Shapiro Jennifer R, Bauer Stephanie, Hamer Robert M, Kordy Hans, Ward Dianne, Bulik Cynthia M
Department of Psychiatry, University of North Carolina at Chapel Hill, NC 27599, USA.
J Nutr Educ Behav. 2008 Nov-Dec;40(6):385-91. doi: 10.1016/j.jneb.2007.09.014.
To examine acceptability, attrition, adherence, and preliminary efficacy of mobile phone short message service (SMS; text messaging) for monitoring healthful behaviors in children.
All randomized children received a brief psychoeducational intervention. They then either monitored target behaviors via SMS with feedback or via paper diaries (PD) or participated in a no-monitoring control (C) for 8 weeks.
University of North Carolina at Chapel Hill.
Fifty-eight children (age 5-13) and parents participated; 31 completed (SMS: 13/18, PD: 7/18, C: 11/22).
Children and parents participated in a total of 3 group education sessions (1 session weekly for 3 weeks) to encourage increasing physical activity and decreasing screen time and sugar-sweetened beverage consumption.
Treatment acceptability, attrition, and adherence to self-monitoring.
Descriptive statistics and nonparametric tests were used to analyze differences across time and group.
Children in SMS had somewhat lower attrition (28%) than both PD (61%) and C (50%), and significantly greater adherence to self-monitoring than PD (43% vs 19%, P < .02).
Short message service may be a useful tool for self-monitoring healthful behaviors in children, although the efficacy of this approach needs further study. Implications suggest that novel technologies may play a role in improving health.
研究手机短信服务（SMS；文本信息）在监测儿童健康行为方面的可接受性、损耗率、依从性和初步疗效。
所有随机分组的儿童均接受了简短的心理教育干预。然后，他们通过接收反馈的短信或纸质日记监测目标行为，或参与为期8周的无监测对照（C）组。
北卡罗来纳大学教堂山分校。
58名儿童（5 - 13岁）及其父母参与；31人完成研究（短信组：13/18，纸质日记组：7/18，对照组：11/22）。
儿童及其父母总共参加3次小组教育课程（每周1次，共3周），以鼓励增加身体活动，减少屏幕使用时间和含糖饮料的摄入量。
治疗的可接受性、损耗率和自我监测的依从性。
使用描述性统计和非参数检验分析不同时间和组间的差异。
短信组儿童的损耗率（28%）略低于纸质日记组（61%）和对照组（50%），且自我监测的依从性显著高于纸质日记组（43% 对19%，P < .02）。
短信服务可能是监测儿童健康行为的一种有用工具，尽管这种方法的疗效需要进一步研究。这表明新技术可能在改善健康方面发挥作用。
