Design and Multi-Country Validation of Text Messages for an mHealth Intervention for Primary Prevention of Progression to Hypertension in Latin America.

Design and Multi-Country Validation of Text Messages for an mHealth Intervention for Primary Prevention of Progression to Hypertension in Latin America.
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DOI:
10.2196/mhealth.3874
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发表时间:
2015-02-18
影响因子:
5
通讯作者:
Miranda JJ
Miranda JJ
中科院分区:
医学2区
文献类型:
--
作者:
Diez-Canseco F;Zavala-Loayza JA;Beratarrechea A;Kanter R;Ramirez-Zea M;Rubinstein A;Martinez H;Miranda JJ

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移动健康(MHealth)被认为有助于缩小健康差距,并在发展中国家显示出快速和广泛的增长。这种增长需要对当地文化背景的理解和准备。描述将用于mHealth行为改变干预的文本消息(短消息服务,SMS)的设计和验证,以在三个拉丁美洲国家预防高血压:阿根廷、危地马拉和秘鲁。最初的一组短信旨在促进处于行为改变不同阶段的个人的健康生活方式,涉及四个关键领域:盐和钠的摄入量、水果和蔬菜的摄入量、高脂肪和高糖食物的摄入量以及体育活动。短信被组织成九个子集进行现场验证。每个国家都招募了36人,其中一半是男性。在参与者中,每个国家有4个国家对短信的每个子集进行了评估,其中包含6至8条短信,涉及不同的关键领域和变化阶段。每条短信的理解和吸引力使用7个项目的问卷进行评估。理解和诉求的评分被用来得出最终的56条短信。总体而言,每条短信共收到12条评价(每个国家4条)。大多数评估--在总共767份有效回复中的742份(96.7%)--表明对短信中包含的关键思想有足够的理解。在1至10分的范围内,上诉平均得分为8.7分,范围为4至10分。基于他们的低分,每个国家的8条短信被丢弃。一旦最终确定了56条短信,并根据实地获得的反馈,对一些短信的措辞和内容进行了改进。在最后一组短信中,9条、8条和16条短信分别根据来自阿根廷、危地马拉和秘鲁的参与者评估进行了改进。最终选定的大多数短信(49/56,88%)在所有国家都是相同的,除了措辞上的微小差异。制作的最后一组短信在三个不同的拉丁美洲国家具有非常高的理解率和吸引力。这项研究强调了在三个不同的拉丁美洲国家开发和验证一套简单、预防性的短信的重要性,这些短信建立在证据和理论的基础上,终端用户积极参与。
Mobile health (mHealth) has been posited to contribute to the reduction in health gaps and has shown fast and widespread growth in developing countries. This growth demands understanding of, and preparedness for, local cultural contexts. To describe the design and validation of text messages (short message service, SMS) that will be used for an mHealth behavioral change intervention to prevent hypertension in three Latin American countries: Argentina, Guatemala, and Peru. An initial set of 64 SMS text messages were designed to promote healthy lifestyles among individuals in different stages of behavior change, addressing four key domains: salt and sodium intake, fruit and vegetable intake, consumption of high fat and sugar foods, and physical activity. The 64 SMS text messages were organized into nine subsets for field validation. In each country 36 people were recruited, half of them being male. Of the participants, 4 per country evaluated each subset of SMS text messages, which contained between 6 and 8 SMS text messages regarding different key domains and stages of change. The understanding and appeal of each SMS text message was assessed using a 7-item questionnaire. The understanding and appeal ratings were used to reach a final set of 56 SMS text messages. Overall, each of the 64 SMS text messages received a total of 12 evaluations (4 per country). The majority of evaluations—742 out of a total of 767 (96.7%) valid responses—revealed an adequate understanding of the key idea contained in the SMS text message. On a scale from 1 to 10, the average appeal score was 8.7 points, with a range of 4 to 10 points. Based on their low scores, 8 SMS text messages per country were discarded. Once the final set of 56 SMS text messages was established, and based on feedback obtained in the field, wording and content of some SMS text messages were improved. Of the final set, 9, 8, and 16 of the SMS text messages were improved based on participant evaluations from Argentina, Guatemala, and Peru, respectively. Most SMS text messages selected for the final set (49/56, 88%) were the same in all countries, except for small wording differences. The final set of SMS text messages produced had very high rates of understanding and appeal in three different Latin American countries. This study highlights the importance of developing and validating a package of simple, preventative SMS text messages, grounded in evidence and theory, across three different Latin American countries with active engagement of end users.
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发表时间: 2009-01-01
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