Cargando…

Factors Influencing Engagement, Perceived Usefulness and Behavioral Mechanisms Associated with a Text Message Support Program

INTRODUCTION: Many studies have now demonstrated the efficacy of text messaging in positively changing behaviours. We aimed to identify features and factors that explain the effectiveness of a successful text messaging program in terms of user engagement, perceived usefulness, behavior change and pr...

Descripción completa

Detalles Bibliográficos
Autores principales: Redfern, Julie, Santo, Karla, Coorey, Genevieve, Thakkar, Jay, Hackett, Maree, Thiagalingam, Aravinda, Chow, Clara K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065147/
https://www.ncbi.nlm.nih.gov/pubmed/27741244
http://dx.doi.org/10.1371/journal.pone.0163929
_version_ 1782460276277248000
author Redfern, Julie
Santo, Karla
Coorey, Genevieve
Thakkar, Jay
Hackett, Maree
Thiagalingam, Aravinda
Chow, Clara K.
author_facet Redfern, Julie
Santo, Karla
Coorey, Genevieve
Thakkar, Jay
Hackett, Maree
Thiagalingam, Aravinda
Chow, Clara K.
author_sort Redfern, Julie
collection PubMed
description INTRODUCTION: Many studies have now demonstrated the efficacy of text messaging in positively changing behaviours. We aimed to identify features and factors that explain the effectiveness of a successful text messaging program in terms of user engagement, perceived usefulness, behavior change and program delivery preferences. METHODS: Mixed methods qualitative design combining four data sources; (i) analytic data extracted directly from the software system, (ii) participant survey, (iii) focus groups to identify barriers and enablers to implementation and mechanisms of effect and (iv) recruitment screening logs and text message responses to examine engagement. This evaluation was conducted within the TEXT ME trial—a parallel design, single-blind randomized controlled trial (RCT) of 710 patients with coronary heart disease (CHD). Qualitative data were interpreted using inductive thematic analysis. RESULTS: 307/352 (87% response rate) of recruited patients with CHD completed the program evaluation survey at six months and 25 participated in a focus group. Factors increasing engagement included (i) ability to save and share messages, (ii) having the support of providers and family, (iii) a feeling of support through participation in the program, (iv) the program being initiated close to the time of a cardiovascular event, (v) personalization of the messages, (vi) opportunity for initial face-to-face contact with a provider and (vii) that program and content was perceived to be from a credible source. Clear themes relating to program delivery were that diet and physical activity messages were most valued, four messages per week was ideal and most participants felt program duration should be provided for at least for six months or longer. CONCLUSIONS: This study provides context and insight into the factors influencing consumer engagement with a text message program aimed at improving health-related behavior. The study suggests program components that may enhance potential success but will require integration at the development stage to optimize up-scaling. TRIAL REGISTRATION: Australia and New Zealand Clinical Trials Registry, ACTRN12611000161921.
format Online
Article
Text
id pubmed-5065147
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-50651472016-10-27 Factors Influencing Engagement, Perceived Usefulness and Behavioral Mechanisms Associated with a Text Message Support Program Redfern, Julie Santo, Karla Coorey, Genevieve Thakkar, Jay Hackett, Maree Thiagalingam, Aravinda Chow, Clara K. PLoS One Research Article INTRODUCTION: Many studies have now demonstrated the efficacy of text messaging in positively changing behaviours. We aimed to identify features and factors that explain the effectiveness of a successful text messaging program in terms of user engagement, perceived usefulness, behavior change and program delivery preferences. METHODS: Mixed methods qualitative design combining four data sources; (i) analytic data extracted directly from the software system, (ii) participant survey, (iii) focus groups to identify barriers and enablers to implementation and mechanisms of effect and (iv) recruitment screening logs and text message responses to examine engagement. This evaluation was conducted within the TEXT ME trial—a parallel design, single-blind randomized controlled trial (RCT) of 710 patients with coronary heart disease (CHD). Qualitative data were interpreted using inductive thematic analysis. RESULTS: 307/352 (87% response rate) of recruited patients with CHD completed the program evaluation survey at six months and 25 participated in a focus group. Factors increasing engagement included (i) ability to save and share messages, (ii) having the support of providers and family, (iii) a feeling of support through participation in the program, (iv) the program being initiated close to the time of a cardiovascular event, (v) personalization of the messages, (vi) opportunity for initial face-to-face contact with a provider and (vii) that program and content was perceived to be from a credible source. Clear themes relating to program delivery were that diet and physical activity messages were most valued, four messages per week was ideal and most participants felt program duration should be provided for at least for six months or longer. CONCLUSIONS: This study provides context and insight into the factors influencing consumer engagement with a text message program aimed at improving health-related behavior. The study suggests program components that may enhance potential success but will require integration at the development stage to optimize up-scaling. TRIAL REGISTRATION: Australia and New Zealand Clinical Trials Registry, ACTRN12611000161921. Public Library of Science 2016-10-14 /pmc/articles/PMC5065147/ /pubmed/27741244 http://dx.doi.org/10.1371/journal.pone.0163929 Text en © 2016 Redfern et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Redfern, Julie
Santo, Karla
Coorey, Genevieve
Thakkar, Jay
Hackett, Maree
Thiagalingam, Aravinda
Chow, Clara K.
Factors Influencing Engagement, Perceived Usefulness and Behavioral Mechanisms Associated with a Text Message Support Program
title Factors Influencing Engagement, Perceived Usefulness and Behavioral Mechanisms Associated with a Text Message Support Program
title_full Factors Influencing Engagement, Perceived Usefulness and Behavioral Mechanisms Associated with a Text Message Support Program
title_fullStr Factors Influencing Engagement, Perceived Usefulness and Behavioral Mechanisms Associated with a Text Message Support Program
title_full_unstemmed Factors Influencing Engagement, Perceived Usefulness and Behavioral Mechanisms Associated with a Text Message Support Program
title_short Factors Influencing Engagement, Perceived Usefulness and Behavioral Mechanisms Associated with a Text Message Support Program
title_sort factors influencing engagement, perceived usefulness and behavioral mechanisms associated with a text message support program
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065147/
https://www.ncbi.nlm.nih.gov/pubmed/27741244
http://dx.doi.org/10.1371/journal.pone.0163929
work_keys_str_mv AT redfernjulie factorsinfluencingengagementperceivedusefulnessandbehavioralmechanismsassociatedwithatextmessagesupportprogram
AT santokarla factorsinfluencingengagementperceivedusefulnessandbehavioralmechanismsassociatedwithatextmessagesupportprogram
AT cooreygenevieve factorsinfluencingengagementperceivedusefulnessandbehavioralmechanismsassociatedwithatextmessagesupportprogram
AT thakkarjay factorsinfluencingengagementperceivedusefulnessandbehavioralmechanismsassociatedwithatextmessagesupportprogram
AT hackettmaree factorsinfluencingengagementperceivedusefulnessandbehavioralmechanismsassociatedwithatextmessagesupportprogram
AT thiagalingamaravinda factorsinfluencingengagementperceivedusefulnessandbehavioralmechanismsassociatedwithatextmessagesupportprogram
AT chowclarak factorsinfluencingengagementperceivedusefulnessandbehavioralmechanismsassociatedwithatextmessagesupportprogram