Codesign of a cardiovascular disease prevention text message bank for older adults |
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| Affiliation: | 1. Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, CA, United States;2. Department of Nursing at the School of Social Work, University of Southern California, Los Angeles, CA, United States;3. School of Electrical Engineering and Computer Science Washington State University, Pull, WA, United States;4. Department of Health, Medicine and Caring Sciences & Department of Cardiology Linköping University, Linköping, Sweden;5. School of Nursing, University of Texas Medical Branch, Galveston, TX, United States;1. Social and Administrative Sciences in Pharmacy Division, University of Wisconsin, Madison School of Pharmacy, Madison, WI 53705, USA;2. American Family Children’s Hospital, Madison, WI 53705, USA;3. University of Wisconsin, Madison School of Pharmacy, Madison, WI 53705, USA;1. Department of Clinical Pharmacy, Leipzig University, Leipzig, Germany;2. Drug Safety Center, University Hospital of Leipzig and Leipzig University, Leipzig, Germany |
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| Abstract: | ObjectiveDevelop and validate a text message bank to support healthier lifestyle behaviors in older adults at risk for cardiovascular disease utilizing a codesign approach.MethodsInitially, the researchers, based on literature, developed a bank of 68 SMS text messages focusing on healthy eating (24 messages), physical activity (24 messages), and motivational feedback (20 messages), based on a scoping review of the literature on promoting behavioral change to engage in healthy lifestyle behaviors. In the next step, a panel of five experts analyzed every subset of SMS text messages. Further validation was conducted by nine older adults (≥ 60 years). The user demographics, telephone literacy, understanding, and appeal for every SMS text message were evaluated using a 31-item questionnaire.ResultsParticipants provided an acceptable understanding of the critical concept found in the 49 SMS text message (physical activity M = 1.73 ± 0.18; diet M = 1.73 ± 0.26; motivation M = 1.85 ± 0.25; range 0–2). The average ratings for physical activity (i.e., likability), healthy eating, and motivation were 8.62 ± 0.64, 8.57 ± 0.76, and 8.40 ± 0.83, respectively (range 0–10).ConclusionCo-designers were able to identify the technological and content requirements for each text message and infographic to enhance understanding and appeal.Practice implicationsA feasibility study will need to be conducted as a next step to testing the effectiveness of text messages in a mobile-based intervention to promote healthy behaviors in older adults at high CVD risk. |
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