scholarly journals Cyberbullying Text-messages: Iterative Qualitative Methods for Intervention Design with Adolescents (Preprint)

2020 ◽  
Author(s):  
Megan L. Ranney ◽  
Sarah K. Pittman ◽  
Isabelle Moseley ◽  
Kristen E. Morgan ◽  
Alison Riese ◽  
...  
Keyword(s):  
Qualitative Methods ◽  
Text Messaging ◽  
Primary Care Clinic ◽  
Text Messages ◽  
Matrix Analysis ◽  
Pediatric Care ◽  
Structured Interviews ◽  
White Participant ◽  
Care Clinic ◽  
Cyber Harassment

BACKGROUND Effective, acceptable programs to reduce consequences of cyberbullying are needed. OBJECTIVE This study used “Agile” qualitative methods to refine and evaluate the acceptability of a mixed-modality intervention, initiated within the context of usual pediatric care, for adolescents with a history of cyber-harassment and cyberbullying victimization. METHODS Adolescents were recruited from an urban primary care clinic to participate in three consecutive iterations of the program. All participants completed a brief in-clinic intervention followed by 8 weeks of daily, automated text messaging. After 2 weeks (iteration1 and iteration2) or 8 weeks (iteration3) of messaging, participants completed semi-structured interviews that sought feedback on intervention experiences. Framework matrix analysis expeditiously summarized participant feedback and guided changes in each iteration. Daily response rates assessed participant engagement, and satisfaction questionnaires assessed acceptability. RESULTS Nineteen adolescents (age 13-17) reporting past-year cyber-victimization enrolled: 7 took part in iteration1, 4 in iteration2, and 8 in iteration3. Participants were an average age of 15 years, 58% were female, 63% Hispanic, and 21% White. Participant feedback was used to adjust intervention content and design. Participant satisfaction (from 0% excellent to 80% excellent) and engagement (from 60% of daily assessments completed to 80% completed) improved from the first to the third iteration. CONCLUSIONS This study shows the value of structured participant feedback gathered in an Agile intervention refinement methodology for development of a technology-based intervention targeting adolescents.

Effectiveness of the 5A’s Model for Changing Physical Activity Behaviors in Rural Adults Recruited From Primary Care Clinics

2019 ◽  
Vol 16 (12) ◽  
pp. 1138-1146
Author(s):  
Jill R. Reed ◽  
Paul Estabrooks ◽  
Bunny Pozehl ◽  
Kate Heelan ◽  
Christopher Wichman
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Primary Care Clinic ◽  
Intervention Group ◽  
Well Being ◽  
Text Messages ◽  
Future Research ◽  
Control Group ◽  
Care Clinic ◽  
Rural Adults

Background: Most rural adults do not meet current guidelines for physical activity (PA). A 12-week feasibility study tested the effectiveness of using the 5A’s model for PA counseling on rural adults’ PA behaviors. Methods: Inactive rural adults recruited from a primary care clinic were randomized to an intervention (n = 30) or control (n = 29) group. All subjects wore a Fitbit to track steps and active minutes. The intervention group completed action plans to improve self-regulatory PA strategies and received weekly motivational text messages to improve PA behaviors. Theory of planned behavior constructs and self-regulatory strategies of planning, goal setting, and tracking (steps and active minutes) were measured with both groups. The control group received the Fitbit only. Results: All individuals became more physically active; however, no significant differences between groups in active minutes or steps were found. All subjects, regardless of group, increased steps (P > .05). There were no statistically significant differences between groups on any of the theoretical variables. Conclusions: It is vitally important to continue to find ways to make PA a priority to improve the overall health and well-being of rural adults. Future research warrants adjusting the intervention dose and strategies to increase PA that can be maintained long term.

Real-Time Data Collection Using Text Messaging in a Primary Care Clinic

2017 ◽  
Vol 23 (12) ◽  
pp. 955-963 ◽  
Author(s):  
Manisha Rai ◽  
Michelle H. Moniz ◽  
Julie Blaszczak ◽  
Caroline R. Richardson ◽  
Tammy Chang
Keyword(s):  
Primary Care ◽  
Data Collection ◽  
Real Time ◽  
Text Messaging ◽  
Primary Care Clinic ◽  
Time Data ◽  
Care Clinic ◽  
Real Time Data

Identification of critical factors for forming collaborative relationships between physicians and pharmacists

2019 ◽  
Vol 76 (16) ◽  
pp. 1238-1247
Author(s):  
Kyle M Turner ◽  
Cory A Nelson ◽  
Deborah L Pestka ◽  
Todd D Sorensen
Keyword(s):  
Phase Ii ◽  
Medication Management ◽  
Primary Care Clinic ◽  
Advisory Group ◽  
Structured Interviews ◽  
Collaborative Relationships ◽  
Relative Level ◽  
Care Clinic ◽  
Building Relationships ◽  
Minimum Criteria

Abstract Purpose The purpose of this study was to identify and describe strategies that have successfully achieved collaboration among physicians and pharmacists providing comprehensive medication management (CMM) to support development of CMM services. Methods A 2-phase, mixed-methods approach was employed to identify successful strategies for building pharmacist–physician relationships in primary care clinic settings. Phase I used a qualitative approach to identify strategies deemed successful in building relationships with physicians. An advisory group of pharmacists with experience building CMM practices assisted in the development of minimum criteria characterizing pharmacists as having strong collaborative relationships. Semi-structured interviews were conducted with 10 interviewees meeting established criteria. Researchers coded interview transcripts and identified the resulting strategies. Phase II employed a survey instrument to determine how frequently identified strategies are used and evaluate the relative level of perceived impact of each strategy, which was distributed to a national audience of pharmacists practicing in ambulatory care settings. Responses from pharmacists meeting prespecified criteria were included in the analysis. Results Thirty-three strategies were identified and grouped into 8 themes. In phase II, 104 survey respondents met defined criteria and were eligible to endorse use of identified strategies and rate their relative influence. Conclusions Thirty-three strategies were identified and grouped into 8 themes to aid pharmacists practicing CMM in developing stronger collaborative relationships with physician colleagues. A national sampling found many of these strategies were employed by a majority of pharmacists, who had found them to be influential in creating collaborative relationships.

scholarly journals SUN-629 Text for Success in Gestational Diabetes: Development and User Experience Testing of a Text Messaging Program

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Rachel A Blair ◽  
Jennifer M Dias ◽  
Marie E McDonnell ◽  
Ellen W Seely
Keyword(s):  
Gestational Diabetes ◽  
User Experience ◽  
Text Messaging ◽  
The United States ◽  
User Feedback ◽  
Text Messages ◽  
Self Management ◽  
Message Delivery ◽  
Structured Interviews ◽  
Educational Message

Abstract Background: Gestational diabetes mellitus (GDM) affects 5–10% of pregnancies in the United States. Poorly controlled GDM can lead to serious fetal and maternal complications. Women diagnosed with GDM are asked to form many new self-management habits. Studies have shown that text messaging is an effective, easily accessible way to improve management of diabetes outside of pregnancy, but this method has not been studied in GDM. Objective: Obtain user feedback and iteratively incorporate it into a personalized text messaging program for women with GDM. Methods: We performed user experience testing of a text messaging program (Txt4GDM), which was created by a multidisciplinary team based on the Health Belief Model. The program includes: 1) reminders to check blood glucoses sent 4 times per day based on self-reported mealtimes, 2) positive feedback for each blood glucose reported by a user (with an algorithm instructing users to contact their care team if too high/low), 3) one educational message and 4) one motivational message per week. Women with GDM received simulated messages on a study smartphone. Subjects participated in semi-structured interviews about the content and phrasing of text messages. Interview replies were categorized into themes and used to iteratively optimize the program. Results: 10 women completed user experience testing. All participants thought the program would be useful for women with newly diagnosed GDM and would use it during their first pregnancy with GDM. There were several features of the program that participants particularly liked, which were categorized into two themes: 1) customization of timing of messages and 2) messages including information not adequately covered in routine care (such as healthy snack ideas and exercise). Several themes emerged from the semi-structured interviews that were used to optimize the program. 1) Further customization of message timing: We added the ability to enter different mealtimes for weekends and weekdays, which was well-received in subsequent iterations. 2) Minimization of jargon: Multiple women did not know what the “M” in GDM stood for, so we removed “GDM” from the messages. 3) Women wanted the messages to be more specifically related to GDM. For example, an educational message said: “Drinking water, instead of soda or juice, is healthy for you.” The phrase “and can help regulate your blood sugar” was added based on participant feedback. Conclusions: Overall, women with GDM would use the Txt4GDM text messaging program and think it would be helpful for GDM self-management. Based on user feedback, enhanced customization of timing of text message delivery, minimization of jargon, and language specific to GDM in educational messages were added. We are testing the optimized text messaging program in an ongoing usability study.

Vision Screening Among Primary Care Clinic Patients

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 93A-93A
Author(s):  
Lwbba Chait ◽  
Angeliki Makri ◽  
Rawan Nahas ◽  
Gwen Raphan
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Vision Screening ◽  
Care Clinic

Text Messaging as a Mental Health Treatment Intervention: A Corpus-Based Study

2019 ◽  
Author(s):  
Megan Partch ◽  
Cass Dykeman
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Text Messaging ◽  
Low Cost ◽  
Statistical Significance ◽  
Text Message ◽  
Treatment Session ◽  
Text Messages ◽  
Health Treatment ◽  
Emotional Tone

Mental health treatment providers seek high-impact and low-cost means of engaging clients in care. As such, text messaging is becoming more frequently utilized as a means of communication between provider and client. Research demonstrates that text message interventions increase treatment session attendance, decrease symptomology, and improve overall functioning. However, research is lacking related to the linguistic make up of provider communications. Text messages were collected from previously published articles related to the treatment of mental health disorders. A corpus of 39 mental health treatment text message interventions was composed totaling 286 words. Using Linguistic Inquiry and Word Count (LIWC) software, messages were analyzed for prevalence of terminology thought to enhance client engagement. Clout, demonstrating the writer’s confidence and expertise, and positive Emotional Tone were found to be at a high level within the corpus. Results demonstrated statistical significance for five linguistic variables. When compared with national blog norms derived from Twitter, Clout, Emotional Tone, and use of Biological terminology were found to be at higher rates than expected. Authenticity and Informal terminology were found at significantly lesser rates.

scholarly journals “Stages of change, smoking behavior and acceptability of a textmessaging intervention for tobacco cessation among cigarette, dokha and shishasmokers: A qualitative research study.”

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e029144 ◽  
Author(s):  
Yusra Elhidaia Elobaid ◽  
Andrea Leinberger Jabari ◽  
Aisha Al Hamiz ◽  
Abdul Rizzak Al Kaddour ◽  
Sherif Bakir ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Smoking Cessation ◽  
Focus Group ◽  
United Arab Emirates ◽  
Text Messaging ◽  
Tobacco Cessation ◽  
Text Messages ◽  
Controlled Study ◽  
Focus Group Discussions ◽  
Group Discussions

ObjectivesTo explore: (A) the underlying motivators and barriers to smoking cessation among young Arabic speaking smokers and (B) to examine the suitability and preferences for tobacco cessation interventions (specifically text messages) and study the possibility of enrollment methods for a randomised controlled study using text messages as an intervention for tobacco cessation.DesignQualitative research using focus group discussions and content analysis.Setting(s)Two universities, one of them is the first and foremost comprehensive national university in the United Arab Emirates (UAE). The third setting is the largest hospital in the UAE and the flagship institution for the public health system in the emirate of Abu Dhabi.ParticipantsSix focus group discussions with a total of 57 participants. Forty-seven men and 10 women. Fifty-three of them were current smokers.ResultsThe analysis of six focus groups was carried out. Main themes arose from the data included: preferences for tobacco cessation interventions and acceptability and feasibility of text messaging as tobacco cessation intervention. Different motives and barriers for quitting smoking including shisha and dokha were explored.ConclusionInterventions using text messaging for smoking cessation have not been used in the Middle East and they could potentially be effective; however, tailoring and closely examining the content and acceptability of text messages to be used is important before the conduction of trials involving their use. Social media is perceived to be more effective and influential, with a higher level of penetration into communities of young smokers.

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