The Effects of Text Message Content on the Use of an Internet-Based Physical Activity Intervention in Hong Kong Chinese Adolescents
Abstract
This study examined the effects of text message content (generic vs. culturally tailored) on the login rate of an Internet physical activity program in Hong Kong Chinese adolescent school children. A convenience sample of 252 Hong Kong secondary school adolescents (51% female, 49% male; M age = 13.17 years, SD = 1.28 years) were assigned to one of 3 treatments for 8 weeks. The control group consisted of an Internet physical activity program. The Internet plus generic text message group consisted of the same Internet physical activity program and included daily generic text messages. The Internet plus culturally tailored text message group consisted of the Internet physical activity program and included daily culturally tailored text messages. Zero-inflated Poisson mixed models showed that the overall effect of the treatment group on the login rates varied significantly across individuals. The login rates over time were significantly higher in the Internet plus culturally tailored text message group than the control group (β = 46.06, 95% CI 13.60, 156.02; p = .002) and the Internet plus generic text message group (β = 15.80, 95% CI 4.81, 51.9; p = .021) after adjusting for covariates. These findings suggest that culturally tailored text messages may be more advantageous than generic text messages on improving adolescents' website login rate, but effects varied significantly across individuals. Our results support the inclusion of culturally tailored messaging in future online physical activity interventions.
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In instances where perceptions of culturally adapted mHealth interventions have been described, these perceptions are positive.
“In instances where perceptions of culturally adapted mHealth interventions have been described, these perceptions are positive [3,4,6,15-18].”
From Development of a Culturally Tailored Text Message Maternal Health Program: TextMATCH (2017) · cites this paper as [16]
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Development of a Culturally Tailored Text Message Maternal Health Program: TextMATCH
Dobson, R., Whittaker, R., Bartley, H., Connor, A., Chen, R., Ross, M., & McCool, J. (2017) · JMIR mHealth and uHealth · doi:10.2196/mhealth.7205 · Cited by 49 · see citing works
- Authors
- Lau, E. Y., Lau, P. W. C., Cai, B., & Archer, E.
- Affiliations
- University of South Carolina (US)
- University of Alabama at Birmingham (US)
- Corresponding author
- Lau, Erica Y.
- Venue
- Journal of Health Communication
- Publisher
- Informa UK Limited
- Published
- 2015-05-21
- Volume
- 20
- Issue
- 9
- Pages
- 1041-1051
- ISSN
- 1081-0730 (ISSN-L)
- 1087-0415
- OpenAlex
- W1911192705
- Cited by
- 9
- References
- 57
- Citations by year
- 2025: 2 · 2023: 2 · 2022: 3 · 2017: 1 · 2016: 1
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health Communication (publishedVersion)
- PubMed (publishedVersion)
- HKBU Institutional Repository (Hong Kong Baptist University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Health › Social Media in Health Education
- Keywords
- text messaging, online intervention, physical activity promotion, adolescents, Hong Kong Chinese, mobile health
- MeSH terms
- Adolescent, Child, Cultural Characteristics, Female, Health Promotion, Hong Kong, Humans, Male, Motor Activity, Program Evaluation, Internet, Health Communication, Text Messaging
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