Wednesday, December 23, 2015

The Upside of Text Messages

How often do you say “just text me”? In our plugged-in world, communicating through text message is the new normal. Many stores have even jumped on the texting bandwagon and use text messages to alert customers about upcoming sales. The opportunities to communicate through text message are seemingly endless. A new study of a texting intervention sought to determine whether texting could help people increase their activity and lead healthier lives.

The study, published in the Journal of the American Heart Association, included 48 men and women ages 18-69 years old. All of the participants had risk factors for heart disease. The participants’ baseline activity was established during week one with activity trackers. The study was then conducted in two phases.

In the first phase, the participants were randomly assigned to either unblinded or blinded activity tracking. Unblinded tracking allowed participants to see their activity data through a smartphone interface, while the blinded trackers were unable to see their activity data. In phase two, the unblinded participants were randomly assigned into one of two groups, smart texts versus no smart texts (the control). The smart texts group received coaching text messages three times per day, while the control group did not receive coaching text messages. The “smart texts” incorporated the patients name and personal details to provide encouragement based on their current level of activity. All participants had a goal of 10,000 steps per day.

The phase one data revealed no significant difference in steps between the unblinded trackers and blinded trackers. The phase two data, however, demonstrated a significant difference between participants receiving smart texts compared to those who did not. Overall, those who received text messages walked an average of 2,534 more steps per day than those who did not receive a text message. Additionally, 81 percent of those receiving text messages reached their 10,000-steps-a-day goal, compared with only 44 percent of those not receiving text messages.

Bottom Line: While the market for activity trackers has grown, people may need more than an activity tracker to stay motivated to move more. Evidence has shown that text messages can help patients remember to take medications, stop smoking and request help at the first sign of medical problems. Text messaging may also prove to be a useful tool to inspire and motivate people to lead healthier lives through increased physical activity. 


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