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<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Acceptability, Language, and Structure of Text Message-Based Behavioral Interventions for High-Risk Adolescent Females: A Qualitative Study</title>
<author>
<name sortKey="Ranney, Megan L" sort="Ranney, Megan L" uniqKey="Ranney M" first="Megan L." last="Ranney">Megan L. Ranney</name>
<affiliation>
<nlm:aff id="A1"> Department of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital, Providence, Rhode Island</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, Rhode Island</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Choo, Esther K" sort="Choo, Esther K" uniqKey="Choo E" first="Esther K." last="Choo">Esther K. Choo</name>
<affiliation>
<nlm:aff id="A1"> Department of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital, Providence, Rhode Island</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, Rhode Island</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cunningham, Rebecca M" sort="Cunningham, Rebecca M" uniqKey="Cunningham R" first="Rebecca M." last="Cunningham">Rebecca M. Cunningham</name>
<affiliation>
<nlm:aff id="A3"> Injury Control Research Center, Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Spirito, Anthony" sort="Spirito, Anthony" uniqKey="Spirito A" first="Anthony" last="Spirito">Anthony Spirito</name>
<affiliation>
<nlm:aff id="A4"> Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Thorsen, Margaret" sort="Thorsen, Margaret" uniqKey="Thorsen M" first="Margaret" last="Thorsen">Margaret Thorsen</name>
<affiliation>
<nlm:aff id="A5">
<italic>Brown University, Providence, Rhode Island</italic>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mello, Michael J" sort="Mello, Michael J" uniqKey="Mello M" first="Michael J." last="Mello">Michael J. Mello</name>
<affiliation>
<nlm:aff id="A1"> Department of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital, Providence, Rhode Island</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, Rhode Island</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Morrow, Kathleen" sort="Morrow, Kathleen" uniqKey="Morrow K" first="Kathleen" last="Morrow">Kathleen Morrow</name>
<affiliation>
<nlm:aff id="A4"> Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">24559973</idno>
<idno type="pmc">4065850</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065850</idno>
<idno type="RBID">PMC:4065850</idno>
<idno type="doi">10.1016/j.jadohealth.2013.12.017</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">000459</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Acceptability, Language, and Structure of Text Message-Based Behavioral Interventions for High-Risk Adolescent Females: A Qualitative Study</title>
<author>
<name sortKey="Ranney, Megan L" sort="Ranney, Megan L" uniqKey="Ranney M" first="Megan L." last="Ranney">Megan L. Ranney</name>
<affiliation>
<nlm:aff id="A1"> Department of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital, Providence, Rhode Island</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, Rhode Island</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Choo, Esther K" sort="Choo, Esther K" uniqKey="Choo E" first="Esther K." last="Choo">Esther K. Choo</name>
<affiliation>
<nlm:aff id="A1"> Department of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital, Providence, Rhode Island</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, Rhode Island</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cunningham, Rebecca M" sort="Cunningham, Rebecca M" uniqKey="Cunningham R" first="Rebecca M." last="Cunningham">Rebecca M. Cunningham</name>
<affiliation>
<nlm:aff id="A3"> Injury Control Research Center, Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Spirito, Anthony" sort="Spirito, Anthony" uniqKey="Spirito A" first="Anthony" last="Spirito">Anthony Spirito</name>
<affiliation>
<nlm:aff id="A4"> Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Thorsen, Margaret" sort="Thorsen, Margaret" uniqKey="Thorsen M" first="Margaret" last="Thorsen">Margaret Thorsen</name>
<affiliation>
<nlm:aff id="A5">
<italic>Brown University, Providence, Rhode Island</italic>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mello, Michael J" sort="Mello, Michael J" uniqKey="Mello M" first="Michael J." last="Mello">Michael J. Mello</name>
<affiliation>
<nlm:aff id="A1"> Department of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital, Providence, Rhode Island</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, Rhode Island</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Morrow, Kathleen" sort="Morrow, Kathleen" uniqKey="Morrow K" first="Kathleen" last="Morrow">Kathleen Morrow</name>
<affiliation>
<nlm:aff id="A4"> Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">The Journal of adolescent health : official publication of the Society for Adolescent Medicine</title>
<idno type="ISSN">1054-139X</idno>
<idno type="eISSN">1879-1972</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Purpose</title>
<p id="P1">To elucidate key elements surrounding acceptability/feasibility, language, and structure of a text message-based preventive intervention for high-risk adolescent females.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">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.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Saturation was reached after 20 interviews (mean age 15.4; 55% white; 40% Hispanic; 85% with cell phone access). (1)
<italic>Acceptability</italic>
/
<italic>feasibility themes</italic>
: 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)
<italic>Language themes</italic>
: Messages should be simple and positive. Tone should be conversational but not slang filled. (3)
<italic>Structural themes</italic>
: 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.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">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.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">9102136</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1030</journal-id>
<journal-id journal-id-type="nlm-ta">J Adolesc Health</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adolesc Health</journal-id>
<journal-title-group>
<journal-title>The Journal of adolescent health : official publication of the Society for Adolescent Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1054-139X</issn>
<issn pub-type="epub">1879-1972</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24559973</article-id>
<article-id pub-id-type="pmc">4065850</article-id>
<article-id pub-id-type="doi">10.1016/j.jadohealth.2013.12.017</article-id>
<article-id pub-id-type="manuscript">NIHMS552145</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Acceptability, Language, and Structure of Text Message-Based Behavioral Interventions for High-Risk Adolescent Females: A Qualitative Study</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Ranney</surname>
<given-names>Megan L.</given-names>
</name>
<degrees>M.D., M.P.H.</degrees>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
<xref ref-type="corresp" rid="CR1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Choo</surname>
<given-names>Esther K.</given-names>
</name>
<degrees>M.D., M.P.H.</degrees>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cunningham</surname>
<given-names>Rebecca M.</given-names>
</name>
<degrees>M.D., M.P.H.</degrees>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Spirito</surname>
<given-names>Anthony</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thorsen</surname>
<given-names>Margaret</given-names>
</name>
<xref ref-type="aff" rid="A5">e</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mello</surname>
<given-names>Michael J.</given-names>
</name>
<degrees>M.D., M.P.H.</degrees>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Morrow</surname>
<given-names>Kathleen</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>a</label>
Department of Emergency Medicine, Injury Prevention Center of Rhode Island Hospital, Providence, Rhode Island</aff>
<aff id="A2">
<label>b</label>
Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, Rhode Island</aff>
<aff id="A3">
<label>c</label>
Injury Control Research Center, Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan</aff>
<aff id="A4">
<label>d</label>
Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island</aff>
<aff id="A5">
<label>e</label>
<italic>Brown University, Providence, Rhode Island</italic>
</aff>
<author-notes>
<corresp id="CR1">
<label>*</label>
Address correspondence to: Megan L. Ranney, M.D., M.P.H., Department of Emergency Medicine, Alpert Medical School, Brown University, 55 Claverick St., Providence, RI 02903.
<email>mranney@lifespan.org</email>
(M.L. Ranney).</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>18</day>
<month>3</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>18</day>
<month>2</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub">
<month>7</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>7</month>
<year>2015</year>
</pub-date>
<volume>55</volume>
<issue>1</issue>
<fpage>33</fpage>
<lpage>40</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.jadohealth.2013.12.017</pmc-comment>
<permissions>
<copyright-statement>© 2014 Society for Adolescent Health and Medicine. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract>
<sec id="S1">
<title>Purpose</title>
<p id="P1">To elucidate key elements surrounding acceptability/feasibility, language, and structure of a text message-based preventive intervention for high-risk adolescent females.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">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.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Saturation was reached after 20 interviews (mean age 15.4; 55% white; 40% Hispanic; 85% with cell phone access). (1)
<italic>Acceptability</italic>
/
<italic>feasibility themes</italic>
: 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)
<italic>Language themes</italic>
: Messages should be simple and positive. Tone should be conversational but not slang filled. (3)
<italic>Structural themes</italic>
: 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.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">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.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Adolescents</kwd>
<kwd>Health promotion</kwd>
<kwd>Text messaging</kwd>
<kwd>Behavior change</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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