Wen Kuang-Yi, Miller Suzanne M, Kilby Linda, Fleisher Linda, Belton Tanisha D, Roy Gem, Hernandez Enrique
Fox Chase Cancer Center/Temple University Health System, Cancer Prevention and Control, Philadelphia, PA, United States.
JMIR Res Protoc. 2014 Apr 3;3(2):e20. doi: 10.2196/resprot.3059.
Underserved women are at high risk for smoking relapse after childbirth due to their unique socioeconomic and postpartum stressors and barriers. Mobile text messaging technology allows delivery of relapse prevention programs targeted to their personal needs over time.
To describe the development of a social-cognitive theory-based and evidence-guided text messaging intervention for preventing postpartum smoking relapse among inner city women.
Guided by the cognitive-social health information processing framework, user-centered design, and health communication best practices, the intervention was developed through a systematic process that included needs assessment, followed by an iterative cycling through message drafting, health literacy evaluation and rewriting, review by target community members and a scientific advisory panel, and message revision, concluding with usability testing.
All message content was theory-grounded, derived by needs assessment analysis and evidence-based materials, reviewed and revised by the target population, health literacy experts, and scientific advisors. The final program, "Txt2Commit," was developed as a fully automated system, designed to deliver 3 proactive messages per day for a 1-month postpartum smoking relapse intervention, with crave and lapse user-initiated message functions available when needed.
The developmental process suggests that the application of theory and best practices in the design of text messaging smoking cessation interventions is not only feasible but necessary for ensuring that the interventions are evidence based and user-centered.
由于社会经济状况特殊以及产后面临压力和障碍，服务不足的女性产后吸烟复发风险很高。移动短信技术能够随着时间推移提供针对其个人需求的预防复发项目。
描述一种基于社会认知理论且有循证指导的短信干预措施的开发过程，该措施用于预防市中心区女性产后吸烟复发。
在认知-社会健康信息处理框架、以用户为中心的设计以及健康传播最佳实践的指导下，通过一个系统流程开发该干预措施，包括需求评估，随后经过反复循环进行信息起草、健康素养评估与改写、目标社区成员及科学咨询小组审核以及信息修订，最后进行可用性测试。
所有信息内容都有理论依据，通过需求评估分析和循证材料得出，经过目标人群、健康素养专家和科学顾问审核与修订。最终项目“Txt2Commit”开发为一个全自动系统，旨在为产后1个月的吸烟复发干预每天发送3条主动信息，必要时还具备针对渴望吸烟和复吸情况由用户发起的信息功能。
开发过程表明，在短信戒烟干预措施设计中应用理论和最佳实践不仅可行，而且对于确保干预措施以证据为基础且以用户为中心是必要的。
