J. Med. Internet Res. - Design considerations in developing a text messaging program aimed at smoking cessation.


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CKGROUND: Cell phone text messaging is gaining increasing recognition as an important tool that can be harnessed for prevention and intervention programs across a wide variety of health research applications. Despite the growing body of literature reporting positive outcomes, very little is available about the design decisions that scaffold the development of text messaging-based health interventions. What seems to be missing is documentation of the thought process of investigators in the initial stages of protocol and content development. This omission is of particular concern because many researchers seem to view text messaging as the intervention itself instead of simply a delivery mechanism. Certainly, aspects of this technology may increase participant engagement. Like other interventions, however, the content is a central driver of the behavior change.OBJECTIVE: To address this noted gap in the literature, we discuss the protocol decisions and content development for SMS Turkey (or Cebiniz birakin diyor in Turkish), a smoking cessation text messaging program for adult smokers in Turkey.METHODS: Content was developed in English and translated into Turkish. Efforts were made to ensure that the protocol and content were grounded in evidence-based smoking cessation theory, while also reflective of the cultural aspects of smoking and quitting in Turkey.RESULTS: Methodological considerations included whether to provide cell phones and whether to reimburse participants for texting costs; whether to include supplementary intervention resources (eg, personal contact); and whether to utilize unidirectional versus bidirectional messaging. Program design considerations included how messages were tailored to the quitting curve and one's smoking status after one's quit date, the number of messages participants received per day, and over what period of time the intervention lasted.CONCLUSION: The content and methods of effective smoking cessation quitline programs were a useful guide in developing SMS Turkey. Proposed guidelines in developing text messaging-based behavior change programs are offered.

Resumo Limpo

ckground cell phone text messag gain increas recognit import tool can har prevent intervent program across wide varieti health research applic despit grow bodi literatur report posit outcom littl avail design decis scaffold develop text messagingbas health intervent seem miss document thought process investig initi stage protocol content develop omiss particular concern mani research seem view text messag intervent instead simpli deliveri mechan certain aspect technolog may increas particip engag like intervent howev content central driver behavior changeobject address note gap literatur discuss protocol decis content develop sms turkey cebiniz birakin diyor turkish smoke cessat text messag program adult smoker turkeymethod content develop english translat turkish effort made ensur protocol content ground evidencebas smoke cessat theori also reflect cultur aspect smoke quit turkeyresult methodolog consider includ whether provid cell phone whether reimburs particip text cost whether includ supplementari intervent resourc eg person contact whether util unidirect versus bidirect messag program design consider includ messag tailor quit curv one smoke status one quit date number messag particip receiv per day period time intervent lastedconclus content method effect smoke cessat quitlin program use guid develop sms turkey propos guidelin develop text messagingbas behavior chang program offer

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