Text message responsivity in a 2-way short message service pilot intervention with adolescent and young adult survivors of Cancer
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Abstract
OBJECTIVE: Within a 2-way text messaging study in AYAs who recently completed treatment for cancer, we sought to evaluate text message responsivity across different types of text messages. METHODS: AYAs who recently completed treatment for cancer (n=26; mean age=16 years; 62% female, 16/26 participants) received 2-way text messages about survivorship health topics over a 16-week period. Using participants' text message log data, we coded responsivity to text messages and evaluated trends in responsivity to unprompted text messages and prompted text messages of varying content (eg, medication reminders, appointment reminders, and texts about personal experiences as a cancer survivor). RESULTS: Across prompted and unprompted text messages, responsivity rapidly decreased (P ≤.001 and =.01, respectively) and plateaued by the third week of the intervention. However, participants were more responsive to prompted text messages (mean responsivity=46% by week 16) than unprompted messages (mean responsivity=10% by week 16). They also demonstrated stable responsivity to certain prompted content: medication reminders, appointment reminders, goal motivation, goal progress, and patient experience texts. CONCLUSIONS: Our methodology of evaluating text message responsivity revealed important patterns of engagement in a 2-way text message intervention for AYA cancer survivors.
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This definition parallels common definitions of engagement used for DMHIs and other interactive messaging systems.
“This parallels common definitions of engagement used for DMHIs (e.g., any daily app use) (Baumel et al., 2019), and other interactive messaging systems (Psihogios et al., 2019).”
From A text messaging intervention to support the mental health of young adults: User engagement and feedback from a field trial of an intervention prototype (2023) · cites this paper as Psihogios et al., 2019
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- Authors
- Psihogios, A. M., Li, Y., Butler, E., Hamilton, J., Daniel, L. C., Barakat, L. P., Bonafide, C. P., & Schwartz, L. A.
- Affiliations
- Children's Hospital of Philadelphia (US)
- University of Pittsburgh (US)
- Rutgers, The State University of New Jersey (US)
- Corresponding author
- Psihogios, Alexandra M
- ORCID
- Venue
- JMIR mhealth and uhealth
- Publisher
- JMIR Publications Inc.
- Published
- 2019-04-18
- Volume
- 7
- Issue
- 4
- Pages
- e12547
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC6495290
- OpenAlex
- W2914699221
- Cited by
- 24
- References
- 52
- Citations by year
- 2026: 1 · 2024: 5 · 2023: 6 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 5
- FWCI
- 4.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR mhealth and uhealth (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Pew Charitable Trusts
- National Cancer Institute (P30CA016520)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Health › Social Media in Health Education
- Keywords
- adolescent and young adult cancer survivors, survivorship care, medication reminders, appointment reminders, patient engagement, text messaging intervention, health behavior change
- MeSH terms
- Cancer Survivors, Adolescent, Female, Humans, Male, Motivation, Neoplasms, Pilot Projects, Social Support, Time Factors, Young Adult, Text Messaging
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