a better outcome. |
| Goal Commitment - Physical Activity Via the Hollenbeck, Williams, and Klein Physical Activity Scale | Baseline | Self-reported commitment to healthful diet and physical activity goals. The determination to attempt a physical activity-related goal and consistently pursue it over time. Goal commitment - Physical activity via the Hollenbeck, Williams, and Klein Goal Commitment Scale. Range: 1-5; higher values represent a better outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health Confidence: the Health Confidence Score | Change from Baseline to 2 months | Self-reported confidence in patient engagement. Health Confidence. Range: 0-12; higher values represent a better outcome. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Text Message Participants receive text messages about healthy eating or physical activity.
Text message: Two months of daily text messages to support meeting a health goal | 1 |
| Total | 1 |
Baseline characteristics
| Characteristic | Text Message |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 1 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants |
| Age, Continuous | 81 years STANDARD_DEVIATION 0 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 1 Participants |
| Region of Enrollment United States | 1 participants |
| Sex: Female, Male Female | 0 Participants |
| Sex: Female, Male Male | 1 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 1 |
| other Total, other adverse events | 0 / 1 |
| serious Total, serious adverse events | 0 / 1 |
Outcome results
Primary
Goal Commitment: Healthful Eating Via the Hollenbeck, Williams, and Klein Goal Commitment Scale
Self-reported commitment to healthful diet and physical activity goals. Goal commitment - Healthful eating via the Hollenbeck, Williams, and Klein Goal Commitment Scale. Range: 1-5; higher values represent a better outcome.
Time frame: Change from Baseline to 2 months
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Text Message | Goal Commitment: Healthful Eating Via the Hollenbeck, Williams, and Klein Goal Commitment Scale | -0.2 score on a scale |
Primary
Goal Commitment - Physical Activity Via the Hollenbeck, Williams, and Klein Physical Activity Scale
Self-reported commitment to healthful diet and physical activity goals. The determination to attempt a physical activity-related goal and consistently pursue it over time. Goal commitment - Physical activity via the Hollenbeck, Williams, and Klein Goal Commitment Scale. Range: 1-5; higher values represent a better outcome.
Time frame: Baseline
Population: This scale was not administered at 2 month follow-up
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Text Message | Goal Commitment - Physical Activity Via the Hollenbeck, Williams, and Klein Physical Activity Scale | 4.2 score on a scale |
Primary
Self-efficacy: Healthful Eating Via Revised Eating Self-Efficacy Scale (ESES-R)
Self-reported confidence in performing healthful diet and physical activity behaviors. Self-efficacy - Healthful eating via Revised Eating Self-Efficacy Scale (ESES-R). Range: 1-10; higher values represent a better outcome.
Time frame: Change from Baseline to 2 months
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Text Message | Self-efficacy: Healthful Eating Via Revised Eating Self-Efficacy Scale (ESES-R) | 2.3 score on a scale |
Primary
Self-efficacy: Physical Activity Via the Self-efficacy for Exercise Behaviors Scale
Self-reported confidence in performing healthful diet and physical activity behaviors. Self-efficacy - Physical activity via the Self-efficacy for Exercise Behaviors Scale. Range: 1-5; higher values represent a better outcome.
Time frame: Change from Baseline to 2 months
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Text Message | Self-efficacy: Physical Activity Via the Self-efficacy for Exercise Behaviors Scale | 2.5 score on a scale |
Secondary
Health Confidence: the Health Confidence Score
Self-reported confidence in patient engagement. Health Confidence. Range: 0-12; higher values represent a better outcome.
Time frame: Change from Baseline to 2 months
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Text Message | Health Confidence: the Health Confidence Score | 0.75 score on a scale |