Development of a Theoretically Driven mHealth Text Messaging Application for Sustaining Recent Weight Loss

BackgroundMobile phone short message service (SMS) text messaging, has the potential to serve as an intervention medium to promote sustainability of weight loss that can be easily and affordably used by clinicians and consumers. ObjectiveTo develop theoretically driven weight loss sustai...

Full description

Bibliographic Details
Main Authors: Shaw, Ryan J, Bosworth, Hayden B, Hess, Jeffrey C, Silva, Susan G, Lipkus, Isaac M, Davis, Linda L, Johnson, Constance M
Format: Article
Language:English
Published: JMIR Publications 2013-05-01
Series:JMIR mHealth and uHealth
Online Access:http://mhealth.jmir.org/2013/1/e5/
_version_ 1819282114263121920
author Shaw, Ryan J
Bosworth, Hayden B
Hess, Jeffrey C
Silva, Susan G
Lipkus, Isaac M
Davis, Linda L
Johnson, Constance M
author_facet Shaw, Ryan J
Bosworth, Hayden B
Hess, Jeffrey C
Silva, Susan G
Lipkus, Isaac M
Davis, Linda L
Johnson, Constance M
author_sort Shaw, Ryan J
collection DOAJ
description BackgroundMobile phone short message service (SMS) text messaging, has the potential to serve as an intervention medium to promote sustainability of weight loss that can be easily and affordably used by clinicians and consumers. ObjectiveTo develop theoretically driven weight loss sustaining text messages and pilot an mHealth SMS text messaging intervention to promote sustaining recent weight loss in order to understand optimal frequency and timing of message delivery, and for feasibility and usability testing. Results from the pilot study were used to design and construct a patient privacy compliant automated SMS application to deliver weight loss sustaining messages. MethodsWe first conducted a pilot study in which participants (N=16) received a daily SMS text message for one month following a structured weight loss program. Messages were developed from diet and exercise guidelines. Following the intervention, interviews were conducted and self-reported weight was collected via SMS text messaging. ResultsAll participants (N=16) were capable of sending and receiving SMS text messages. During the phone interview at 1 month post-baseline and at 3 months post-baseline, 13/14 (93%) of participants who completed the study reported their weight via SMS. At 3 months post-baseline, 79% (11/14) participants sustained or continued to lose weight. Participants (13/14, 93%) were favorable toward the messages and the majority (10/14, 71%) felt they were useful in helping them sustain weight loss. All 14 participants who completed the interview thought SMS was a favorable communication medium and was useful to receive short relevant messages promptly and directly. All participants read the messages when they knew they arrived and most (11/14, 79%) read the messages at the time of delivery. All participants felt that at least one daily message is needed to sustain weight loss behaviors and that they should be delivered in the morning. Results were then used to develop the SMS text messaging application. ConclusionsStudy results demonstrated the feasibility of developing weight loss SMS text messages, and the development of an mHealth SMS text messaging application. SMS text messaging was perceived as an appropriate and accepted tool to deliver health promotion content.
first_indexed 2024-12-24T01:10:26Z
format Article
id doaj.art-e45aecc313fb407694a981386052d4a4
institution Directory Open Access Journal
issn 2291-5222
language English
last_indexed 2024-12-24T01:10:26Z
publishDate 2013-05-01
publisher JMIR Publications
record_format Article
series JMIR mHealth and uHealth
spelling doaj.art-e45aecc313fb407694a981386052d4a42022-12-21T17:23:00ZengJMIR PublicationsJMIR mHealth and uHealth2291-52222013-05-0111e510.2196/mhealth.2343Development of a Theoretically Driven mHealth Text Messaging Application for Sustaining Recent Weight LossShaw, Ryan JBosworth, Hayden BHess, Jeffrey CSilva, Susan GLipkus, Isaac MDavis, Linda LJohnson, Constance MBackgroundMobile phone short message service (SMS) text messaging, has the potential to serve as an intervention medium to promote sustainability of weight loss that can be easily and affordably used by clinicians and consumers. ObjectiveTo develop theoretically driven weight loss sustaining text messages and pilot an mHealth SMS text messaging intervention to promote sustaining recent weight loss in order to understand optimal frequency and timing of message delivery, and for feasibility and usability testing. Results from the pilot study were used to design and construct a patient privacy compliant automated SMS application to deliver weight loss sustaining messages. MethodsWe first conducted a pilot study in which participants (N=16) received a daily SMS text message for one month following a structured weight loss program. Messages were developed from diet and exercise guidelines. Following the intervention, interviews were conducted and self-reported weight was collected via SMS text messaging. ResultsAll participants (N=16) were capable of sending and receiving SMS text messages. During the phone interview at 1 month post-baseline and at 3 months post-baseline, 13/14 (93%) of participants who completed the study reported their weight via SMS. At 3 months post-baseline, 79% (11/14) participants sustained or continued to lose weight. Participants (13/14, 93%) were favorable toward the messages and the majority (10/14, 71%) felt they were useful in helping them sustain weight loss. All 14 participants who completed the interview thought SMS was a favorable communication medium and was useful to receive short relevant messages promptly and directly. All participants read the messages when they knew they arrived and most (11/14, 79%) read the messages at the time of delivery. All participants felt that at least one daily message is needed to sustain weight loss behaviors and that they should be delivered in the morning. Results were then used to develop the SMS text messaging application. ConclusionsStudy results demonstrated the feasibility of developing weight loss SMS text messages, and the development of an mHealth SMS text messaging application. SMS text messaging was perceived as an appropriate and accepted tool to deliver health promotion content.http://mhealth.jmir.org/2013/1/e5/
spellingShingle Shaw, Ryan J
Bosworth, Hayden B
Hess, Jeffrey C
Silva, Susan G
Lipkus, Isaac M
Davis, Linda L
Johnson, Constance M
Development of a Theoretically Driven mHealth Text Messaging Application for Sustaining Recent Weight Loss
JMIR mHealth and uHealth
title Development of a Theoretically Driven mHealth Text Messaging Application for Sustaining Recent Weight Loss
title_full Development of a Theoretically Driven mHealth Text Messaging Application for Sustaining Recent Weight Loss
title_fullStr Development of a Theoretically Driven mHealth Text Messaging Application for Sustaining Recent Weight Loss
title_full_unstemmed Development of a Theoretically Driven mHealth Text Messaging Application for Sustaining Recent Weight Loss
title_short Development of a Theoretically Driven mHealth Text Messaging Application for Sustaining Recent Weight Loss
title_sort development of a theoretically driven mhealth text messaging application for sustaining recent weight loss
url http://mhealth.jmir.org/2013/1/e5/
work_keys_str_mv AT shawryanj developmentofatheoreticallydrivenmhealthtextmessagingapplicationforsustainingrecentweightloss
AT bosworthhaydenb developmentofatheoreticallydrivenmhealthtextmessagingapplicationforsustainingrecentweightloss
AT hessjeffreyc developmentofatheoreticallydrivenmhealthtextmessagingapplicationforsustainingrecentweightloss
AT silvasusang developmentofatheoreticallydrivenmhealthtextmessagingapplicationforsustainingrecentweightloss
AT lipkusisaacm developmentofatheoreticallydrivenmhealthtextmessagingapplicationforsustainingrecentweightloss
AT davislindal developmentofatheoreticallydrivenmhealthtextmessagingapplicationforsustainingrecentweightloss
AT johnsonconstancem developmentofatheoreticallydrivenmhealthtextmessagingapplicationforsustainingrecentweightloss