Effectiveness and acceptability of a text message intervention (DTEXT) on HbA1c and self-management for people with type 2 diabetes. A randomized controlled trial

Waller, Karen; Furber, Susan; Bauman, Adrian; Allman‐Farinelli, Margaret; Dolder, Paul van den; Hayes, Alison; Facci, Franca; Franco, Lisa; Webb, Alison; Moses, Robert G.; Cook, Rebecca; Gugusheff, Jessica; Owen, Katherine; Colagiuri, Stephen

doi:10.1016/j.pec.2020.11.038

Cited by 14 publications

(14 citation statements)

References 32 publications

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“…Our pilot study's findings of improved vegetable consumption, as found in the DTEXT study, 8 is an important outcome as poor nutrition is a modifiable risk factor for disease burden in Aboriginal people. 1 The strengths of our study include the involvement of the Aunty…”

Section: Discussionmentioning

confidence: 63%

“…The strengths of our study include the involvement of the Aunty Jean's Program facilitator in the text‐message program design and the adaptation of text messages that had previously been used in the DTEXT program 8 . The intervention design and delivery supported cultural determinants of health 10 and the pragmatic implementation allowed for real‐world setting evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…Text-messages were adapted from the DTEXT program, a 6-month text-message intervention aimed at improving the health of Australian adults with type 2 diabetes 8. To ensure cultural acceptability, text-messages from the DTEXT program were reviewed by the Aunty Jean's Program facilitator to ensure cultural suitability.…”

mentioning

confidence: 99%

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Acceptability, feasibility and preliminary impact evaluation of a pilot text‐message study on improving the health of Aboriginal people with, or at risk of, chronic disease in Australia

Waller

Furber

Bauman

2022

Health Prom J of Aust

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Issue addressed: Aboriginal people experience higher rates of chronic disease than other Australians, largely due to modifiable risk factors. This study aimed to evaluate the acceptability, feasibility and preliminary impact of a pilot text-message program on improving the health of Aboriginal people with, or at risk of, chronic disease. Methods: A before and after study using a convenience sample of Aboriginal Australian adults determined the impact of a 6-month healthy lifestyle text-message intervention on lifestyle behavioural measures including nutrition, physical activity and smoking. Process evaluation of participants and program facilitators determined program acceptability and feasibility. Results: Twenty Aboriginal people enrolled in the study, with high study completion and program acceptability. The two program facilitators reported the low-cost automated text-message program to be highly acceptable, feasible to deliver and led to environmental program changes. Preliminary impact data showed significant improvements in vegetable consumption at 3 and 6 months, but not for other health outcome measures. Conclusions: The text-message program was highly acceptable and feasible to deliver, and has potential as an adjunct to usual care. Further research is required to determine program efficacy with a larger sample size. So what?: Text-messages to improve the health of Aboriginal people are highly acceptable, feasible to deliver and can complement existing community-led group programs. Further testing of this low-cost program is warranted to determine program efficacy.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

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Acceptability, feasibility and preliminary impact evaluation of a pilot text‐message study on improving the health of Aboriginal people with, or at risk of, chronic disease in Australia

Waller

Furber

Bauman

2022

Health Prom J of Aust

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“…Outcomes on the effectiveness and acceptability of DTEXT are published elsewhere. 3 The initial 8 months of recruitment using traditional methods alone achieved 23% of the required sample size, equating to an average of 10 enrolments per month. The second 8-month recruitment period resulted in the required sample size being exceeded, with the addition of Facebook achieving an average of 31 enrolments per month (months 9-11), which further increased to an average of 42 enrolments per month (months 12-16) with the addition of the NDSS mail-out.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness and costs of strategies to recruit Australian adults with type 2 diabetes into a text message intervention (DTEXT) study

Waller¹,

Furber²,

Cook³

et al. 2022

Public Health Res Pract.

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“…In 2017-2018 we conducted a pragmatic 2-armed, parallel, nonblinded randomized controlled trial (RCT) to determine the effectiveness of a 6-month text-message intervention (DTEXT: ACTRN12617000416392) compared to usual care, for people with type 2 diabetes (18). The intervention was highly accepted and resulted in significant improvements in consumption of vegetables, fruit and sweet discretionary foods, and a non-significant trend for improved HbA1c (19). The present study aimed to determine the cost-effectiveness and cost-utility of DTEXT to improve HbA1c and selfmanagement behaviors for Australian adults with type 2 diabetes.…”

Section: Introductionmentioning

confidence: 99%

Economic evaluation of a mobile phone text-message intervention for Australian adults with type 2 diabetes

Waller¹,

Killedar²,

Furber³

et al. 2023

mHealth

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Background: The rising prevalence of type 2 diabetes in Australia is a public health concern, contributing to significant disease burden and economic costs. Text-message programs have been shown to improve health outcomes for people with type 2 diabetes, however they remain underutilized, and no evidence exists on their cost-effectiveness or costs of scale up to a population level in Australia. This study aimed to determine the cost-effectiveness and cost-utility of a 6-month text-message intervention (DTEXT) to improve glycated hemoglobin (HbA1c) and self-management behaviors for Australian adults with type 2 diabetes.Methods: A within-trial economic evaluation was conducted on the DTEXT randomized controlled trial.Incremental cost-effectiveness ratios (ICERs) were determined per 11 mmol/mol (1%) reduced HbA1c and per quality adjusted life year (QALY) gained, compared to usual care. Cost-effectiveness acceptability curves (CEAC) determined the probability of the intervention being cost-effective over a range of willingness to pay thresholds. A scenario analysis was conducted to determine how cost-effectiveness was impacted by using current implementation costs.

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Effectiveness and acceptability of a text message intervention (DTEXT) on HbA1c and self-management for people with type 2 diabetes. A randomized controlled trial

Cited by 14 publications

References 32 publications

Acceptability, feasibility and preliminary impact evaluation of a pilot text‐message study on improving the health of Aboriginal people with, or at risk of, chronic disease in Australia

Acceptability, feasibility and preliminary impact evaluation of a pilot text‐message study on improving the health of Aboriginal people with, or at risk of, chronic disease in Australia

Effectiveness and costs of strategies to recruit Australian adults with type 2 diabetes into a text message intervention (DTEXT) study

Economic evaluation of a mobile phone text-message intervention for Australian adults with type 2 diabetes

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