The Text2LiveHealthy (T2LH) intervention is a direct education and social marketing intervention designed to increase family consumption of fruits and vegetables, increase physical activity among the entire family, and increase family consumption of water while decreasing consumption of sugary beverages. T2LH is a nutrition and physical activity digital health outreach effort that links the Integrated Nutrition Education Program (INEP) and Culture of Wellness in Preschools (COWP) youth education provided in classrooms to homes via text messaging, in order to influence behavior change for economically disadvantaged families across Colorado. There are four text message cycles in Year 1 with each cycle containing approximately 30 core texts that address the following themes: fruit and vegetable consumption, physical activity and sedentary behaviors, sugar-sweetened beverages, and water consumption. Each cycle contains approximately seven to eight core messages and two to three evaluation messages. In general, the messages are easy to use and include goal-setting for healthy behavior change, fun and easy recipes, family-friendly physical activity ideas, motivational messages, and links to resources. In Year 2, participants receive one text per week with a focus on maintaining behavior changes. In Year 3, participants receive weekly messages that focus on mindful eating, stress reduction and living an active lifestyle. In addition to the intervention messages, participants receive thematic messages based on the time of year as well as local messages for resources, for example farmer’s markets and Double Up Food Bucks and Summer Food Service Program (SFSP).
Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Food Insecurity/Food Assistance
Intervention Type: Direct Education, Social Marketing