Text Messaging for Weight Loss
Body Weight, Body Weight Changes, Prediabetic State
About this trial
This is an interventional health services research trial for Body Weight focused on measuring weight loss, Text Messaging, Short Message Service, Text Messages
Eligibility Criteria
Inclusion Criteria:
- ≥ 18 years of age or older
- Ownership of a cell phone with SMS capabilities
- HbA1c greater than 5.6 but less than 6.5
- BMI ≥ 25 kg/m2 and less than 50 kg/m2
- English or Spanish speakers.
Exclusion Criteria:
- Individuals with co-morbid illness with life expectancy less than 12 months (e.g., terminal cancer, Child's Class C hepatic cirrhosis)
- Diabetes based on an ICD-9 code in previous 3 years
- Institutionalized individuals
- Individuals not planning to stay in the area at least 6 months.
Sites / Locations
- Denver Health
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Usual Care for Weight Loss
Text Message Based Weight Loss Support
Patients randomized to this arm will not receive text messages or any other weight-loss support besides usual care provided at Denver Health. They will receive a weight loss educational packet and be asked to follow up with their primary care provider to further discuss their efforts at weight loss with additional follow-up as directed by their provider. They will be contacted periodically to be weighed. Providers will not be made aware that their patients are participating in the study's control arm.
Patients will receive the same weight loss educational packet as those randomized to usual care. Patients will be assisted in choosing a self-management goal related to exercise and to eating behaviors. They will receive text messages at a frequency up to 1x daily; input from focus groups will guide text message frequency.