OMG do not say LOL: obese adolescents' perspectives on the content of text messages to enhance weight loss efforts.

OMG do not say LOL: obese adolescents' perspectives on the content of text messages to enhance weight loss efforts.
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DOI:
10.1038/oby.2011.266
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发表时间:
2011-12
期刊:
影响因子:
6.9
通讯作者:
Resnicow, Kenneth
Resnicow, Kenneth
中科院分区:
医学2区
文献类型:
--
作者:
Woolford, Susan J.;Barr, Kathryn L. C.;Derry, Holly A.;Jepson, Christina M.;Clark, Sarah J.;Strecher, Victor J.;Resnicow, Kenneth

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参与减肥计划的青少年很难坚持行为改变的建议。通信技术提供了一种低成本的手段来增加与青少年的接触频率,这可以提高他们的参与度,并导致行为改变。在一个更大的项目中,为参加现有的多学科体重管理计划的青少年开发量身定制的短信,本研究探讨了参与者对短信内容的看法。开发了一个信息库,重点关注体重管理的核心主题。四个焦点小组进行了总共24名参与者从体重管理计划,以衡量他们的反应的信息。对焦点小组的详细记录进行了分析,以评估个别信息的可接受性,并确定最重要的主题。结果表明,参与者非常热衷于接收短信。他们更喜欢提供食谱想法的信息,包括同龄人使用的成功减肥策略,并要求反馈他们的进展。他们更喜欢积极、鼓励和直接的信息。他们一致认为,信息应包括鼓励性的符号(例如,感叹号和“笑脸”)。他们强调,任何提到不健康的食物或行为都会引发他们吃这些食物或从事这些行为。文本消息首字母缩略词(例如,LOL)被认为对于医疗保健提供者的信息来说太不正式了。这项研究表明,在肥胖干预措施中包括短信是可以接受的肥胖青少年作为一种手段,支持他们的减肥努力,它强调了这样的信息需要仔细构建。
Adolescents participating in weight loss programs experience difficulty adhering to behavior change recommendations. Communications technology provides a low cost means to increase the frequency of contact with adolescents which can improve their engagement and also lead to behavior change. Within a larger project on the development of tailored text messages for adolescents enrolled in an existing multidisciplinary weight management program, this study explored participants’ perspectives about message content. A library of messages was developed focused on topics central to weight management. Four focus groups were conducted with a total of 24 participants from the weight management program to gage their reactions to the messages. Detailed notes from the focus groups were analyzed to assess the acceptability of individual messages and to identify overriding themes. Results indicate that participants were very enthusiastic about receiving text messages. They preferred messages that provided recipe ideas, included successful weight loss strategies used by peers, and requested feedback regarding their progress. They preferred positive, encouraging, and direct messages. They were unanimous that messages should include encouraging symbols (e.g., exclamation points and “smiley faces”) as often as possible. They emphasized that any mention of unhealthy foods or behaviors would trigger them to eat those foods or engage in those behaviors. Text messaging acronyms (e.g., LOL) were considered too informal for messages from healthcare providers. This study suggests that including text messages in obesity interventions is acceptable to obese adolescents as a means of supporting their weight loss efforts, and it highlights the need for such messages to be carefully constructed.
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