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Cited by 5Mobile Health and mHealth ApplicationsDiabetes Management and EducationMobile Learning in Education

Implementation and Evaluation of an Automated Text Message–Based Diabetes Prevention Program for Adults With Pre-diabetes

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Arora, Sanjay, Lam, Chun Nok, Burner, Elizabeth, Menchine, Michael·2024·Journal of Diabetes Science and Technology
DOI 10.1177/19322968231162601PMC PMC11418517
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Abstract

Background: Despite the efficacy of diabetes prevention programs, only an estimated 5% of people with pre-diabetes actually participate. Mobile health (mHealth) holds promise to engage patients with pre-diabetes into lifestyle modification programs by decreasing the referral burden, centralizing remote enrollment, removing the physical requirement of a brick-and-mortar location, lowering operating costs through automation, and reducing time and transportation barriers. Methods: Non-randomized implementation study enrolling patients with pre-diabetes from a large health care organization. Patients were exposed to a text message–based program combining live human coaching guidance and support with automated scheduled, interactive, data-driven, and on-demand messages. The primary analysis examined predicted weight outcomes at 6 and 12 months. Secondary outcomes included predicted changes in HbA1c and minutes of exercise at 6 and 12 months. Results: Of the 163 participants included in the primary analysis, participants had a mean predicted weight loss of 5.5% at six months ( P < .001) and of 4.3% at 12 months ( P < .001). We observed a decrease in predicted HbA1c from 6.1 at baseline to 5.8 at 6 and 12 months ( P < .001). Activity minutes were statistically similar from a baseline of 155.5 minutes to 146.0 minutes ( P = .567) and 142.1 minutes ( P = .522) at 6 and 12 months, respectively, for the overall cohort. Conclusions: In this real-world implementation of the myAgileLife Diabetes Prevention Program among patients with pre-diabetes, we observed significant decreases in weight and HbA1c at 6 and 12 months. mHealth may represent an effective and easily scalable potential solution to deliver impactful diabetes prevention curricula to large numbers of patients.

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Authors
Arora, S., Lam, C. N., Burner, E., & Menchine, M.
Affiliations
University of Southern California (US)
Corresponding author
Arora, Sanjay
ORCID
Venue
Journal of Diabetes Science and Technology
Publisher
SAGE Publications
Published
2023-03-22
Volume
18
Issue
5
Pages
1139-1145
ISSN
1932-2968 (ISSN-L)
DOI
10.1177/19322968231162601
PMC
PMC11418517
OpenAlex
W4353020332
Cited by
5
References
4
Citations by year
2025: 3 · 2024: 1 · 2023: 1
FWCI
1.77
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Journal of Diabetes Science and Technology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
Keywords
diabetes prevention, prediabetes, text messaging, mobile health, lifestyle modification, weight loss, HbA1c, physical activity, program implementation, health care organization
MeSH terms
Adult, Aged, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Prediabetic State, Program Evaluation, Weight Loss, Exercise, Telemedicine, Text Messaging

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