Participants in a free mobile education programme, piloted in Detroit and Cincinnati last year, said the customised texting service 'txt4health' made them more aware of their diabetes risk and more likely to make diet-related behaviour changes and lose weight.
"We found that this method of health intervention had potential to significantly influence people's health habits and have great reach - however, sustained participant engagement across the 14 weeks was lower than desired," said lead author Lorraine R Buis, assistant professor in the Department of Family Medicine at the University of Michigan.
Most participants reported that after completing the programme, they were more likely to replace sugary drinks with water (78 per cent) and have a piece of fresh fruit instead of dessert (74 per cent).
They also reported they were more likely to substitute a small salad for chips or fries when dining out (76 per cent), buy healthier foods when grocery shopping (80 per cent), and eat more grilled, baked, or broiled foods instead of fried (76 per cent).
The txt4health initiative is a large, public health focused text message-based programme that aims to raise type 2 diabetes risk awareness, as well as facilitate weekly weight and physical activity self-monitoring to lower diabetes risk.
The findings appear in the Journal of Medical Internet Research.