Retention and engagement of rural caregivers of adolescents in a short message service intervention to reduce sugar-sweetened beverage intake.

Retention and engagement of rural caregivers of adolescents in a short message service intervention to reduce sugar-sweetened beverage intake.
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DOI:
10.1177/20552076231160324
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发表时间:
2023-01
期刊:
影响因子:
3.9
通讯作者:
Zoellner, Jamie M.
Zoellner, Jamie M.
中科院分区:
医学3区
文献类型:
--
作者:
Yuhas, Maryam;Brock, Donna-Jean P.;Ritterband, Lee M.;Chow, Philip, I;Porter, Kathleen J.;Zoellner, Jamie M.

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本研究调查了一项为期6个月的减少青少年含糖饮料(SSB)摄入量的短信干预。其目的是描述照顾者保留和短信参与度,以及探索照顾者特征的差异。照顾者完成一项基线调查,然后每周发送两次信息。消息类型包括:SSB摄入量评估、教育信息、信息图URL和战略。参与度通过与这些消息的交互来衡量,包括:评估完成、需要提醒、选择的策略数量和点击的URL。照顾者(n = 357)的平均基线SSB摄入量为23.9(SD = 26.8)盎司/天。其中,89%的人被保留下来。收入和教育程度较高的照顾者留住比例较高。平均参与度包括:完成的5个评估中的4.1%(SD = 1.3%)且几乎不需要提醒[14个可能中的4.1%(SD = 3.7%)],选择的4个策略中的3.2%(SD = 1.1%),以及点击的5个URL中的1.2%(SD = 1.6%)。总体而言,平均参与度相对较高,即使在发现差异的地方也是如此。统计上与较低参与度相关的人口特征包括年龄较小、收入较低、教育程度较低、单身照顾者、健康素养较低。此外,意图改变SSB行为的照顾者完成的评估更少,需要更多的提醒。在除URL点击之外的所有指标中,较高的SSB基线摄入量与较低的参与度相关。结果可用于在农村短信干预中为确定的人口子组制定有针对性的保留和参与战略(例如,及时和/或适应性干预)。官方网站:NCT03740113。
This study investigates a 6-month short message service (SMS) intervention to reduce adolescent sugar-sweetened beverage (SSB) intake. The objectives are to describe caregiver retention and SMS engagement as well as explore differences by caregiver characteristics. Caregivers completed a baseline survey then messages were sent two times per week. Message types included the following: SSB intake assessments, educational information, infographic URLs, and strategies. Engagement was measured through interaction with these messages and included: assessment completion, reminders needed, number of strategies chosen, and URLs clicked. Caregivers (n = 357) had an average baseline SSB intake of 23.9 (SD = 26.8) oz/day. Of those, 89% were retained. Caregivers with a greater income and education were retained at a higher rate. Average engagement included: 4.1 (SD = 1.3) of 5 assessments completed with few reminders needed [4.1 (SD = 3.7) of 14 possible], 3.2 (SD = 1.1) of 4 strategies selected, and 1.2 (SD = 1.6) of 5 URLs clicked. Overall, average engagement was relatively high, even where disparities were found. Demographic characteristics that were statistically related to lower engagement included younger age, lower income, lower educational attainment, single caregivers, lower health literacy. Furthermore, caregivers with a reduced intention to change SSB behaviors completed fewer assessments and needed more reminders. Higher baseline SSB intake was associated with lower engagement across all indicators except URL clicks. Results can be used to develop targeted retention and engagement strategies (e.g., just-in-time and/or adaptive interventions) in rural SMS interventions for identified demographic subsets. Clincialtrials.gov: NCT03740113.
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影响因子: 6.2
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