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The Development of a Text Messaging Platform to Enhance a Youth Diabetes Prevention Program: Observational Process
Manali Sapre1, Cordelia R Elaiho2,3, Rena Brar Prayaga4
1New York University Langone, New York, NY, United States.
JMIR Formative Research
|May 29, 2024
Summary
A new SMS text messaging platform, co-developed with adolescents, shows promise for supporting diabetes prevention efforts in youth. This mobile health approach aims to improve engagement and address health disparities in underserved populations.
Area of Science:
- Mobile health (mHealth) interventions
- Diabetes prevention in adolescents
- Health disparities research
Background:
- Prediabetes affects 1 in 5 US adolescents, with higher prevalence in minority youth.
- Existing youth diabetes prevention programs face access and engagement challenges.
- Limited effective interventions exist for adolescent prediabetes.
Purpose of the Study:
- To develop and assess a youth-informed SMS text messaging platform for adolescents with prediabetes.
- To evaluate the feasibility and acceptability of the platform as a supplement to diabetes prevention workshops.
- To leverage a youth action board and technology partner for platform co-development.
Main Methods:
- Co-designed 5 message types (goal setting, tracking, tailored guidance, motivation, photo diary) with a youth action board.
- Utilized focus group data from community youth for message content development.
- Conducted a 12-week pilot of the SMS platform with 13 adolescents diagnosed with prediabetes.
Main Results:
- The platform sent 84% of messages accurately; 69% of participants remained engaged at 12 weeks.
- Highly responsive participants (46%) engaged with >75% of interactive messages.
- Participants found the platform interactive, convenient, motivational, and reflective of workshop content.
Conclusions:
- A novel SMS platform, co-developed with diverse youth, shows potential for supporting adolescent diabetes prevention.
- The study highlights a unique triple partnership among researchers, technology experts, and youth.
- This mobile health approach addresses diabetes-related disparities by enhancing intervention accessibility.
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