The challenges of implementing a text message intervention to promote behavioral change in primary care patients with hypertension and diabetes

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dc.creatorJoão Antonio de Queirozoliveira
dc.creatorMaria Cristina Paixão
dc.creatorJanaina Moutinho Costa
dc.creatorClareci Silva Cardoso
dc.creatorKarla Santo
dc.creatorAntonio Luiz Pinho Ribeiro
dc.creatorMaria Auxiliadora Martins
dc.creatorMilena s. Marcolino
dc.creatorChristiane Cimini
dc.creatorVania Almeida
dc.creatorJunia Xavier Maia
dc.creatorRaissa Eda Resende
dc.creatorLeticia Alves Gualberto
dc.creatorPedro Henrique Lauar Santos
dc.creatorPaulo r. Gomes
dc.creatorLeonardo Bonisson
dc.date.accessioned2025-08-06T17:31:28Z
dc.date.accessioned2025-09-08T23:51:35Z
dc.date.available2025-08-06T17:31:28Z
dc.date.issued2023
dc.format.mimetypepdf
dc.identifier.doi10.36660/ijcs.20220050
dc.identifier.issn23594802
dc.identifier.urihttps://hdl.handle.net/1843/84112
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.rightsAcesso Aberto
dc.subjectExercise
dc.subjectLifestyle
dc.subjectSurveys and Questionnaires
dc.subject.otherArterial Pressure/prevention and control
dc.subject.otherHypertension/prevention and control
dc.subject.otherBlood Glicose/ prevention and control
dc.subject.otherPhysical Activity
dc.subject.otherLifestyle
dc.subject.otherSurveys and Questionnaires
dc.titleThe challenges of implementing a text message intervention to promote behavioral change in primary care patients with hypertension and diabetes
dc.typeArtigo de periódico
local.citation.epage14
local.citation.issuee20220050
local.citation.spage1
local.citation.volume36
local.description.resumoBackground: Controlling blood pressure and glycemic levels is a challenge that requires innovative solutions. Objective: To assess the feasibility of implementing a text message intervention among low-income primary care patients, as well as to assess self-reported behavioral change. Methods: A set of 200 text messages was developed on healthy eating, physical activity, adherence, and motivation. Participants from Vale do Mucuri, MG, Brazil diagnosed with diabetes or hypertension or undergoing screening for those diseases, received 5 to 8 messages per week for 6 months. They answered a questionnaire to report their satisfaction and behavioral changes. Results: Of the 136 patients, 117 (86.0%) answered the questionnaire. Most reported that the messages were very useful (86.3%), easy to understand (90.6%), and were very helpful for behavioral change (65.0%); 84.6% reported that they had started eating healthier. The most frequent reported lifestyle changes were: improved diet quality (85.5%), reduced portions (65.8%), and weight loss (56.4%). The majority of patients shared the messages (60.7%) with family or other acquaintances, considered the number of messages to be adequate (89.7%) and would recommend the program to others (95.7%). Conclusion: An intervention based on text messages to promote behavioral change in patients with hypertension or diabetes in primary care is feasible in low-resource settings. Future studies are needed to assess the program’s long-term effects on clinical outcomes.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.1590/1413-81232023285.11622022EN

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