One potential solution to this complex problem could be the use of interventions delivered via mobile devices (mHealth interventions), as a way of offering a new approach to support lifestyle changes [8,9]. Automated messages delivered via such tools can potentially target an extensive range of beliefs and behaviours over a long period of time, being the interventions wide-ranging and low cost. The content of mHealth interventions can also be personalized based on data from electronic health records and patient-generated data, having a great potential for delivering personalized health services. Previous trials showed that brief text messages (e.g., SMS) delivered via digital health systems added to usual care can be effective in improving T2DM risk factors such as overweight [10,11], hypertension [12], hyperlipidemia [13], and high levels of glycated haemoglobin (HbA1c) [10,14]. Several trials have evaluated the impact of mHealth interventions in people at high risk of diabetes, with positive results in reducing T2DM incidence [15], glucose tolerance [16], and weight loss and HbA1c [11]. However, a recent study in India and UK, showed no significant reduction in the progression to T2DM in 2 years by lifestyle modification using SMS messaging [17]. This highlights the need for future studies to analyse the effectiveness of mHealth interventions within other populations, carefully analysing the content of the messages, the behavioural change techniques applied, and the topics that are covered, as well as other characteristics of the intervention, such as the duration or frequency of the messages sent.
At the patient level, baseline data will be collected over the phone immediately after recruitment with a structured interview using the Lime Survey online tool. Patients will subsequently be invited to attend a visit at the IdISBa Clinical Trial Platform, for the collection of basal clinical and physiological data by a research nurse. Post-intervention data will be collected after 6 months in the same way as in baseline data collection. We will also examine the proportion of participants exposed to the intervention (i.e., successfully receiving messages) at 6-months follow-up and conduct around 15 individual interviews to explore patient experiences with the intervention.
Gili-SMS full 15
For over 35 years, Yorktel (www.yorktel.com) has been a leader in helping enterprise, healthcare, and federal government customers plan, navigate and successfully execute their digital workplace transformation initiatives. Our global team works with yours to ensure all aspects of these initiatives, including systems evaluations, network preparedness, technology assessments, change management planning, device and network management and monitoring have been addressed. We then design, integrate and manage the communication and collaboration solutions that keep you connected and moving forward. For more information, visit Yorktel online at or email learnmore@yorktel.com. Follow Yorktel on Twitter: @yorktelcorp.
For over 35 years, Yorktel (www.yorktel.com) has been a leader in helping enterprise, healthcare, education and public sector customers plan, navigate and successfully execute their digital workplace transformation initiatives. Our global team works with yours to ensure all aspects of these initiatives, including systems evaluations, network preparedness, technology assessments, change management planning, device and network management and monitoring have been addressed. We then design, integrate and manage the IT solutions that enable your connected workforce. For more information, visit Yorktel. www.yorktel.com and follow Yorktel on Twitter: @yorktelcorp. 2ff7e9595c
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