COIOS
Behavioural science Item refines peer-reviewed

Text messages raised cardiovascular check-up visits where an online course did not

In a three-arm Australian trial of 941 adults aged 45 and over, a 12-week stroke prevention text message programme raised self-reported visits for cardiovascular risk assessment from 29.0% to 41.3% (RR 1.43), while an equivalent online course showed no effect.

The Love Your Brain trial randomised 941 community-dwelling Australians aged 45 and over with no prior cardiovascular event to an online stroke prevention course, a text message programme, or control. At 12 weeks, self-reported visits to a medical practitioner for cardiovascular risk assessment were 41.3% in the text message arm against 29.0% in control (RR 1.43, 95% CI 1.14-1.80), with no difference for the online course at 31.2%. Stroke knowledge rose in both intervention arms, while medication adherence and risk-modifying behaviours did not differ.

Why it is interesting: A direct randomised comparison of two cheap information channels, in which the lighter prompt moved a behaviour and the fuller course did not.

Source
International Journal of Stroke, 22 September 2026
DOI
10.1177/17474930261494297
Type
Peer-reviewed article
Design
Single-blinded three-arm randomised controlled trial, n=941 Australians aged 45+ without prior cardiovascular events, Feb-Sep 2025, 12-week follow-up
Verdict
Refines prior evidence
Driver
What changes behaviour at scale