The ActiveText@T2D text messaging behavioural intervention to increase physical activity in adults with type 2 diabetes: A prospective single-arm feasibility trial

  • 0School of Health Sciences, University of Nottingham, Nottingham, United Kingdom.

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Summary

This summary is machine-generated.

A mobile text messaging intervention, ActiveText@T2D, proved feasible and acceptable for promoting physical activity in Saudi adults with type 2 diabetes (T2DM). This culturally tailored approach shows promise for improving self-management among this population.

Area Of Science

  • Digital Health
  • Behavioral Science
  • Endocrinology

Background

  • Physical activity is crucial for type 2 diabetes (T2DM) self-management, yet most Saudi adults do not meet recommendations.
  • Culturally tailored interventions are lacking for promoting physical activity in Saudi adults with T2DM.
  • Existing interventions often fail to address specific cultural contexts and patient needs.

Purpose Of The Study

  • To explore the feasibility and acceptability of ActiveText@T2D, a 6-week theory-based mobile text messaging intervention.
  • To promote physical activity in Saudi adults diagnosed with type 2 diabetes (T2DM).
  • To assess recruitment, retention, and patient/provider perceptions of the intervention.

Main Methods

  • A prospective, single-centre, single-arm feasibility study of the ActiveText@T2D intervention.
  • Intervention development informed by the Behaviour Change Wheel (BCW) and COM-B model.
  • Utilized SMS text messages, clinical data (BMI, glycaemic control), and self-reported outcomes (self-efficacy, physical activity, barriers).

Main Results

  • High participation (84%) and retention (75%) rates were achieved.
  • Outcome measures (BBAQ, ESE-A, A-IPAQ) demonstrated sensitivity to change.
  • Patients and healthcare professionals found the intervention broadly acceptable, with key themes including utility of text messaging and improved knowledge.

Conclusions

  • ActiveText@T2D is a feasible and acceptable culturally tailored SMS text messaging intervention for Saudi adults with T2DM.
  • The intervention shows potential for promoting physical activity and improving diabetes self-management.
  • A definitive randomized controlled trial is warranted to evaluate effectiveness and cost-effectiveness.

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