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Acceptability, Language, and Structure of Text Message-Based Behavioral Interventions for High-Risk Adolescent Females: A Qualitative Study

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dc.contributor.author Ranney, Megan
dc.contributor.author Choo, Esther
dc.contributor.author Cunningham, Rebecca
dc.contributor.author Spirito, Anthony
dc.contributor.author Thorsen, Margaret
dc.contributor.author Mello, Michael
dc.contributor.author Morrow, Kathleen
dc.date.accessioned 2020-08-26T20:56:08Z
dc.date.available 2020-08-26T20:56:08Z
dc.date.issued 2014
dc.identifier.citation Ranney, M. L., Choo, E. K., Cunningham, R. M., Spirito, A., Thorsen, M., Mello, M. J., & Morrow, K. (2014). Acceptability, language, and structure of text message-based behavioral interventions for high-risk adolescent females: a qualitative study. The Journal of adolescent health : official publication of the Society for Adolescent Medicine: 55(1), 33–40. https://doi.org/10.1016/j.jadohealth.2013.12.017 en_US
dc.identifier.uri https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065850/pdf/nihms-552145.pdf
dc.identifier.uri http://hdl.handle.net/20.500.11990/2011
dc.description.abstract Purpose To elucidate key elements surrounding acceptability/feasibility, language, and structure of a text message-based preventive intervention for high-risk adolescent females. Methods We recruited high-risk 13- to 17-year-old females screening positive for past-year peer violence and depressive symptoms, during emergency department visits for any chief complaint. Participants completed semistructured interviews exploring preferences around text message preventive interventions. Interviews were conducted by trained interviewers, audio-recorded, and transcribed verbatim. A coding structure was iteratively developed using thematic and content analysis. Each transcript was double coded. NVivo 10 was used to facilitate analysis. Results Saturation was reached after 20 interviews (mean age 15.4; 55% white; 40% Hispanic; 85% with cell phone access). (1) Acceptability/feasibility themes: A text-message intervention was felt to support and enhance existing coping strategies. Participants had a few concerns about privacy and cost. Peer endorsement may increase uptake. (2) Language themes: Messages should be simple and positive. Tone should be conversational but not slang filled. (3) Structural themes: Messages may be automated but must be individually tailored on a daily basis. Both predetermined (automatic) and as-needed messages are requested. Dose and timing of content should be varied according to participants’ needs. Multimedia may be helpful but is not necessary. Conclusions High-risk adolescent females seeking emergency department care are enthusiastic about a text message-based preventive intervention. Incorporating thematic results on language and structure can inform development of future text messaging interventions for adolescent girls. Concerns about cost and privacy may be able to be addressed through the process of recruitment and introduction to the intervention. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher National Institutes of Health (NIH) en_US
dc.subject Interview Results en_US
dc.subject Online Services en_US
dc.subject Technology Services en_US
dc.subject Technology-based en_US
dc.subject Chat en_US
dc.subject Texting en_US
dc.subject Cell Phone en_US
dc.subject Social Support en_US
dc.subject Coping en_US
dc.subject Peer-on-peer Abuse en_US
dc.subject Bullying en_US
dc.subject Physical Assault en_US
dc.subject Violence Against Women en_US
dc.subject Interpersonal Violence en_US
dc.subject Child-on-child Abuse en_US
dc.subject Youth Violence en_US
dc.subject Teens en_US
dc.subject Female Victims en_US
dc.title Acceptability, Language, and Structure of Text Message-Based Behavioral Interventions for High-Risk Adolescent Females: A Qualitative Study en_US
dc.type Article en_US


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