The Effectiveness of Mobile Phone Messaging–Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis

<h3>Background</h3><p dir="ltr">The prevalence of type 2 diabetes mellitus (T2DM) is increasing worldwide. Physical activity (PA) is an important aspect of self-care and first line management for T2DM. SMS text messaging can be used to support self-management in people wi...

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Main Author: Mohammed Alsahli (18281734) (author)
Other Authors: Alaa Abd-Alrazaq (17430900) (author), Mowafa Househ (9154124) (author), Stathis Konstantinidis (11021853) (author), Holly Blake (3527129) (author)
Published: 2022
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author Mohammed Alsahli (18281734)
author2 Alaa Abd-Alrazaq (17430900)
Mowafa Househ (9154124)
Stathis Konstantinidis (11021853)
Holly Blake (3527129)
author2_role author
author
author
author
author_facet Mohammed Alsahli (18281734)
Alaa Abd-Alrazaq (17430900)
Mowafa Househ (9154124)
Stathis Konstantinidis (11021853)
Holly Blake (3527129)
author_role author
dc.creator.none.fl_str_mv Mohammed Alsahli (18281734)
Alaa Abd-Alrazaq (17430900)
Mowafa Househ (9154124)
Stathis Konstantinidis (11021853)
Holly Blake (3527129)
dc.date.none.fl_str_mv 2022-03-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.2196/29663
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/The_Effectiveness_of_Mobile_Phone_Messaging_Based_Interventions_to_Promote_Physical_Activity_in_Type_2_Diabetes_Mellitus_Systematic_Review_and_Meta-analysis/25516156
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Health sciences
Health services and systems
type 2 diabetes mellitus
physical activity
mobile phone messaging
systematic review
meta-analysis
dc.title.none.fl_str_mv The Effectiveness of Mobile Phone Messaging–Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">The prevalence of type 2 diabetes mellitus (T2DM) is increasing worldwide. Physical activity (PA) is an important aspect of self-care and first line management for T2DM. SMS text messaging can be used to support self-management in people with T2DM, but the effectiveness of mobile text message–based interventions in increasing PA is still unclear.</p><h3>Objective</h3><p dir="ltr">This study aims to assess the effectiveness of mobile phone messaging on PA in people with T2DM by summarizing and pooling the findings of previous literature.</p><h3>Methods</h3><p dir="ltr">A systematic review was conducted to accomplish this objective. Search sources included 5 bibliographic databases (MEDLINE, Cochrane Library, CINAHL, Web of Science, and Embase), the search engine Google Scholar (Google Inc), and backward and forward reference list checking of the included studies and relevant reviews. A total of 2 reviewers (MA and AA) independently carried out the study selection, data extraction, risk of bias assessment, and quality of evidence evaluation. The results of the included studies were synthesized narratively and statistically, as appropriate.</p><h3>Results</h3><p dir="ltr">We included 3.8% (6/151) of the retrieved studies. The results of individual studies were contradictory regarding the effectiveness of mobile text messaging on PA. However, a meta-analysis of the results of 5 studies showed no statistically significant effect (P=.16) of text messages on PA in comparison with no intervention. A meta-analysis of the findings of 2 studies showed a nonsignificant effect (P=.14) of text messages on glycemic control. Of the 541 studies, 2 (0.4%) found a nonsignificant effect of text messages on anthropometric measures (weight and BMI).</p><h3>Conclusions</h3><p dir="ltr">We could not draw a definitive conclusion regarding the effectiveness of text messaging on PA, glycemic control, weight, or BMI among patients with T2MD, given the limited number of included studies and their high risk of bias. Therefore, there is a need for more high-quality primary studies.</p><h3>Trial Registration</h3><p dir="ltr">PROSPERO International Prospective Register of Systematic Reviews CRD42020156465; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=156465</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Medical Internet Research<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.2196/29663" target="_blank">https://dx.doi.org/10.2196/29663</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.2196/29663
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oai_identifier_str oai:figshare.com:article/25516156
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spelling The Effectiveness of Mobile Phone Messaging–Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysisMohammed Alsahli (18281734)Alaa Abd-Alrazaq (17430900)Mowafa Househ (9154124)Stathis Konstantinidis (11021853)Holly Blake (3527129)Health sciencesHealth services and systemstype 2 diabetes mellitusphysical activitymobile phone messagingsystematic reviewmeta-analysis<h3>Background</h3><p dir="ltr">The prevalence of type 2 diabetes mellitus (T2DM) is increasing worldwide. Physical activity (PA) is an important aspect of self-care and first line management for T2DM. SMS text messaging can be used to support self-management in people with T2DM, but the effectiveness of mobile text message–based interventions in increasing PA is still unclear.</p><h3>Objective</h3><p dir="ltr">This study aims to assess the effectiveness of mobile phone messaging on PA in people with T2DM by summarizing and pooling the findings of previous literature.</p><h3>Methods</h3><p dir="ltr">A systematic review was conducted to accomplish this objective. Search sources included 5 bibliographic databases (MEDLINE, Cochrane Library, CINAHL, Web of Science, and Embase), the search engine Google Scholar (Google Inc), and backward and forward reference list checking of the included studies and relevant reviews. A total of 2 reviewers (MA and AA) independently carried out the study selection, data extraction, risk of bias assessment, and quality of evidence evaluation. The results of the included studies were synthesized narratively and statistically, as appropriate.</p><h3>Results</h3><p dir="ltr">We included 3.8% (6/151) of the retrieved studies. The results of individual studies were contradictory regarding the effectiveness of mobile text messaging on PA. However, a meta-analysis of the results of 5 studies showed no statistically significant effect (P=.16) of text messages on PA in comparison with no intervention. A meta-analysis of the findings of 2 studies showed a nonsignificant effect (P=.14) of text messages on glycemic control. Of the 541 studies, 2 (0.4%) found a nonsignificant effect of text messages on anthropometric measures (weight and BMI).</p><h3>Conclusions</h3><p dir="ltr">We could not draw a definitive conclusion regarding the effectiveness of text messaging on PA, glycemic control, weight, or BMI among patients with T2MD, given the limited number of included studies and their high risk of bias. Therefore, there is a need for more high-quality primary studies.</p><h3>Trial Registration</h3><p dir="ltr">PROSPERO International Prospective Register of Systematic Reviews CRD42020156465; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=156465</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Medical Internet Research<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.2196/29663" target="_blank">https://dx.doi.org/10.2196/29663</a></p>2022-03-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.2196/29663https://figshare.com/articles/journal_contribution/The_Effectiveness_of_Mobile_Phone_Messaging_Based_Interventions_to_Promote_Physical_Activity_in_Type_2_Diabetes_Mellitus_Systematic_Review_and_Meta-analysis/25516156CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/255161562022-03-01T00:00:00Z
spellingShingle The Effectiveness of Mobile Phone Messaging–Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis
Mohammed Alsahli (18281734)
Health sciences
Health services and systems
type 2 diabetes mellitus
physical activity
mobile phone messaging
systematic review
meta-analysis
status_str publishedVersion
title The Effectiveness of Mobile Phone Messaging–Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis
title_full The Effectiveness of Mobile Phone Messaging–Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis
title_fullStr The Effectiveness of Mobile Phone Messaging–Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis
title_full_unstemmed The Effectiveness of Mobile Phone Messaging–Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis
title_short The Effectiveness of Mobile Phone Messaging–Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis
title_sort The Effectiveness of Mobile Phone Messaging–Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis
topic Health sciences
Health services and systems
type 2 diabetes mellitus
physical activity
mobile phone messaging
systematic review
meta-analysis