Unpacking the Black Box: A Formative Research Approach to the Development of Theory-Driven, Evidence-Based, and Culturally Safe Text Messages in Mobile Health Interventions

JMIR MHealth and UHealth
Marion A MaarSheldon W Tobe

Abstract

Mobile-cellular subscriptions have increased steadily over the past decade. The accessibility of SMS messages over existing mobile networks is high and has almost universal availability even on older and unsophisticated mobile phones and in geographic settings where wireless coverage is weak. There is intensive exploration of this inexpensive mobile telecommunication technology to improve health services and promote behavior change among vulnerable populations. However, a neglected area of research is the documentation and critical analysis of the formative research process required in the development and refinement of effective SMS messages. The objective of this qualitative research study was to identify major factors that may impact on the effectiveness of evidence-based SMS messages designed to reduce health inequities in hypertension management in low resource settings, including Aboriginal populations in high-income countries and rural populations in low-income countries. Specifically, we were interested in uncovering the range of mediators that impact on appropriate message content transmission and, ultimately, on health behavior improvements in a range of these sociocultural settings. Collaborative qualitative research ...Continue Reading

Associated Clinical Trials

References

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Citations

Aug 12, 2016·JMIR MHealth and UHealth·Teaniese Latham DavisMichael Prietula
Apr 22, 2017·JMIR MHealth and UHealth·Marion A MaarSheldon W Tobe
Jul 22, 2017·Journal of Medical Internet Research·Louise JonesMegan E O'Connell
Oct 9, 2019·JMIR MHealth and UHealth·Georgina R HobsonDanette H Langbecker

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Methods Mentioned

BETA
pharmacotherapy
pharmacotherapies

Software Mentioned

DREAM
NVivo
GLOBAL

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