Leveraging text messaging and mobile technology to support pediatric obesity-related behavior change: a qualitative study using parent focus groups and interviews.
Leveraging text messaging and mobile technology to support pediatric obesity-related behavior change: a qualitative study using parent focus groups and interviews.
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DOI：
10.2196/jmir.2780
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发表时间：
2013-12-06
影响因子：
7.4
通讯作者：
Taveras EM
中科院分区：
文献类型：
--
作者：
Sharifi M;Dryden EM;Horan CM;Price S;Marshall R;Hacker K;Finkelstein JA;Taveras EM
短信（短信息服务，SMS）是一种广泛使用且具有潜在成本效益的鼓励行为改变的媒介。很少有研究检查短信干预对儿童健康行为的影响，或探讨父母对移动技术支持儿童行为改变的看法。我们的目的是检查父母对短信的接受程度和偏好，以支持儿童肥胖相关行为的改变。我们对超重和肥胖儿童的父母进行了焦点小组和随访访谈，这些儿童年龄在6-12岁，在马萨诸塞州东部接受“健康儿童”护理。专业的版主使用半结构化的讨论指南和文本信息样本来促进小组讨论。在一对一的电话访谈之前，七名参与者收到了为期三周的短信。所有焦点小组和访谈都被逐字记录和转录。使用框架分析方法，我们系统地编码和分析了小组和访谈数据，以确定突出和收敛的主题。在5个焦点小组和7个随访访谈之后，我们达到了主题饱和，总共采访了31位不同种族/民族和教育水平的父母。家长们普遍热衷于接收短信，以支持孩子的健康行为，他们更喜欢短信，而不是纸质或电子邮件交流，因为短信简短，难以忽视。参与者期望对医生认可的信息有很高的反应，并表示只要内容相关，他们会每周收到2-3次或更多的信息。维护消息相关性的建议包括提供具体的实现策略和个性化信息。大多数人认为短信的缺点（如短信大小有限）可以通过在短信中提供与其他媒体（包括电子邮件或网站）的链接来克服。短信是支持儿童肥胖相关行为改变的一种有前途的媒介。家长的观点可以帮助设计基于文本的干预措施。Clinicaltrials.gov NCT01565161;http://clinicaltrials.gov/show/NCT01565161（由WebCite在http://www.webcitation.org/6LSaqFyPP存档）。
Text messaging (short message service, SMS) is a widely accessible and potentially cost-effective medium for encouraging behavior change. Few studies have examined text messaging interventions to influence child health behaviors or explored parental perceptions of mobile technologies to support behavior change among children. Our aim was to examine parental acceptability and preferences for text messaging to support pediatric obesity-related behavior change. We conducted focus groups and follow-up interviews with parents of overweight and obese children, aged 6-12 years, seen for “well-child” care in eastern Massachusetts. A professional moderator used a semistructured discussion guide and sample text messages to catalyze group discussions. Seven participants then received 3 weeks of text messages before a follow-up one-on-one telephone interview. All focus groups and interviews were recorded and transcribed verbatim. Using a framework analysis approach, we systematically coded and analyzed group and interview data to identify salient and convergent themes. We reached thematic saturation after five focus groups and seven follow-up interviews with a total of 31 parents of diverse race/ethnicity and education levels. Parents were generally enthusiastic about receiving text messages to support healthy behaviors for their children and preferred them to paper or email communication because they are brief and difficult to ignore. Participants anticipated high responsiveness to messaging endorsed by their child’s doctor and indicated they would appreciate messages 2-3 times/week or more as long as content remains relevant. Suggestions for maintaining message relevance included providing specific strategies for implementation and personalizing information. Most felt the negative features of text messaging (eg, limited message size) could be overcome by providing links within messages to other media including email or websites. Text messaging is a promising medium for supporting pediatric obesity-related behavior change. Parent perspectives could assist in the design of text-based interventions. Clinicaltrials.gov NCT01565161; http://clinicaltrials.gov/show/NCT01565161 (Archived by WebCite at http://www.webcitation.org/6LSaqFyPP).
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影响因子：
3.4
作者：
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通讯作者：
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DOI：
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发表时间：
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期刊：
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