Text message content preferences to improve buprenorphine maintenance treatment in primary care

The ubiquity of digital communication within the high-risk drinking environment of college students raises exciting new directions for prevention research. However, we are lacking relevant constructs and tools to analyze digital platforms that serve to facilitate, discuss, and rehash alcohol use. In the current study, we introduce the construct of alcohol-talk (or the extent to which college students use alcohol-related words in text messaging exchanges) as well as introduce and validate a novel tool for measuring this construct. We describe a closed-vocabulary, dictionary-based method for assessing alcohol-talk. Analyses of 569,172 text messages from 267 college students indicate that this method produces a reliable and valid measure that correlates as expected with self-reported alcohol and related risk constructs. We discuss the potential utility of this method for prevention studies.

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Predicting Attrition in a Text-Based Nutrition Education Program: Survival Analysis of Text2BHealthy (Preprint)

10.2196/preprints.9967 ◽

2018 ◽

Author(s):

Stephanie K Grutzmacher ◽

Ashley L Munger ◽

Katherine E Speirs ◽

Yassaman Vafai ◽

Evan Hilberg ◽

...

Keyword(s):

Physical Activity ◽

Low Income ◽

Retention Rate ◽

Text Message ◽

Hazard Ratio ◽

Drop Out ◽

Message Content ◽

Message Type ◽

Activity Promotion ◽

The Impact

BACKGROUND Text-based programs have been shown to effectively address a wide variety of health issues. Although little research examines short message service (SMS) text messaging program characteristics that predict participant retention and attrition, features of SMS text message programs, such as program duration and intensity, message content, and the participants’ context, may have an impact. The impact of stop messages—messages with instructions for how to drop out of an SMS text message program—may be particularly important to investigate. OBJECTIVE The aim of this study was to describe attrition from Text2BHealthy, a text-based nutrition and physical activity promotion program for parents of low-income elementary school children, and to determine the impact of message content and number of stop messages received on attrition. METHODS Using data from 972 parents enrolled in Text2BHealthy, we created Kaplan-Meier curves to estimate differences in program duration for different SMS text message types, including nutrition, physical activity, stop, and other messages. Covariates, including rurality and number of stop messages received, were included. RESULTS Retention rates by school ranged from 74% (60/81) to 95.0% (132/139), with an average retention rate of 85.7% (833/972) across all schools. Program duration ranged from 7 to 282 days, with a median program duration of 233 days and an average program duration of 211.7 days. Among those who dropped out, program duration ranged from 7 to 247 days, with a median program duration of 102.5 days. Receiving a stop message increased the probability of attrition compared with receiving messages about nutrition, physical activity, or other topics (hazard ratio=51.5, 95% CI 32.46-81.7; P<.001). Furthermore, each additional stop message received increased the probability of attrition (hazard ratio=10.36, 95% CI 6.14-17.46; P<.001). The degree of rurality also had a significant effect on the probability of attrition, with metropolitan county participants more likely to drop out of the program than rural county participants. The interaction between SMS text message type and total number of stop messages received had a significant effect on attrition, with the effect of the number of stop messages received dependent on the SMS text message type. CONCLUSIONS This study demonstrates the potential of SMS text message programs to retain participants over time. Furthermore, this study suggests that the probability of attrition increases substantially when participants receive messages with instructions for dropping out of the program. Program planners should carefully consider the impact of stop messages and other program content and characteristics on program retention. Additional research is needed to identify participant, programmatic, and contextual predictors of program duration and to explicate the relationship between program duration and program efficacy.

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Management of chlamydia and gonorrhoea infections diagnosed in primary care using a centralised nurse-led telephone-based service: mixed methods evaluation

10.21203/rs.3.rs-23099/v1 ◽

2020 ◽

Author(s):

Emer Brangan ◽

Jeremy Horwood ◽

Petra Manley ◽

Paddy Horner ◽

Peter Muir ◽

...

Keyword(s):

Primary Care ◽

Usual Care ◽

Health Care Providers ◽

Partner Notification ◽

Text Message ◽

Feasibility Trial ◽

Chlamydia Screening ◽

Care Providers ◽

National Guidelines ◽

Sexually Transmitted

Abstract Background Up to 18% of genital Chlamydia infections and 9% of Gonorrhoea infections in England are diagnosed in Primary Care. Evidence suggests that a substantial proportion of these cases are not managed appropriately in line with national guidelines. With the increase in sexually transmitted infections and the emergence of antimicrobial resistance, their timely and appropriate treatment is a priority. We investigated feasibility and acceptability of extending the National Chlamydia Screening Programme’s centralised, nurse-led, telephone management (NLTM) as an option for management of all cases of chlamydia and gonorrhoea diagnosed in Primary Care. Methods Randomised feasibility trial in 11 practices in Bristol with nested qualitative study. In intervention practices patients and health care providers (HCPs) had the option of choosing NLTM or usual care for all patients tested for Chlamydia and Gonorrhoea. In control practices patients received usual care. Results 1154 Chlamydia/gonorrhoea tests took place during the 6-month study, with a chlamydia positivity rate of 2.6% and gonorrhoea positivity rate of 0.8%. The NLTM managed 335 patients. Interviews were conducted with sixteen HCPs (11 GPs, 5 nurses) and 12 patients (8 female). HCPs were positive about the NLTM, welcomed the partner notification service, though requested more timely feedback on the management of their patients. Explaining the NLTM to patients didn’t negatively impact on consultations. Patients found the NLTM acceptable, more convenient and provided greater anonymity than usual care. Patients appreciated getting a text message regarding a negative result and valued talking to a sexual health specialist about positive results. Conclusion Extension of this established NLTM intervention to a greater proportion of patients was both feasible and acceptable to both patients and HCP, could provide a better service for patients, whilst decreasing primacy care workload. The study provides evidence to support the wider implementation of this NLTM approach to managing chlamydia and gonorrhoea diagnosed in primary care.

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LISTENING COMPREHENSION DIFFICULTIES; A CASE STUDY OF EFL STUDENTS IN LISTENING CLASS

ETERNAL (English Teaching Learning and Research Journal) ◽

10.24252/eternal.v71.2021.a12 ◽

2021 ◽

Vol 7 (1) ◽

pp. 168

Author(s):

Asep Hardiyanto ◽

Mutia Tanjung ◽

Sigit Suharjono

Keyword(s):

Listening Comprehension ◽

English Education ◽

Native Speaker ◽

Text Message ◽

Educational Process ◽

Message Content ◽

Study Program ◽

Listening Skill ◽

High Level

Listening skill in English is one of the most important skills in communication and educational process. However, listening skill is a skill that is not easily mastered by all non-native speaker students. The students need to know and understand the difficulties in listening process. Therefore, the current study aims to investigate the difficulties faced by the students dealing with listening comprehension. This research is a descriptive qualitative research with case study approach that examines six students in third semester of the English education study program in Universitas Muhammadiyah Kotabumi with three different proficiency levels: low, moderate, and high level. The results of this study showed that students with low level faced difficulties with unfamiliar words (message content), speed of speech (speaker), and lack of vocabulary (listener). Then in moderate level students felt difficult in the speed of speech (speaker) and noises (physical settings). Meanwhile, students with high level faced difficulty with the long spoken text (message content), variety of accents (speaker) and noises (physical settings). It can be concluded that the listening comprehension difficulties encountered by the students at tertiary level are different depending on their proficiency in English. Therefore, the implication of the current study is that the lecturer need to consider the information revealed in this study in order to be able to overcome the difficulties faced by the students.

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Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study.

10.21203/rs.3.rs-24034/v4 ◽

2020 ◽

Author(s):

Aikaterini Kassavou ◽

Charlotte A Court ◽

Jagmohan Chauhan ◽

James Brimicombe ◽

Debbi Bhattacharya ◽

...

Keyword(s):

Primary Care ◽

Text Messaging ◽

Text Message ◽

Text Messages ◽

Controlled Study ◽

Future Research ◽

Smartphone App ◽

Delivery Mode ◽

Log Files ◽

Intervention Content

Abstract Aims and objectives. This paper describes a pilot non-randomised controlled study of a highly tailored 56-days text message and smartphone app prototype intervention to increase adherence to anti-hypertensive medication in primary care. The aim of this study was to evaluate the acceptability of the intervention and obtain patients views about the intervention content, delivery mode, and the mechanisms by which the intervention supported medication adherence. Methods. Patients diagnosed with hypertension were invited to the study via general practice text messages and were recruited face to face by the researcher team. Participants were asked to test the text message intervention for 28 consecutive days and switch to the smartphone app for 28 more days. Participants completed baseline and follow up questionnaires and took part in semi-structured telephone interviews. Digital log files captured patients’ usage of the intervention. Participant transcripts were analysed using thematic analysis. Descriptive statistics were used to summarize data from questionnaires and log files. A mixed methods analysis generated data to respond to the research questions. Results. 79 patients expressed interest to participate in this study, of whom 23 (64% male, 82% above 60 years old) were recruited to take part. With one drop-out, 22 participants tested the text message delivery mode (with 20 being interviewed) and four of them (17%) switched to the app (with 3 being interviewed). All participants engaged and interacted with the text message and app notifications, and most participants found the intervention content and delivery mode acceptable. They also self-reported that the interactive elements of the intervention motivated them to take their medications as prescribed. Conclusion. This study provides evidence that the digital intervention is acceptable by hypertensive patients recruited in primary care. Future research could usefully investigate its feasibility and effectiveness using rigorous research methods.

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Management of chlamydia and gonorrhoea infections diagnosed in primary care using a centralised nurse-led telephone-based service: mixed methods evaluation

BMC Family Practice ◽

10.1186/s12875-020-01329-0 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Jeremy Horwood ◽

Emer Brangan ◽

Petra Manley ◽

Paddy Horner ◽

Peter Muir ◽

...

Keyword(s):

Primary Care ◽

Usual Care ◽

Health Care Providers ◽

Partner Notification ◽

Text Message ◽

Feasibility Trial ◽

Chlamydia Screening ◽

Care Providers ◽

National Guidelines ◽

Sexually Transmitted

Abstract Background Up to 18% of genital Chlamydia infections and 9% of Gonorrhoea infections in England are diagnosed in Primary Care. Evidence suggests that a substantial proportion of these cases are not managed appropriately in line with national guidelines. With the increase in sexually transmitted infections and the emergence of antimicrobial resistance, their timely and appropriate treatment is a priority. We investigated feasibility and acceptability of extending the National Chlamydia Screening Programme’s centralised, nurse-led, telephone management (NLTM) as an option for management of all cases of chlamydia and gonorrhoea diagnosed in Primary Care. Methods Randomised feasibility trial in 11 practices in Bristol with nested qualitative study. In intervention practices patients and health care providers (HCPs) had the option of choosing NLTM or usual care for all patients tested for Chlamydia and Gonorrhoea. In control practices patients received usual care. Results One thousand one hundred fifty-four Chlamydia/gonorrhoea tests took place during the 6-month study, with a chlamydia positivity rate of 2.6% and gonorrhoea positivity rate of 0.8%. The NLTM managed 335 patients. Interviews were conducted with sixteen HCPs (11 GPs, 5 nurses) and 12 patients (8 female). HCPs were positive about the NLTM, welcomed the partner notification service, though requested more timely feedback on the management of their patients. Explaining the NLTM to patients didn’t negatively impact on consultations. Patients found the NLTM acceptable, more convenient and provided greater anonymity than usual care. Patients appreciated getting a text message regarding a negative result and valued talking to a sexual health specialist about positive results. Conclusion Extension of this established NLTM intervention to a greater proportion of patients was both feasible and acceptable to both patients and HCP, could provide a better service for patients, whilst decreasing primacy care workload. The study provides evidence to support the wider implementation of this NLTM approach to managing chlamydia and gonorrhoea diagnosed in primary care.

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Multimorbidity in Patients Enrolled in a Community-Based Methadone Maintenance Treatment Programme Delivered through Primary Care

Journal of Comorbidity ◽

10.15256/joc.2014.4.42 ◽

2014 ◽

Vol 4 (1) ◽

pp. 46-54 ◽

Cited By ~ 2

Author(s):

Diane E. Arnold-Reed ◽

Tom Brett ◽

Lakkhina Troeung ◽

Jasmine O'Neill ◽

Rupert Backhouse ◽

...

Keyword(s):

Primary Care ◽

Disease Severity ◽

Methadone Maintenance Treatment ◽

Maintenance Treatment ◽

Rating Scale ◽

Methadone Maintenance ◽

Drug Abusers ◽

Age Group ◽

Community Based ◽

Long Term Conditions

Background Multimorbidity, the co-existence of two or more (2+) long-term conditions in an individual, is common among problem drug abusers. Objective To delineate the patterns, multimorbidity prevalence, and disease severity in patients enrolled in a community-based primary care methadone maintenance treatment (MMT) programme. Design This was a retrospective cohort study ( n=274). The comparator group consisted of mainstream primary care patients. Electronic medical record assessment was performed using the Cumulative Illness Rating Scale. Results Prevalence of multimorbidity across 2+ domains was significantly higher within the MMT sample at 88.7% (243/274) than the comparator sample at 51.8% (142/274), p<0.001. MMT patients were seven times more likely to have multimorbidity across 2+ domains compared with mainstream patients (OR 7.29, 95% confidence interval 4.68–11.34; p<0.001). Prevalence of multimorbidity was consistently high across all age groups in the MMT cohort (range 87.8–100%), while there was a positive correlation with age in the comparator cohort ( r=0.29, p<0.001). Respiratory, psychiatric, and hepatic–pancreatic domains were the three most common domains with multimorbidity. Overall, MMT patients (mean±SD, 1.97±0.43) demonstrated significantly higher disease severity than mainstream patients (mean±SD, 1.18±0.78), p<0.001. Prevalence of moderate disease severity observed in the <45-year MMT age group was 50% higher than the ≥45-year comparator age group. Conclusions Prevalence of multimorbidity and disease severity in MMT patients was greater than in the age- and sex-matched comparators. Patients with a history of drug abuse require co-ordinated care for treatment of their addiction, and to manage and prevent chronic illnesses. Community-based programmes delivered through primary care help fulfil this need.

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