基于短信的针对高危青春期女性的行为干预措施的可接受性、语言及结构：一项定性研究
Acceptability, language, and structure of text message-based behavioral interventions for high-risk adolescent females: a qualitative study.
作者信息
Ranney Megan L, Choo Esther K, Cunningham Rebecca M, Spirito Anthony, Thorsen Margaret, Mello Michael J, Morrow Kathleen
机构信息
Department of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital, Providence, Rhode Island; Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, Rhode Island.
Department of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital, Providence, Rhode Island; Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, Rhode Island.
出版信息
J Adolesc Health. 2014 Jul;55(1):33-40. doi: 10.1016/j.jadohealth.2013.12.017. Epub 2014 Feb 18.
PURPOSE
To elucidate key elements surrounding acceptability/feasibility, language, and structure of a text message-based preventive intervention for high-risk adolescent females.
METHODS
We recruited high-risk 13- to 17-year-old females screening positive for past-year peer violence and depressive symptoms, during emergency department visits for any chief complaint. Participants completed semistructured interviews exploring preferences around text message preventive interventions. Interviews were conducted by trained interviewers, audio-recorded, and transcribed verbatim. A coding structure was iteratively developed using thematic and content analysis. Each transcript was double coded. NVivo 10 was used to facilitate analysis.
RESULTS
Saturation was reached after 20 interviews (mean age 15.4; 55% white; 40% Hispanic; 85% with cell phone access). (1) Acceptability/feasibility themes: A text-message intervention was felt to support and enhance existing coping strategies. Participants had a few concerns about privacy and cost. Peer endorsement may increase uptake. (2) Language themes: Messages should be simple and positive. Tone should be conversational but not slang filled. (3) Structural themes: Messages may be automated but must be individually tailored on a daily basis. Both predetermined (automatic) and as-needed messages are requested. Dose and timing of content should be varied according to participants' needs. Multimedia may be helpful but is not necessary.
CONCLUSIONS
High-risk adolescent females seeking emergency department care are enthusiastic about a text message-based preventive intervention. Incorporating thematic results on language and structure can inform development of future text messaging interventions for adolescent girls. Concerns about cost and privacy may be able to be addressed through the process of recruitment and introduction to the intervention.
目的
阐明围绕针对高危青春期女性的基于短信的预防性干预措施的可接受性/可行性、语言和结构的关键要素。
方法
我们招募了13至17岁的高危女性，她们在因任何主要诉求前往急诊科就诊期间，去年同伴暴力和抑郁症状筛查呈阳性。参与者完成了半结构化访谈，探讨对短信预防性干预措施的偏好。访谈由经过培训的访谈者进行，进行录音并逐字转录。使用主题和内容分析迭代开发编码结构。每份转录本都进行了双重编码。使用NVivo 10来促进分析。
结果
在进行20次访谈后达到饱和（平均年龄15.4岁；55%为白人；40%为西班牙裔；85%可使用手机）。（1）可接受性/可行性主题：短信干预被认为有助于支持和增强现有的应对策略。参与者对隐私和成本有一些担忧。同伴认可可能会提高参与度。（2）语言主题：信息应该简单且积极。语气应该是对话式的，但不能充满俚语。（3）结构主题：信息可以自动发送，但必须每天进行个性化定制。既需要预定（自动）信息，也需要按需发送的信息。内容的剂量和时间应根据参与者的需求进行调整。多媒体可能会有帮助，但不是必需的。
结论
寻求急诊科护理的高危青春期女性对基于短信的预防性干预措施很感兴趣。将关于语言和结构的主题结果纳入其中可为未来针对青春期女孩的短信干预措施的开发提供参考。对成本和隐私的担忧可能可以通过招募过程和对干预措施的介绍来解决。
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