1 Volume 01; Issue 08 International Journal of Nursing and Health Care Research Research Article Rose J, et al. Int J Nurs Res Health Care: IJNHR-154. Feasibility and Effectiveness of Smartphone Text-delivered Nutrition Education in the College Setting: A Mixed-methods Pilot Study Jordan Rose 1* , Deepika Goyal 2 , Mary Ellen Wilkosz 1 1 Department of Nursing, Sonoma State University, Rohnert Park, CA, USA 2 School of Nursing, San Jose State University, San Jose, CA, USA * Corresponding author: Jordan Rose, Department of Nursing, Sonoma State University, Rohnert Park, CA, USA. Tel: +1-7076642309; Email: rosejo@sonoma.edu Citation: Rose J, Goyal D, Wilkosz ME (2018) Feasibility and Effectiveness of Smartphone Text-delivered Nutrition Education in the College Setting: A Mixed-methods Pilot Study. Int J Nurs Res Health Care: IJNHR-154. DOI: 10.29011/ IJNHR-154.100054 Received Date: 08 October, 2018; Accepted Date: 16 November, 2018; Published Date: 23 November, 2018 DOI: 10.29011/ IJNHR-154.100054 Abstract Objective: To examine the feasibility and effcacy of using smartphones to provide nutrition education to college students. Participants: 9 randomized, overweight students between 18-22 years old, attending a small California public university from 9/15/15 to 12/2/15. Methods: Mixed-method study comparing face-to-face and smartphone-based methods of delivering nutrition information. Results: No statistically signifcant difference was noted in weight, or improvement in health behaviors, including number of fruits and vegetables consumed daily, hours of sleep per day, and high-calorie drinks consumed daily between the two groups. Qualitative interview data revealed participants in the text group expressed a need for using texting, that it led to them changing their health behaviors, and that they would recommend it to others. Conclusions: Although further research is recommended to assess effcacy, initial study fndings indicate delivery of nutrition information via text format is a feasible. Keywords: Education; Health; Nutrition; Obese; Smartphone; Text Message; Weight Loss Introduction The American Medical Association designated obesity, defned in the adult population as a Body Mass Index (BMI) of greater than 30 kg/ , [1] as a disease in 2013 [2]. Obesity, affects over 33% of the United States adult population [1] and individuals who are obese are at higher risk for secondary chronic medical disorders, including hypertension, hyperlipidemia, impaired glucose tolerance, asthma, and sleep apnea [3]. Between 2008 and 2010, individuals with two or more chronic conditions accounted for a 9.2-billion-dollar increase in Medicare Part B spending [4]. Obesity accounted for $147 billion in medical costs in the United States in 2008 [5] and the estimated overall economic cost of obesity in the United States is $215 billion each year [6]. Along with signifcant physical and fnancial risks, overweight (BMI > 25 kg/ and obese individuals also face social risks in the form of exclusion from social groups [7], lack of access to job interviews [8], discrimination from medical providers [9], and low self- esteem [10]. Young-Adult College Population Young-adult college students gain an average of 4.3 kilograms of weight during their frst year of school [11,12] and the average weight gain over a 15-year period in early adulthood is 15 kilograms [13]. College students, moving from a parent- dominated environment to one of more autonomy, are in a