To investigate the effects of a cell phone texting task on an individual's ability to perform three ambulation-based tasks, each with different and progressively more difficult demands. 36 participants (24 male/12 female, average age 23.4) performed: a Timed Up & Go (TUG), stair ambulation (STAIR), and tandem gait (TAN). Participants completed each gait-based task under four conditions: as a practice, while holding their cellular device (baseline), while texting a message, and while reading a message. Statistically significant differences were found within the following variables: 1) mean time to complete a gait task increased through the conditions (Baseline, Texting, Reading), 2) mean number of gait deviations increased while texting during TAN condition in comparison to baseline, 3) mean characters per second became less only in the STAIR task, 4) mean number of texting errors per second increased only in the TAN task. The reduction of gait speed, from baseline to texting, were similar to each other (average 2.46 sec) despite the difficulty of the task (TUG, STAIR, TAN). Results of this study reaffirm that texting while walking produces slower gait. However, the degree that gait slows does not appear proportional to the level of difficulty of gait task. Comparatively, more challenging gait tasks resulted in increases in both path deviations, texting errors and decreases texting speed. These findings suggest that increased dual-task demands result in decreased efficiency in both texting and walking performance.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609672 | PMC |
Ann Behav Med
December 2024
Department of Psychology, San Diego State University, San Diego, CA, 92182, United States.
Objective: To compare the effectiveness of a static, text-based diabetes education and support intervention (Dulce Digital, DD) versus a dynamic approach with personalized feedback and goal setting (Dulce Digital-Me, DD-Me) in improving diabetes outcomes.
Design And Methods: Comparative effectiveness trial in 310 Latine adults with poorly managed type 2 diabetes in a Federally Qualified Health Center in Southern California, randomized to DD, DD-Me-Auto (algorithm-driven text-based personalized feedback), or DD-Me-Tel (coach delivered personalized feedback). Changes in HbA1c (primary outcome), low-density lipoprotein-cholesterol, systolic blood pressure, and patient-reported outcomes were examined across 6 and 12 months, with the primary comparison being DD versus DD-Me (combined automated and telephonic).
J Gen Intern Med
December 2024
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
JMIR Diabetes
November 2024
Department of Medicine, University of Chicago, Chicago, IL, United States.
Background: In the United States, 1 in 11 people receive primary care from a federally qualified health center (FQHC). Text messaging interventions (TMIs) are accessible ways to deliver health information, engage patients, and improve health outcomes in the health center setting.
Objective: We aimed to evaluate the impact of a TMI implemented with a group visit (GV) intervention among patients with type 2 diabetes mellitus (T2DM) at FQHCs on patient-reported outcomes and clinical outcomes based on patient TMI engagement.
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