mHealth Text Messaging for Physical Activity Promotion in College Students: A Formative Participatory Approach

Yan, Alice; Stevens, Patricia E.; Wang, Youfa; Weinhardt, Lance S.; Holt, Cheryl L.; O’Connor, Carrie; Feller, Tiffany; Xie, Hui; Luelloff, Sara

doi:10.5993/ajhb.39.3.12

Cited by 29 publications

(32 citation statements)

References 110 publications

(97 reference statements)

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“…The intervention delivered in this study was valued by individual participants, since the vast majority of participants found the messaging both useful in supporting behaviour change, and personally relevant. This is consistent with previous studies indicating that participants value messaging that is personally tailored [42], and personalised message content has been associated with increased intervention efficacy [37]. Following the intervention, there was evidence of improvement in behavioural and psychosocial outcomes.…”

Section: Discussionsupporting

confidence: 90%

Motive8! Feasibility of a Text Messaging Intervention to Promote Physical Activity in Knee Osteoarthritis

Blake

Roberts²,

Batt³

et al. 2015

Int J Sports Exerc Med

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(2015) Motive8!: feasibility of a text messaging intervention to promote physical activity in knee osteoarthritis. International Journal of Sports and Exercise Medicine, 1 (5). pp. 1-8. ISSN 2469-5718 Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/38426/1/Blake%20et%20al%20Motive8%20IJSEM-1-027-3.pdf Copyright and reuse:The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions. This article is made available under the Creative Commons Attribution licence and may be reused according to the conditions of the licence. For more details see: http://creativecommons.org/licenses/by/2.5/ A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription. Methods: 27 people (6 male, 21 female; aged 25-81 years) with knee osteoarthritis received 4 text messages per week, for 6 weeks. Telephone surveys were conducted at baseline and 6 weeks to pain. Participants completed physical activity diaries. Process evaluation included participant perceptions of the intervention of delivery and response data) and participant engagement (text response).Results: 648 messages were sent, 100% were accurately exercise and pain. Participants engaged with the intervention; 100% read the messages, 89% responded to texts requesting replies, 64% completed physical activity diaries with low attenuation (1.8% drop) by six weeks. Participants perceived messaging to be enjoyable (96%), personally relevant (85%), of appropriate frequency (100%) and duration (88%). Mobile phones, email and web were perceived to be most acceptable for health promotion compared with other forms of technology. Conclusions:People with knee osteoarthritis can engage meaningfully with an interactive mobile phone messaging intervention over a six-week period. Health communications promoting physical activity demonstrate potential for behaviour change and positive implications for perceptions of exercise and pain; this needs to be tested in a randomised trial. Data collected in 'real-time' can be used for process evaluation to demonstrate

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Section: Discussionsupporting

confidence: 90%

Motive8! Feasibility of a Text Messaging Intervention to Promote Physical Activity in Knee Osteoarthritis

Blake

Roberts²,

Batt³

et al. 2015

Int J Sports Exerc Med

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“…Qualitative research and existing reviews support the use of psychological theory to help identify behavioural determinants that messages can be tailored to [10,15]. This scoping review identified a number of determinants by which messages could be tailored to, namely: Stage of Change (as described in Transtheoretical Model) [10,84], social support needs [84][85][86] and self-efficacy [10,28]. The increasing potential for intervention designers to create individually tailored messages due to advancements in technology is also apparent in the evidence base [30,87].…”

Section: Message Contentmentioning

confidence: 99%

“…One example of this are the terms tailoring and targeting. Although some authors clearly distinguish between tailoring as an exclusively individual level approach and targeting as an exclusively group level approach [16], the term tailoring has also been used to describe customisation of message content at an individual level [26], and at a group level [27]. Similarly, the term targeting has been used to describe a group-level approach [28] as well as to describe individually-customised messages [29].…”

Section: Key Definitions and Position Of Messagingmentioning

confidence: 99%

“…In young adults, evidence supports sending short messages [73] at times where there is opportunity to act on them (e.g. near morning or afternoon work break) [123], and a maximum of 2 messages per day [84]. Lastly, relating to media or mode of delivery, some experimental evidence exists to support the use of images in social media posts promoting PA [124].…”

Section: Message Deliverymentioning

confidence: 99%

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Get the message? A scoping review of physical activity messaging

Williamson

Baker

Mutrie

et al. 2020

Int J Behav Nutr Phys Act

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Background: Understanding how to create and deliver effective physical activity (PA) messages for and to various population subgroups may play a role in increasing population PA levels. This scoping review aimed to provide an overview of what is known about PA messaging and highlight key research gaps. Methods: We followed a 5-stage protocol proposed by Arksey & O'Malley and the Preferred Reporting Items For Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews checklist. Stage 1: research questions were identified. Stage 2: we identified relevant studies by searching electronic databases, contacting existing networks and hand searching reference lists. Stage 3: studies were screened in Covidence™ software. Stage 4: study data were extracted and charted. Stage 5: findings from included studies were collated, summarised and reported in two ways: (1) a descriptive numerical analysis providing insight into extent, nature and distribution of the included studies, and (2) a narrative summary summarizing the evidence reviewed organised by messaging concepts and by population subgroup. Results: A total of 9525 references were imported into Covidence™ for screening. Of these, 123 studies were included in final analysis. We found that PA messaging evidence is complex and multidimensional in nature, with numerous concepts to consider when creating or evaluating messages. The extent to which these different PA messaging concepts have been researched is variable. Where research has accumulated and evidence is consistent, it supports the following: (1) PA messages should be framed positively and highlight short-term outcomes specifically relating to social and mental health, (2) message content should be tailored or targeted to intended recipient(s), and (3) when developing messages, formative research, psychological theory and/or social marketing principles should be used. Conclusion: While it is unlikely to address global inactivity on its own, PA messaging may play a valuable role improving population PA levels. However, it is a complex and multidimensional concept and greater understanding is still needed. We present a synthesis of the existing evidence, highlighting key areas where evidence has accumulated and where gaps lie, as well as recommendations for PA messaging to different population subgroups.

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“…Yan et al [50] found that women were not driven by competitive messages but men were. Busch et al [8] personalized persuasive strategies based on gender (measured on a fine-grained scale from masculine to feminine) and found that gender is a reliable variable for personalization, with femininity being significantly related to seven of the ten strategies.…”

Section: Introductionmentioning

confidence: 99%

A word of advice: how to tailor motivational text messages based on behavior change theory to personality and gender

Vries

Truong

Zaga

et al. 2017

Pers Ubiquit Comput

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Developing systems that motivate people to change their behaviors, such as an exercise application for the smartphone, is challenging. One solution is to implement motivational strategies from existing behavior change theory and tailor these strategies to preferences based on personal characteristics, like personality and gender. We operationalized strategies by collecting representative motivational text messages and aligning the messages to ten theory-based behavior change strategies. We conducted an online survey with 350 participants, where the participants rated 50 of our text messages (each aligned to one of the ten strategies) on how motivating they found them. Results show that differences in personality and gender relate to significant differences in the evaluations of nine out of ten strategies. Eight out of ten strategies were perceived as either more or less motivating in relation to scores on the personality traits Openness, Extraversion, and Agreeableness. Four strategies were perceived as more motivating by men than by women. These findings show that personality and gender influence how motivational strategies are perceived. We conclude that our theory-based behavior change strategies can be more motivating by tailoring them to personality and gender of users of behavior change systems.

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mHealth Text Messaging for Physical Activity Promotion in College Students: A Formative Participatory Approach

Abstract: mHealth text messaging was well received. The results support the feasibility and acceptance of such an intervention.

Cited by 29 publications

References 110 publications

Motive8! Feasibility of a Text Messaging Intervention to Promote Physical Activity in Knee Osteoarthritis

Motive8! Feasibility of a Text Messaging Intervention to Promote Physical Activity in Knee Osteoarthritis

Get the message? A scoping review of physical activity messaging

A word of advice: how to tailor motivational text messages based on behavior change theory to personality and gender

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