scholarly journals Combining Real-Time Ratings With Qualitative Interviews to Develop a Smoking Cessation Text Messaging Program for Primary Care Patients (Preprint)

2018 ◽  
Author(s):  
Gina Kruse ◽  
Elyse R Park ◽  
Naysha N Shahid ◽  
Lorien Abroms ◽  
Jessica E Haberer ◽  
...  
Keyword(s):  
Primary Care ◽  
Real Time ◽  
Text Messaging ◽  
Qualitative Interviews ◽  
Text Message ◽  
Intervention Development ◽  
Text Messages ◽  
Behavioral Skills ◽  
Message Service ◽  
Primary Care Patients

BACKGROUND Text messaging (short message service, SMS) interventions show promise as a way to help cigarette smokers quit. Few studies have examined the effectiveness of text messaging (SMS) programs targeting smokers associated with primary care or hospital settings. OBJECTIVE This study aimed to develop a text messaging (SMS) program targeting primary care smokers. METHODS Adult smokers in primary care were recruited from February 2017 to April 2017. We sent patients 10 to 11 draft text messages (SMS) over 2 days and asked them to rate each message in real time. Patients were interviewed daily by telephone to discuss ratings, message preferences, and previous experiences with nicotine replacement therapy (NRT). Content analysis of interviews was directed by a step-wise text messaging (SMS) intervention development process and the Information-Motivation-Behavioral Skills model of medication adherence. RESULTS We sent 149 text messages (SMS) to 15 patients. They replied with ratings for 93% (139/149) of the messages: 134 (96%, 134/139) were rated as clear or useful and 5 (4%, 5/139) as unclear or not useful. Patients’ preferences included the addition of graphics, electronic cigarette (e-cigarette) content, and use of first names. Regarding NRT, patients identified informational gaps around safety and effectiveness, preferred positively framed motivational messages, and needed behavioral skills to dose and dispose of NRT. CONCLUSIONS Patients recommended text message (SMS) personalization, inclusion of e-cigarette information and graphics, and identified barriers to NRT use. Combining real-time ratings with telephone interviews is a feasible method for incorporating primary care patients’ preferences into a behavioral text messaging (SMS) program.

scholarly journals Combining Real-Time Ratings With Qualitative Interviews to Develop a Smoking Cessation Text Messaging Program for Primary Care Patients

10.2196/11498 ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. e11498 ◽  
Author(s):  
Gina Kruse ◽  
Elyse R Park ◽  
Naysha N Shahid ◽  
Lorien Abroms ◽  
Jessica E Haberer ◽  
...  
Keyword(s):  
Primary Care ◽  
Smoking Cessation ◽  
Real Time ◽  
Text Messaging ◽  
Qualitative Interviews ◽  
Primary Care Patients

scholarly journals Quit Experiences among Primary Care Patients Enrolled in a Smoking Cessation Pilot RCT Early in the COVID-19 Pandemic

2021 ◽  
Vol 18 (3) ◽  
pp. 1011
Author(s):  
Andrea A. Joyce ◽  
Grace M. Styklunas ◽  
Nancy A. Rigotti ◽  
Jordan M. Neil ◽  
Elyse R. Park ◽  
...  
Keyword(s):  
Primary Care ◽  
Text Messaging ◽  
Risk Perceptions ◽  
Environmental Changes ◽  
Age Groups ◽  
Text Messages ◽  
Increased Risk ◽  
Primary Care Patients ◽  
The Impact ◽  
At Home

The impact of the COVID-19 pandemic on US adults’ smoking and quitting behaviors is unclear. We explored the impact of COVID-19 on smoking behaviors, risk perceptions, and reactions to text messages during a statewide stay-at-home advisory among primary care patients who were trying to quit. From May–June 2020, we interviewed smokers enrolled in a 12-week, pilot cessation trial providing text messaging and mailed nicotine replacement medication (NCT04020718). Twenty-two individuals (82% white, mean age 55 years), representing 88% of trial participants during the stay-at-home advisory, completed exit interviews; four (18%) of them reported abstinence. Interviews were thematically analyzed by two coders. COVID-19-induced environmental changes had mixed effects, facilitating quitting for some and impeding quitting for others. While stress increased for many, those who quit found ways to cope with stress. Generally, participants felt at risk for COVID-19 complications but not at increased risk of becoming infected. Reactions to COVID-19 and quitting behaviors differed across age groups, older participants reported difficulties coping with isolation (e.g., feeling disappointed when a text message came from the study and not a live person). Findings suggest that cessation interventions addressing stress and boredom are needed during COVID-19, while smokers experiencing isolation may benefit from live-person supports.

scholarly journals 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.

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.

scholarly journals Text Message Responsivity in a 2-Way Short Message Service Pilot Intervention With Adolescent and Young Adult Survivors of Cancer (Preprint)

2018 ◽  
Author(s):  
Alexandra M Psihogios ◽  
Yimei Li ◽  
Eliana Butler ◽  
Jessica Hamilton ◽  
Lauren C Daniel ◽  
...  
Keyword(s):  
Text Messaging ◽  
Text Message ◽  
Adult Survivors ◽  
Text Messages ◽  
Adolescent And Young Adult ◽  
Short Message ◽  
Message Service ◽  
Young Adult Survivors ◽  
Pilot Intervention ◽  
Text Message Intervention

OBJECTIVE Within a 2-way text messaging study in AYAs who recently completed treatment for cancer, we sought to evaluate text message responsivity across different types of text messages. METHODS AYAs who recently completed treatment for cancer (n=26; mean age=16 years; 62% female, 16/26 participants) received 2-way text messages about survivorship health topics over a 16-week period. Using participants’ text message log data, we coded responsivity to text messages and evaluated trends in responsivity to unprompted text messages and prompted text messages of varying content (eg, medication reminders, appointment reminders, and texts about personal experiences as a cancer survivor). RESULTS Across prompted and unprompted text messages, responsivity rapidly decreased (P ≤.001 and =.01, respectively) and plateaued by the third week of the intervention. However, participants were more responsive to prompted text messages (mean responsivity=46% by week 16) than unprompted messages (mean responsivity=10% by week 16). They also demonstrated stable responsivity to certain prompted content: medication reminders, appointment reminders, goal motivation, goal progress, and patient experience texts. CONCLUSIONS Our methodology of evaluating text message responsivity revealed important patterns of engagement in a 2-way text message intervention for AYA cancer survivors.

scholarly journals An Automated Text Messaging System (Tonsil-Text-To-Me) to Improve Tonsillectomy Perioperative Experience: Exploratory Qualitative Usability and Feasibility Study

10.2196/14601 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e14601
Author(s):  
Nathan Farias ◽  
Benjamin Rose-Davis ◽  
Paul Hong ◽  
Lori Wozney
Keyword(s):  
Parental Stress ◽  
Text Messaging ◽  
Text Message ◽  
Perioperative Period ◽  
Text Messages ◽  
Information Delivery ◽  
High Threshold ◽  
Semistructured Interview ◽  
Current Standard ◽  
Message Service

Background Inexperience and forgetting perioperative care instruction are significant drivers of parental stress during pediatric tonsillectomy care. With the widespread use of mobile technology, parents now desire a system that provides them with information that is timely, accessible, and comprehensive. Tonsil-Text-To-Me (TTTM) is a text messaging system that sends out automated and timed texts to parents of children who are undergoing tonsillectomy. Objective The objective of this study was to pilot-test TTTM to assess for feasibility and usability and collect suggestions for system improvements desired by parents from a pediatric otolaryngology text message service. Methods Parents of pediatric patients who were being scheduled for tonsillectomy with or without adenoidectomy were prospectively enrolled. An exploratory qualitative study using a semistructured interview guide was performed after parents received the automated texts 2 weeks before and 1 week after their child’s surgery. Results A total of 7 parents were interviewed (data saturation was reached). Participants were all of maternal relation to the patient. Overall, all parents felt that the TTTM service was an improvement to the current standard model of information delivery. Parents also reported that the text messages reduced their anxiety and improved their performance when caring for their children during the perioperative period. No parents expressed privacy concerns about receiving texts and regarding the information included in the messages. Service suggestions showed that parents were eager for more information and had a high threshold for message reception regarding their child’s surgical care. Conclusions All parents expressed enthusiasm for a text message service during their child’s tonsillectomy perioperative period. The care instructions and reminders provided to parents via automated and timed text messages may be a strategy to improve information delivery in a simple and accessible format that could empower families in their own health care.

scholarly journals 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.

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 the 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, the 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 invitation and were recruited face to face by the researcher team. Participants were asked to tested the text message intervention for 28 consecutive days and switch to or the text message followed by the smartphone app for 56 28 more days. Participants completed baseline and follow up questionnaires and took part in a semi-structured weekly or end of intervention 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 their interest to participate in this study, of whom and 23 (64% male, 82% above 60 years old) of these patients 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%) requested to switched to the app (with 3 being interviewed). All participants used and 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 supported 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, thus it should investigatebe its tested for its feasibility and effectiveness using rigorous research methods.

An Internet of Things (IoT) Project Based on a Text Messaging (SMS) Gateway Applied to a Pipeline SCADA System

2018 ◽  
Author(s):  
Marco Antonio D. Bezerra ◽  
Mateus da C. S. Cabral ◽  
Edson R. Santiago
Keyword(s):  
Internet Of Things ◽  
Mobile Communications ◽  
Text Messaging ◽  
Text Message ◽  
Text Messages ◽  
Short Message ◽  
Short Text ◽  
Log Files ◽  
Message Service ◽  
System Breakdown

The present work arose from problems occurred during the revamp of a pipeline SCADA (Supervisory Control and Data Acquisition) system at the beginning of 2012, when occurred some unexpected system crashes that could interrupt the operation of the second major Brazilian pipeline maritime terminal. Before a system breakdown, we observed some signs, like fail-overs in the event log files. If the development and maintenance crews were aware of these events not only the problem causes could be better understood, but also the imminent crash could have been avoided. A faster and autonomous way for the system communicates its problems was necessary. ACARS (Aircraft Communications Addressing and Reporting System) — a part of an autonomous communication system, which reports aircraft condition for a system on the ground, through satellite links and short messages — inspired us to develop an Internet of Things (IoT) system, using text messages (SMS, short message service) of the Global System for Mobile Communications (GSM). Autonomous and short text messages are the keywords that drove our work, and the solution came through a text message gateway — the solution to get information in advance. This presentation will discuss the idea, hardware and software components, message format, applications and future perspectives.

scholarly journals Feasibility of a Proactive Text Messaging Intervention for Smokers in Community Health Centers: Pilot Study (Preprint)

2017 ◽  
Author(s):  
Gina Kruse ◽  
Jennifer HK Kelley ◽  
Karen Chase ◽  
Nancy A Rigotti
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Text Messaging ◽  
Community Health Centers ◽  
Text Message ◽  
Care Physician ◽  
Health Centers ◽  
Primary Care Patients ◽  
Health Model ◽  
Readiness To Quit

BACKGROUND Few smokers receive evidence-based cessation services during primary care visits. OBJECTIVE We aimed to assess the feasibility of a proactive text messaging program for primary care patients who smoke. METHODS We used electronic health records to identify smokers who had a mobile phone number listed from two community health centers in Massachusetts. Between March 2014 and June 2015, patients were screened by their primary care physician and then sent a proactive text message inviting them to enroll by texting back. Patients who opted in were asked about their readiness to quit. The text message program included messages from the QuitNowTXT library and novel content for smokers who were not ready to quit. RESULTS Among 949 eligible smokers, 88 (9.3%) enrolled after receiving a single proactive text message. Compared with those who did not enroll, enrollees were more often female (54/88, 61% vs 413/861, 48.0%, P=.02), but otherwise did not differ in age, race, insurance status, or comorbidities. In all, 28% (19/67) of enrollees reported they were not ready to quit in the next 30 days, 61% (41/67) were ready to quit, and 11% (7/67) already quit. The median time in the program was 9 days (interquartile range 2-32 days). Of current smokers, 25% (15/60) sent one or more keyword requests to the server. These did not differ by readiness to quit. CONCLUSIONS A proactively delivered text messaging program targeting primary care patients who smoke was feasible and engaged both smokers ready to quit and those not ready to quit. This method shows promise as part of a population health model for addressing tobacco use outside of the primary care office.

scholarly journals 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.

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.

scholarly journals Acceptability of text messages for safety netting patients with low-risk cancer symptoms: a qualitative study

2018 ◽  
Vol 68 (670) ◽  
pp. e333-e341 ◽  
Author(s):  
Yasemin Hirst ◽  
Anita Wey Wey Lim
Keyword(s):  
Primary Care ◽  
Text Messaging ◽  
Text Message ◽  
Safety Net ◽  
Text Messages ◽  
Low Risk ◽  
Diagnostic Strategy ◽  
Cancer Symptoms ◽  
Additional Tool ◽  
Safety Netting

BackgroundSafety netting is an important diagnostic strategy for patients presenting to primary care with potential (low-risk) cancer symptoms. Typically, this involves asking patients to return if symptoms persist. However, this relies on patients re-appraising their symptoms and making follow-up appointments, which could contribute to delays in diagnosis. Text messaging is increasingly used in primary care to communicate with patients, and could be used to improve safety netting.AimTo explore the acceptability and feasibility of using text messages to safety net patients presenting with low-risk cancer symptoms in GP primary care (txt-netting).Design and settingQualitative focus group and interview study with London-based GPs.MethodParticipants were identified using convenience sampling methods. Five focus groups and two interviews were conducted with 22 GPs between August and December 2016. Sessions were audiorecorded, transcribed verbatim, and analysed using thematic analysis.ResultsGPs were amenable to the concept of using text messages in cancer safety netting, identifying it as an additional tool that could help manage patients and promote symptom awareness. There was wide variation in GP preferences for text message content, and a number of important potential barriers to txt-netting were identified. Concerns were raised about the difficulties of conveying complex safety netting advice within the constraints of a text message, and about confidentiality, widening inequalities, and workload implications.ConclusionText messages were perceived to be an acceptable potential strategy for safety netting patients with low-risk cancer symptoms. Further work is needed to ensure it is cost-effective, user friendly, confidential, and acceptable to patients.

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