Motive8! Feasibility of a Text Messaging Intervention to Promote Physical Activity in Knee Osteoarthritis

Abstract

(2015) Motive8!: feasibility of a text messaging intervention to promote physical activity in knee osteoarthritis. International Journal of Sports and Exercise Medicine, 1 (5). pp. 1-8. ISSN 2469-5718 Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/38426/1/Blake%20et%20al%20Motive8%20IJSEM-1-027-3.pdf Copyright and reuse:The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions. This article is made available under the Creative Commons Attribution licence and may be reused according to the conditions of the licence. For more details see: http://creativecommons.org/licenses/by/2.5/ A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription. Methods: 27 people (6 male, 21 female; aged 25-81 years) with knee osteoarthritis received 4 text messages per week, for 6 weeks. Telephone surveys were conducted at baseline and 6 weeks to pain. Participants completed physical activity diaries. Process evaluation included participant perceptions of the intervention of delivery and response data) and participant engagement (text response).Results: 648 messages were sent, 100% were accurately exercise and pain. Participants engaged with the intervention; 100% read the messages, 89% responded to texts requesting replies, 64% completed physical activity diaries with low attenuation (1.8% drop) by six weeks. Participants perceived messaging to be enjoyable (96%), personally relevant (85%), of appropriate frequency (100%) and duration (88%). Mobile phones, email and web were perceived to be most acceptable for health promotion compared with other forms of technology. Conclusions:People with knee osteoarthritis can engage meaningfully with an interactive mobile phone messaging intervention over a six-week period. Health communications promoting physical activity demonstrate potential for behaviour change and positive implications for perceptions of exercise and pain; this needs to be tested in a randomised trial. Data collected in 'real-time' can be used for process evaluation to demonstrate

Behavior Change Text Messages for Home Exercise Adherence in Knee Osteoarthritis: Randomized Trial

“…Although numerous strategies are suggested to improve adherence to exercise in people with OA, many of which are clinician-centric such as booster sessions , there is limited RCT evidence available to inform clinical practice [ 11 ]. To our knowledge, only three pilot or feasibility studies have specifically investigated an SMS intervention aimed at improving exercise adherence in people with knee OA [ 15 - 17 ] and none measured adherence. In one study, short video messages providing visual prompts to home exercises were sent every second day for 6 weeks to 5 people [ 16 ].…”

“…Participants meaningfully engaged with the intervention (100% read messages and 89% replied), reporting it to be enjoyable and personally relevant. Improvements were seen in perceptions of exercise and pain [ 15 ]. In the third study, 19 people who had completed an education and exercise program (Good Life with Arthritis: Denmark) received text messages providing general physical activity advice, three times per week for 6 weeks, whereas the control group received no text messages (n=19) [ 17 ].…”

“…The effectiveness of SMS-based interventions to promote healthy behaviors relevant to OA, such as physical activity, diet, and/or weight loss, has also been demonstrated in various settings and other conditions [ 12 - 14 ]. To date, the use of SMS to improve adherence to home exercise or physical activity in people with knee OA has only been evaluated in three pilot or feasibility studies [ 15 - 17 ].…”

Effectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: a randomised controlled trial protocol

“…SMS can effectively promote adherence to a variety of health interventions including diabetes self-management and smoking cessation programs and health appointments [34, 35]. Specifically related to home-exercise adherence, the use of SMS shows promise in adults with knee OA [36], frozen shoulder [37] and healthy populations [38]. There are many benefits to using SMS to promote adherence to healthy behaviours.…”

Effect of a short message service (SMS) intervention on adherence to a physiotherapist-prescribed home exercise program for people with knee osteoarthritis and obesity: protocol for the ADHERE randomised controlled trial

“…The use of SMS to improve adherence to home-based exercise has not yet been rigorously evaluated in people with knee OA. Only two small studies, a feasibility study and a pilot study, have investigated the use of mobile phone messaging [31, 32]. The pilot study [31] found no effect on adherence or functional outcomes with the addition of 12 video messages (Multi Media Messaging Service, MMS) delivered over 6-weeks.…”