J. Med. Internet Res. - Leveraging text messaging and mobile technology to support pediatric obesity-related behavior change: a qualitative study using parent focus groups and interviews.


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CKGROUND: Text messaging (short message service, SMS) is a widely accessible and potentially cost-effective medium for encouraging behavior change. Few studies have examined text messaging interventions to influence child health behaviors or explored parental perceptions of mobile technologies to support behavior change among children.OBJECTIVE: Our aim was to examine parental acceptability and preferences for text messaging to support pediatric obesity-related behavior change.METHODS: We conducted focus groups and follow-up interviews with parents of overweight and obese children, aged 6-12 years, seen for "well-child" care in eastern Massachusetts. A professional moderator used a semistructured discussion guide and sample text messages to catalyze group discussions. Seven participants then received 3 weeks of text messages before a follow-up one-on-one telephone interview. All focus groups and interviews were recorded and transcribed verbatim. Using a framework analysis approach, we systematically coded and analyzed group and interview data to identify salient and convergent themes.RESULTS: We reached thematic saturation after five focus groups and seven follow-up interviews with a total of 31 parents of diverse race/ethnicity and education levels. Parents were generally enthusiastic about receiving text messages to support healthy behaviors for their children and preferred them to paper or email communication because they are brief and difficult to ignore. Participants anticipated high responsiveness to messaging endorsed by their child's doctor and indicated they would appreciate messages 2-3 times/week or more as long as content remains relevant. Suggestions for maintaining message relevance included providing specific strategies for implementation and personalizing information. Most felt the negative features of text messaging (eg, limited message size) could be overcome by providing links within messages to other media including email or websites.CONCLUSIONS: Text messaging is a promising medium for supporting pediatric obesity-related behavior change. Parent perspectives could assist in the design of text-based interventions.TRIAL REGISTRATION: Clinicaltrials.gov NCT01565161; http://clinicaltrials.gov/show/NCT01565161 (Archived by WebCite at http://www.webcitation.org/6LSaqFyPP).

Resumo Limpo

ckground text messag short messag servic sms wide access potenti costeffect medium encourag behavior chang studi examin text messag intervent influenc child health behavior explor parent percept mobil technolog support behavior chang among childrenobject aim examin parent accept prefer text messag support pediatr obesityrel behavior changemethod conduct focus group followup interview parent overweight obes children age year seen wellchild care eastern massachusett profession moder use semistructur discuss guid sampl text messag catalyz group discuss seven particip receiv week text messag followup oneonon telephon interview focus group interview record transcrib verbatim use framework analysi approach systemat code analyz group interview data identifi salient converg themesresult reach themat satur five focus group seven followup interview total parent divers raceethn educ level parent general enthusiast receiv text messag support healthi behavior children prefer paper email communic brief difficult ignor particip anticip high respons messag endors child doctor indic appreci messag timesweek long content remain relev suggest maintain messag relev includ provid specif strategi implement person inform felt negat featur text messag eg limit messag size overcom provid link within messag media includ email websitesconclus text messag promis medium support pediatr obesityrel behavior chang parent perspect assist design textbas interventionstri registr clinicaltrialsgov nct httpclinicaltrialsgovshownct archiv webcit httpwwwwebcitationorglsaqfypp

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