Incorporating African American Veterans' Success Stories for Hypertension Management: Developing a Behavioral Support Texting Protocol.
Incorporating African American Veterans' Success Stories for Hypertension Management: Developing a Behavioral Support Texting Protocol.
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DOI：
10.2196/29423
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发表时间：
2021-12-01
影响因子：
1.7
通讯作者：
Cutrona SL
中科院分区：
文献类型：
--
作者：
DeLaughter KL;Fix GM;McDannold SE;Pope C;Bokhour BG;Shimada SL;Calloway R;Gordon HS;Long JA;Miano DA;Cutrona SL
同伴叙事通过个人相关的内容吸引听众，并已被证明可以促进高血压患者生活方式的改变和有效的自我管理。将这些故事中的关键引文翻译成后续短信是继续对话的一种新颖方式，为患者日常生活中的健康行为提供了强化。在我们以前的工作中，我们开发和测试了非裔美国退伍军人分享与高血压自我管理相关的挑战和成功策略的视频。这项研究的目的是描述我们的过程中，开发一个文本消息协议，旨在使用后，观看视频，纳入这些退伍军人的声音。我们使用了一个多步骤的过程，将5位退伍军人的视频记录的故事摘录转换为160个字符的文本。然后，我们将这些整合到全面的6个月短信协议中。我们首先对故事文本进行了反复审查，以确定每个故事讲述者强调的本土特征和关键的自我管理概念。我们与2位资深顾问合作，他们以实质性的方式指导我们的叙事短信开发，因为我们试图为文本制作文化敏感的内容。根据退伍军人对时间和整合的投入，还开发了补充教育和双向互动评估文本消息。在退伍军人事务部的短信系统安妮，我们编程了5个6个月的短信协议，其中包括3种短信类型的周期：叙事消息，非叙事教育消息，双向互动消息评估自我效能和高血压自我管理相关的行为。每个协议对应于一个单一的退伍军人讲故事，让退伍军人选择的故事，最共鸣与自己的生活经历。我们制作了一个文化敏感的短信协议，使用退伍军人故事中引用的叙事内容，以支持有效的高血压自我管理。将叙事内容整合到移动的健康短信干预中提供了一种支持纵向行为改变的低成本方式。一项随机试验正在进行中，以测试其对非裔美国退伍军人生活方式变化和血压的影响。ClinicalTrials.gov NCT 03970590; https://clinicaltrials.gov/ct2/show/NCT03970590 DERR 1 -10.2196/29423
Peer narratives engage listeners through personally relevant content and have been shown to promote lifestyle change and effective self-management among patients with hypertension. Incorporating key quotations from these stories into follow-up text messages is a novel way to continue the conversation, providing reinforcement of health behaviors in the patients’ daily lives. In our previous work, we developed and tested videos in which African American Veterans shared stories of challenges and success strategies related to hypertension self-management. This study aims to describe our process for developing a text-messaging protocol intended for use after viewing videos that incorporate the voices of these Veterans. We used a multistep process, transforming video-recorded story excerpts from 5 Veterans into 160-character texts. We then integrated these into comprehensive 6-month texting protocols. We began with an iterative review of story transcripts to identify vernacular features and key self-management concepts emphasized by each storyteller. We worked with 2 Veteran consultants who guided our narrative text message development in substantive ways, as we sought to craft culturally sensitive content for texts. Informed by Veteran input on timing and integration, supplementary educational and 2-way interactive assessment text messages were also developed. Within the Veterans Affairs texting system Annie, we programmed five 6-month text-messaging protocols that included cycles of 3 text message types: narrative messages, nonnarrative educational messages, and 2-way interactive messages assessing self-efficacy and behavior related to hypertension self-management. Each protocol corresponds to a single Veteran storyteller, allowing Veterans to choose the story that most resonates with their own life experiences. We crafted a culturally sensitive text-messaging protocol using narrative content referenced in Veteran stories to support effective hypertension self-management. Integrating narrative content into a mobile health texting intervention provides a low-cost way to support longitudinal behavior change. A randomized trial is underway to test its impact on the lifestyle changes and blood pressure of African American Veterans. ClinicalTrials.gov NCT03970590; https://clinicaltrials.gov/ct2/show/NCT03970590 DERR1-10.2196/29423