The study has broad implications for diabetes prevention at the population level, specially in low and middle-income countries, and marks the usage of mobile health technology as a smart solution, the researchers said.
"The study shows the potential for even the most basic of mobile phones to be used as a viable tool to deliver public health messages on a large scale across a diverse population," said lead author Angela Fidler Pfammatter, Assistant Professor at Northwestern University, Illinois, US.
The study conducted on one million people in India showed that nearly 40 per cent people improved their health behaviours as a result of the texting (299 showing improvement in the experimental group versus 185 in the control group).
Indians get diabetes in their 30s and 40s, 10 years earlier than most Americans, said the paper published in the Journal of Medical and Internet Research, adding that an estimated 66 million people live with the disease, and 1 million die from it each year.
For the study the team randomly chose 1,000 individuals who received text messages and compared them to the responses from a similar number of people who didn't receive the text messages.
There were 982 in the experimental one, who were surveyed through mobile phones in the language of their choice. These were then considered as a representative sample of the one million participants. In the control group, there were 943 people.
The team sent text messages on diabetes and its prevention in 12 languages, twice a week for six months, to one million of its subscribers from all over India who opted in during 2012-2013.
The study showed clear health behaviour differences between those who received the text messages and those who did not.
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