Needs analysis and development of a tailored mobile message program linked with electronic health records for weight reduction.

Abstract
OBJECTIVE We developed and pilot tested a personalized text messaging service program based on data from electronic health records EHRs and lifestyle questionnaires for weight control METHODS In the health promotion center of a hospital 340 participants with a body mass index BMI greater than 25 were recruited and surveyed for the development of a text messaging program After developing the interface linking the EHRs with personalized text messages for weight loss we pilot tested this program in 102 participants for its feasibility acceptability and satisfaction RESULTS According to the needs analysis the participants desired additional information about personalized nutrition and exercise We selected many variables from the EHRs and questionnaires to create text messages with a more personalized program After a 1 month trial of the text messaging program the participants satisfaction score was 7 9 1 5 and recommendation score was 7 5 1 8 CONCLUSIONS A personalized short message service SMS linked with EHRs was feasible and the pilot test showed high satisfaction and recommendation scores Further evaluation using a well designed trial will be needed
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Keywords
At risk for a particular disease or infection, Client, Access to information or data, Pilot, Nutrition, Obesity, Chronic care, Health education or promotion, Treatment adherence, Disease management, SMS, Text
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