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Behavior change interventions delivered by mobile telephone short-message service
Brianna S Fjeldsoe1, Alison L Marshall, Yvette D Miller
1School of Psychology, The University of Queensland, Qld, Australia. bcollins@psy.uq.edu.au
American Journal of Preventive Medicine
|January 13, 2009
Summary
Mobile phone text messages, or short-message service (SMS), show promise for health behavior change interventions. Most studies reviewed demonstrated positive short-term outcomes, but more research is needed.
Area of Science:
- Digital Health
- Health Communication
- Behavioral Science
Background:
- New communication methods offer novel ways to deliver health behavior change interventions.
- Mobile phone short-message service (SMS) is a widely accessible channel for health interventions.
- SMS allows for tailored, instant, and asynchronous delivery of health messages.
Purpose of the Study:
- To review existing research on the use of SMS for health behavior change interventions.
- To identify effective components and limitations of SMS-based health interventions.
Main Methods:
- A systematic literature search was conducted for studies published between 1990 and 2008.
- Included studies evaluated SMS-delivered interventions, assessed health behavior changes, and were peer-reviewed.
- 14 studies met the inclusion criteria from an initial 33 identified.
Main Results:
- 13 out of 14 reviewed studies reported positive behavior change outcomes.
- Interventions focused on preventive behaviors (e.g., smoking cessation) and clinical care (e.g., diabetes management).
- Key intervention features included initiation, tailoring, and interactivity; methodological limitations were also noted.
Conclusions:
- SMS interventions demonstrate positive short-term behavioral outcomes.
- Further research should focus on preventive behaviors and incorporate successful intervention features.
- Improving study quality is essential to realize the full potential of SMS for health interventions.
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