Involving service users in intervention design: a participatory approach to developing a text-messaging intervention to reduce repetition of self-harm

Background Deliberate self-harm is common during adolescence and can have detrimental consequences for the well-being of adolescents. Although it is sometimes difficult to engage adolescents in traditional psychotherapies for deliberate self-harm, SMS text messaging has been shown to be promising for cost-effective and low-intensity interventions. Objective This study aimed to investigate the views of Chinese adolescents with deliberate self-harm about SMS text messaging interventions in order to develop an acceptable and culturally competent intervention for adolescents with deliberate self-harm. Methods Semistructured interviews were conducted with 23 adolescents who had experience with deliberate self-harm. The transcripts of the interviews were analyzed using thematic analysis. Results Four themes were identified: beneficial perception of receiving messages, short frequency and duration of messages, caring content in messages, and specific times for sending messages. Most of the participants perceived SMS text messaging interventions to be beneficial. The key factors that emerged for the content of the intervention included encouragement and company, feeling like a virtual friend, providing coping strategies, and individualized messages. In addition, the preferred frequency and duration of the SMS text messaging intervention were identified. Conclusions Our study will help in the development of a culturally appropriate SMS text messaging intervention for adolescents with deliberate self-harm. It has the potential to decrease deliberate self-harm instances by providing acceptable support for adolescents with deliberate self-harm who may be reluctant to seek face-to-face psychotherapies.

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Developing a Text Messaging Intervention to Reduce Deliberate Self-Harm in Chinese Adolescents: Qualitative Study (Preprint)

10.2196/preprints.16963 ◽

2019 ◽

Author(s):

Suqian Duan ◽

Haoran Wang ◽

Amanda Wilson ◽

Jiexi Qiu ◽

Guanmei Chen ◽

...

Keyword(s):

Text Messaging ◽

Cost Effective ◽

Well Being ◽

Chinese Adolescents ◽

Culturally Competent ◽

Deliberate Self Harm ◽

Face To Face ◽

Self Harm ◽

Text Messaging Intervention ◽

Sms Text Messaging

BACKGROUND Deliberate self-harm is common during adolescence and can have detrimental consequences for the well-being of adolescents. Although it is sometimes difficult to engage adolescents in traditional psychotherapies for deliberate self-harm, SMS text messaging has been shown to be promising for cost-effective and low-intensity interventions. OBJECTIVE This study aimed to investigate the views of Chinese adolescents with deliberate self-harm about SMS text messaging interventions in order to develop an acceptable and culturally competent intervention for adolescents with deliberate self-harm. METHODS Semistructured interviews were conducted with 23 adolescents who had experience with deliberate self-harm. The transcripts of the interviews were analyzed using thematic analysis. RESULTS Four themes were identified: beneficial perception of receiving messages, short frequency and duration of messages, caring content in messages, and specific times for sending messages. Most of the participants perceived SMS text messaging interventions to be beneficial. The key factors that emerged for the content of the intervention included encouragement and company, feeling like a virtual friend, providing coping strategies, and individualized messages. In addition, the preferred frequency and duration of the SMS text messaging intervention were identified. CONCLUSIONS Our study will help in the development of a culturally appropriate SMS text messaging intervention for adolescents with deliberate self-harm. It has the potential to decrease deliberate self-harm instances by providing acceptable support for adolescents with deliberate self-harm who may be reluctant to seek face-to-face psychotherapies.

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Implementation of a text-messaging intervention for adolescents who self-harm (TeenTEXT): a feasibility study using normalisation process theory

Child and Adolescent Psychiatry and Mental Health ◽

10.1186/s13034-016-0101-z ◽

2016 ◽

Vol 10 (1) ◽

Cited By ~ 8

Author(s):

Christabel Owens ◽

Nigel Charles

Keyword(s):

Feasibility Study ◽

Text Messaging ◽

Process Theory ◽

Normalisation Process Theory ◽

Self Harm ◽

Text Messaging Intervention

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A Mobile Text Messaging Intervention for Indoor Tanning Addiction

Case Medical Research ◽

10.31525/ct1-nct04055272 ◽

2019 ◽

Author(s):

Keyword(s):

Text Messaging ◽

Indoor Tanning ◽

Text Messaging Intervention

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TEXT MESSAGING INTERVENTION TO PROMOTE CARDIAC HEALTH AND COMBAT LONELINESS DURING SOCIAL DISTANCING

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(21)02840-0 ◽

2021 ◽

Vol 77 (18) ◽

pp. 1482

Author(s):

Kimberly Uehisa ◽

Timothy Samuelson ◽

Marcella Calfon-Press ◽

Tamara Horwich ◽

Karol Watson ◽

...

Keyword(s):

Text Messaging ◽

Social Distancing ◽

Cardiac Health ◽

Text Messaging Intervention

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Developing a theory driven text messaging intervention for addiction care with user driven content.

Psychology of Addictive Behaviors ◽

10.1037/a0029963 ◽

2013 ◽

Vol 27 (1) ◽

pp. 315-321 ◽

Cited By ~ 41

Author(s):

Frederick Muench ◽

Rebecca A. Weiss ◽

Alexis Kuerbis ◽

Jon Morgenstern

Keyword(s):

Text Messaging ◽

Addiction Care ◽

Text Messaging Intervention

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Internet and Mobile Phone Text Messaging Intervention for College Smokers

Journal of American College Health ◽

10.3200/jach.57.2.245-248 ◽

2008 ◽

Vol 57 (2) ◽

pp. 245-248 ◽

Cited By ~ 112

Author(s):

William Riley ◽

Jami Obermayer ◽

Jersino Jean-Mary

Keyword(s):

Mobile Phone ◽

Text Messaging ◽

Text Messaging Intervention

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Effects of a tailored text messaging intervention among diverse adults with type 2 diabetes: Evidence from the 15-month REACH RCT

10.2337/figshare.13052981.v1 ◽

2020 ◽

Author(s):

Lyndsay A. Nelson ◽

Robert A. Greevy ◽

Andrew Spieker ◽

Kenneth A. Wallston ◽

Tom A. Elasy ◽

...

Keyword(s):

Type 2 Diabetes ◽

Medication Adherence ◽

Self Efficacy ◽

Text Messaging ◽

Self Care ◽

Baseline Hba1c ◽

Median Response ◽

Text Messaging Intervention

Objective: Text messaging interventions have high potential for scalability and to reduce health disparities; however, more rigorous, long-term trials are needed. We examined the long-term efficacy and mechanisms of a tailored text messaging intervention. Research Design and Methods: Adults with type 2 diabetes participated in a parallel-groups, 15-month randomized trial, assigned to receive REACH (Rapid Education/Encouragement and Communications for Health) for 12 months or control. REACH included interactive texts and tailored texts addressing medication adherence, and non-tailored texts supporting other self-care behaviors. Outcomes included HbA1c, diabetes medication adherence, self-care, and self-efficacy. Results: Participants (N=506) were approximately half racial/ethnic minority and half were underinsured, had annual household incomes <$35,000 USD and ≤ high school education; 11% were homeless. <a>Average baseline HbA1c was 8.6%±1.8%; 70.0±19.7 mmol/mol) with n=219 having HbA1c≥8.5% (69 mmol/mol)</a> and half were prescribed insulin. Retention was over 90%. Median response rate to interactive texts was 91% (interquartile range 75%, 97%). The treatment effect on HbA1c at 6 months (-0.31%; 95% CI [-0.61%, -0.02%]) was greater among those with baseline HbA1c≥8.5% (-0.74%; 95% CI [-1.26%, -0.23%]), and there was not evidence of effect modification by race/ethnicity or socioeconomic disadvantage. REACH improved medication adherence and diet through 12 months, and self-efficacy through 6 months. Treatment effects were not significant for any outcome at 15 months. REACH reduced barriers to adherence, but barrier reduction did not mediate outcome improvements. Conclusions: REACH engaged at-risk patients in diabetes self-management and improved short-term HbA1c. More than texts alone may be needed to sustain effects.

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Promoting Antenatal Care Attendance Through a Text Messaging Intervention in Samoa: Quasi-Experimental Study

JMIR mhealth and uhealth ◽

10.2196/15890 ◽

2020 ◽

Vol 8 (6) ◽

pp. e15890

Author(s):

Jessica L Watterson ◽

Diego Castaneda ◽

Caricia Catalani

Keyword(s):

Data Analysis ◽

Maternal Health ◽

Antenatal Care ◽

Pregnant Women ◽

Text Messaging ◽

Individual Characteristics ◽

Text Messages ◽

Quasi Experimental ◽

Text Messaging Intervention ◽

Sms Text Messaging

Background Antenatal care (ANC) has the potential to improve maternal health, but it remains underutilized and unevenly implemented in many low- and middle-income countries. Increasingly, text messaging programs for pregnant women show evidence that they can improve the utilization of ANC during pregnancy; however, gaps remain regarding how implementation affects outcomes. Objective This study aimed to assess facilitators and barriers to implementation of an SMS text messaging intervention for pregnant women in Samoa and to assess its impact on ANC attendance. Methods This study took place in Upolu, Samoa, from March to August 2014 and employed a quasi-experimental design. Half (n=3) of the public antenatal clinics on the island offered adult pregnant women the SMS text messaging intervention, with 552 women registering for the messages. At the comparison clinics (n=3), 255 women registered and received usual care. The intervention consisted of unidirectional text messages containing health tips and appointment reminders. The outcome of interest was the number of attended antenatal visits. Implementation data were also collected through a survey of the participating midwives (n=7) and implementation notes. Data analysis included a comparison of women’s baseline characteristics between the two groups, followed by the use of negative binomial regressions to test for associations between participation in the intervention and increased ANC attendance, controlling for individual characteristics and accounting for the clustering of women within clinics. Results The comparison of ANC attendance rates found that women receiving the SMS text messaging intervention attended 15% fewer ANC visits than the comparison group (P=.004), controlling for individual characteristics and clustering. Data analysis of the implementation process suggests that barriers to successful implementation include women registering very late in pregnancy, sharing their phone with others, and inconsistent explanation of the intervention to women. Conclusions These results suggest that unidirectional text messages do not encourage, and might even discourage, ANC attendance in Samoa. Interpreted with other evidence in the literature, these results suggest that SMS text messaging interventions are more effective when they facilitate better communication between patients and health workers. This study is an important contribution to our understanding of when SMS text messaging interventions are and are not effective in improving maternal health care utilization.

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