An Enhanced SMS Text Message-Based Support and Reminder Program for Young Adults With Type 2 Diabetes (TEXT2U):...

Area of Science:

• Endocrinology
• Digital Health
• Diabetes Management

Background:

• Young-onset type 2 diabetes (age <40 years) is associated with suboptimal clinic attendance, metabolic control, self-management, and psychological health.
• Effective interventions are needed to improve health outcomes in this population.

Purpose of the Study:

• To evaluate the effectiveness of an enhanced SMS text message-based support and reminder program.
• To improve clinic attendance, metabolic control, self-management engagement, and psychological health in young-onset type 2 diabetes patients.

Main Methods:

• A 12-month randomized controlled trial comparing an enhanced SMS intervention with standard care.
• Participants received 1-8 semipersonalized SMS messages monthly.
• Primary outcome: 100% attendance at quarterly appointments; secondary outcomes: metabolic indices, data availability, and psychosocial well-being.

Main Results:

• The intervention group showed significantly greater cumulative clinic attendance (P=.04) compared to the control group.
• No significant differences were observed in HbA1c, BMI, lipids, or data availability between groups.
• Improved empowerment scores were noted in the intervention group at 6 months, though this effect diminished by study end.

Conclusions:

• An enhanced SMS program doubled clinic attendance rates in young-onset type 2 diabetes patients.
• The program demonstrated high acceptability and provided initial support for patient empowerment.
• The intervention did not significantly impact metabolic control or self-management measures.