Department of Medical Social Sciences, Northwestern University.
Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center San Antonio.
Fam Syst Health. 2021 Mar;39(1):19-28. doi: 10.1037/fsh0000592.
Short message service (SMS) is a widely accepted telecommunications approach used to support health informatics, including behavioral interventions, data collection, and patient-provider communication. However, SMS delivery platforms are not standardized and platforms are typically commercial "off-the-shelf" or developed "in-house." As a consequence of platform variability, implementing SMS-based interventions may be challenging for both providers and patients. Off-the-shelf SMS delivery platforms may require minimal development or technical resources from providers, but users are often limited in their functionality. Conversely, platforms that are developed in-house are often specified for individual projects, requiring specialized development and technical expertise. Patients are on the receiving end of programming and technical specification challenges; message delays or lagged data affect quality of SMS communications. To date, little work has been done to develop a generalizable SMS platform that can be scaled across health initiatives.
We propose the Configurable Assessment Messaging Platform for Interventions (CAMPI) to mitigate challenges associated with SMS intervention implementation (e.g., programming, data collection, message delivery).
CAMPI aims to optimize health data captured from a multitude of sources and enhance patient-provider communication through a technology that is simple and familiar to patients. Using representative examples from three behavioral intervention case studies implemented among diverse populations (pregnant women, young sexual minority men, and parents with young children), we describe CAMPI capabilities and feasibility.
As a generalizable SMS platform, CAMPI can be scaled to meet the priorities of various health initiatives, while reducing unnecessary resource utilization and burden on providers and patients. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
短信服务（SMS）是一种广泛接受的电信方法，用于支持健康信息学，包括行为干预、数据收集和医患沟通。然而，SMS 传输平台没有标准化，平台通常是商业的“现成”或内部开发的。由于平台的可变性，SMS 为基础的干预措施的实施对提供者和患者来说可能都是具有挑战性的。现成的 SMS 交付平台可能只需要提供者提供最少的开发或技术资源，但用户的功能通常受到限制。相反，内部开发的平台通常是针对个别项目指定的，需要专门的开发和技术专业知识。患者是编程和技术规范挑战的接收端；消息延迟或数据滞后会影响 SMS 通信的质量。迄今为止，很少有工作致力于开发一种可推广的 SMS 平台，可以在健康计划中大规模应用。
我们提出了可配置评估消息传递平台（CAMPI），以减轻与 SMS 干预实施相关的挑战（例如，编程、数据收集、消息传递）。
CAMPI 旨在通过一种对患者来说简单而熟悉的技术，优化从多种来源捕获的健康数据，并增强医患沟通。我们使用来自三个行为干预案例研究的代表性例子，这些案例研究是在不同人群（孕妇、年轻的性少数男性和有年幼子女的父母）中实施的，描述了 CAMPI 的功能和可行性。
作为一种可推广的 SMS 平台，CAMPI 可以根据各种健康计划的优先事项进行扩展，同时减少提供者和患者不必要的资源利用和负担。
