Whealin Julia M, Saleem Jason J, Armstrong Christina M, Roth Jennifer, Herout Jennifer
Clinical Informatics Service, VA Pacific Islands Health Care System, Department of Veterans Affairs, HI 96819 Honolulu, USA.
University of Hawaii School of Medicine, Manoa, HI USA.
J Technol Behav Sci. 2023 Feb 23:1-11. doi: 10.1007/s41347-023-00305-6.
Automated text messaging interventions can effectively improve self-care and were used to support the U.S. Veterans Health Administration's (VHA) public health outreach during the COVID pandemic. Currently, significant gaps exist in knowledge about VHA patients' texting protocol preferences that may impact user receptivity, engagement, and effectiveness. This study qualitatively evaluated patient suggestions to improve two VHA Covid-related texting interventions and preferences for future text message protocols. We reviewed cross-sectional type-written survey responses from patients receiving either the "Coronavirus Precautions" or the "Coping During COVID" multi-week text protocols. Two team members independently and inductively coded all responses allowing for an upward abstraction of qualitative data. Nine hundred five patients (72.8% male) responded to the open-response item questions targeted by this research. An item that sought feedback to improve protocol acceptability generated thirteen distinct descriptive categories (inter-rater reliability 83.5%). Codable feedback showed, for example, that patients desired to manipulate message frequency and to have a more sophisticated interaction with messages. Patients' suggestions for future automated text messaging protocols yielded nine distinct topic areas. Patients offered suggestions that may impact receptivity and engagement of future automated text message protocols, particularly as they relate to outreach during a public health crisis. In addition, patients offered specific topics they would like to see in future text message protocols. We discuss how the findings can be used to increase engagement in current and post-pandemic public health interventions.
自动化短信干预可以有效改善自我护理，并在新冠疫情期间用于支持美国退伍军人健康管理局（VHA）的公共卫生宣传工作。目前，在VHA患者对短信协议偏好的了解方面存在重大差距，这可能会影响用户的接受度、参与度和效果。本研究对患者提出的改进两项与VHA新冠相关短信干预措施的建议以及对未来短信协议的偏好进行了定性评估。我们审查了接受“冠状病毒预防措施”或“新冠期间应对”多周短信协议的患者的横断面打字调查问卷回复。两名团队成员独立并归纳编码所有回复，以便对定性数据进行向上抽象。905名患者（72.8%为男性）回答了本研究针对的开放式问题。一个寻求改进协议可接受性反馈的问题产生了13个不同的描述性类别（评分者间信度为83.5%）。例如，可编码的反馈表明，患者希望调整短信频率，并与短信进行更复杂的互动。患者对未来自动化短信协议的建议产生了9个不同的主题领域。患者提出的建议可能会影响未来自动化短信协议的接受度和参与度，尤其是在公共卫生危机期间与宣传相关的方面。此外，患者还提出了他们希望在未来短信协议中看到的具体主题。我们讨论了这些发现如何用于提高当前和疫情后公共卫生干预措施中的参与度。
