Analysis of the intensity of engagement with , a text message intervention for dementia caregiver support among Latinos/as.

OBJECTIVES

To examine the associations between participant intensity of engagement with a text message intervention, , and socio-demographic factors, acceptability measures, and clinical outcomes among Latino/a caregivers of individuals with dementia.

METHODS

is a six-month, bilingual, and bidirectional intervention. We enrolled 24 Latino/a caregivers in a one-arm feasibility trial. Participants received approximately one automatic daily text message and could engage with the intervention by texting specific keywords (e.g. STRESS to receive messages about stress-coping), and by chat-texting with a live coach. We used metrics and psychometric scales to quantify variables.

RESULTS

Participants sent a total of 1847 messages to . Higher intensity of engagement was associated with higher intervention satisfaction ( = 0.6,  = 0.007), as were several other acceptability outcomes. We found no associations between intensity of engagement with and sociodemographic or clinical outcomes ( > 0.05).

CONCLUSION

Encouraging more intense engagement with might lead to higher levels of satisfaction with the intervention. However, it is possible that those who are highly satisfied, engage more intensely with . Future research should determine the directionality of these associations to optimize text message interventions.

CLINICAL IMPLICATIONS

Creating more opportunities to increase the intensity of text message engagement with caregiver support interventions may improve caregiver satisfaction with them.