Feasibility and acceptability of text messaging to assess daily substance use and sexual behaviors among urban emerging adults

Bonar, Erin E.; Cunningham, Rebecca M.; Collins, Rebecca L.; Cranford, James A.; Chermack, Stephen T.; Zimmerman, Marc A.; Blow, Frederic C.; Walton, Maureen A.

doi:10.1080/16066359.2017.1310205

Cited by 24 publications

(30 citation statements)

References 47 publications

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“…The full protocol and procedures were previously described (Bonar et al, in press; Bonar et al, in press). Research assistants (RAs) recruited during days and evenings, using medical records to identify potential participants.…”

Section: Methodsmentioning

confidence: 99%

“…They had until midnight to complete each day’s questions that assessed drug use and sexual behaviors for the previous day (Bonar et al, in press). On days when a participant did not report a target behavior (e.g., cannabis use) the survey branched to avoid sending related questions, instead sending an equal number of items querying other activities.…”

Section: Methodsmentioning

confidence: 99%

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Daily associations between cannabis motives and consumption in emerging adults

Bonar

Goldstick

Collins

et al. 2017

Drug and Alcohol Dependence

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Background Increasing rates of cannabis use among emerging adults is a growing public health problem. Intensive longitudinal data can provide information on proximal motives for cannabis use, which can inform interventions to reduce use among emerging adults. Method As part of a larger longitudinal study, patients aged 18–25 years (N=95) recruited from an urban Emergency Department completed daily text message assessments of risk behaviors for 28 days, including daily cannabis quantity and motives. Using a mixed effects linear regression model, we examined the relationships between daily quantity of cannabis consumed and motives (i.e., enhancement, social, conformity, coping, and expansion). Results Participants were, on average, 22.0 years old (SD=2.2); 48.4% were male, 45.3% were African American, and 56.8% received public assistance. Results from the multi-level analysis (clustering day within individual), controlling for gender, race, and receipt of public assistance, indicated daily use of cannabis use for enhancement (β=.27), coping (β=.15), and/or social motives (β=.34) was significantly associated with higher quantities of daily cannabis use; whereas expansion and conformity motives were not. Conclusions Daily data show that emerging adults who use cannabis for enhancement, social, and coping motives reported using greater quantities of cannabis. Future research should examine more comprehensive cannabis motives (e.g., boredom, social anxiety, sleep) and test tailored interventions focusing on alternative cognitive/behavioral strategies to address cannabis motives.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Daily associations between cannabis motives and consumption in emerging adults

Bonar

Goldstick

Collins

et al. 2017

Drug and Alcohol Dependence

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“…This reflects the generally positive outcomes of studies that have evaluated the feasibility of text messaging and mHealth interventions for HIV prevention and care in other settings. 26,[35][36][37][38][39] Furthermore, initial experience in text message content and platform development, and overall implementation suggests that this method may be a relatively cost-effective tool to support HIV prevention efforts among this risk population, given their widespread use of mobile phones, in contrast to their use of smartphones and internet resources. 23,33,40 Moreover, findings from both quantitative and qualitative responses revealed that participants were generally positive toward text messages, particularly daily PrEP reminders.…”

Section: Discussionmentioning

confidence: 99%

<p>Feasibility and Acceptability of an mHealth-Based Approach as an HIV Prevention Strategy Among People Who Use Drugs on Pre-Exposure Prophylaxis</p>

Shrestha¹,

Altice²,

DiDomizio³

et al. 2020

PPA

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Introduction: There has been increasing interest in the use of mHealth technology in health care. To our knowledge, however, there is a lack of empirical evidence on the utilization of text messaging services (short message service; SMS) for HIV prevention among opioiddependent people who use drugs (PWUD). As part of our formative work, we conducted an in-depth feasibility and acceptability study on the use of SMS reminders for HIV prevention in this risk group. Methods: Forty HIV-negative, opioid-dependent PWUD who are currently taking preexposure prophylaxis (PrEP) were enrolled in the study. Participants received daily PrEP text reminders and weekly HIV risk reduction-related messages, which were developed using a user-centered approach. Participants were assessed at baseline and immediately postintervention. Following the post-intervention assessment, participants completed an indepth qualitative interview. Results: Feasibility of text messaging service was high, as assessed by participants' willingness to receive text messages (100%), retention (95%), and successful delivery of text messages (97%). Results further showed that participants were satisfied and perceived the use of daily PrEP reminder text messages as valuable and acceptable [mean: 75.0 (range 0-100)]. Whereas, acceptability for the weekly text messages on HIV risk reduction was 60.3 (±15.6), with 58.3% recommending them for future use. Thematic data exploration revealed important information for understanding and refining SMS content as well as logistical preferences. Conclusion: Our findings provide preliminary evidence of the feasibility and acceptability of a text messaging-based approach as a potential tool for primary HIV prevention to improve PrEP adherence and HIV risk reduction among this underserved population. HIV risk reduction text messages need further modifications to become more appealing, with participant feedback taken into consideration.

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“…For a 90% adherence rate 95% of participants can earn up to $12 over the 30 day study ($13 maximum). Note that this is a fraction of what daily substance use studies normally pay to collect data (e.g., $1-4 dollars per day) [21,77].…”

Section: Other Enhancements To Support Engagementmentioning

confidence: 99%

“…enable better understanding of the real-time antecedents and sequelae of substance use and can inform the development of just-in-time adaptive interventions (e.g., for craving, high-risk activity spaces , negative affect, stress) [19,20,21]. Mobile phones provide a promising platform in this regard.…”

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confidence: 99%

Toward Increasing Engagement in Substance Use Data Collection: Development of the Substance Abuse Research Assistant App and Protocol for a Microrandomized Trial Using Adolescents and Emerging Adults (Preprint)

Rabbi¹,

Philyaw-Kotov²,

Cunningham³

et al. 2018

Preprint

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BACKGROUND Substance use is an alarming public health issue associated with significant morbidity and mortality. Adolescents and emerging adults are at particularly high risk because substance use typically initiates and peaks during this developmental period. Mobile health apps are a promising data collection and intervention delivery tool for substance-using youth as most teens and young adults own a mobile phone. However, engagement with data collection for most mobile health applications is low, and often, large fractions of users stop providing data after a week of use. OBJECTIVE Substance Abuse Research Assistant (SARA) is a mobile application to increase or sustain engagement of substance data collection overtime. SARA provides a variety of engagement strategies to incentivize data collection: a virtual aquarium in the app grows with fish and aquatic resources; occasionally, funny or inspirational contents (eg, memes or text messages) are provided to generate positive emotions. We plan to assess the efficacy of SARA’s engagement strategies over time by conducting a micro-randomized trial, where the engagement strategies will be sequentially manipulated. METHODS We aim to recruit participants (aged 14-24 years), who report any binge drinking or marijuana use in the past month. Participants are instructed to use SARA for 1 month. During this period, participants are asked to complete one survey and two active tasks every day between 6 pm and midnight. Through the survey, we assess participants’ daily mood, stress levels, loneliness, and hopefulness, while through the active tasks, we measure reaction time and spatial memory. To incentivize and support the data collection, a variety of engagement strategies are used. First, predata collection strategies include the following: (1) at 4 pm, a push notification may be issued with an inspirational message from a contemporary celebrity; or (2) at 6 pm, a push notification may be issued reminding about data collection and incentives. Second, postdata collection strategies include various rewards such as points which can be used to grow a virtual aquarium with fishes and other treasures and modest monetary rewards (up to US $12; US $1 for each 3-day streak); also, participants may receive funny or inspirational content as memes or gifs or visualizations of prior data. During the study, the participants will be randomized every day to receive different engagement strategies. In the primary analysis, we will assess whether issuing 4 pm push-notifications or memes or gifs, respectively, increases self-reporting on the current or the following day. RESULTS The microrandomized trial started on August 21, 2017 and the trial ended on February 28, 2018. Seventy-three participants were recruited. Data analysis is currently underway. CONCLUSIONS To the best of our knowledge, SARA is the first mobile phone app that systematically manipulates engagement strategies in order to identify the best sequence of strategies that keep participants engaged in data collection. Once the optimal strategies to collect data are identified, future versions of SARA will use this data to provide just-in-time adaptive interventions to reduce substance use among youth. CLINICALTRIAL ClinicalTrials.gov NCT03255317; https://clinicaltrials.gov/show/NCT03255317 (Archived by WebCite at http://www.webcitation.org/70raGWV0e) REGISTERED REPORT IDENTIFIER RR1-10.2196/9850

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Feasibility and acceptability of text messaging to assess daily substance use and sexual behaviors among urban emerging adults

Cited by 24 publications

References 47 publications

Daily associations between cannabis motives and consumption in emerging adults

Daily associations between cannabis motives and consumption in emerging adults

<p>Feasibility and Acceptability of an mHealth-Based Approach as an HIV Prevention Strategy Among People Who Use Drugs on Pre-Exposure Prophylaxis</p>

Toward Increasing Engagement in Substance Use Data Collection: Development of the Substance Abuse Research Assistant App and Protocol for a Microrandomized Trial Using Adolescents and Emerging Adults (Preprint)

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