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dc.contributor.authorSilva, Carina V
dc.contributor.authorHorsham, Caitlin
dc.contributor.authorKou, Kou
dc.contributor.authorBaade, Peter
dc.contributor.authorSoyer, H Peter
dc.contributor.authorJanda, Monika
dc.date.accessioned2021-11-17T23:10:00Z
dc.date.available2021-11-17T23:10:00Z
dc.date.issued2021
dc.identifier.issn1869-6716
dc.identifier.doi10.1093/tbm/ibab135
dc.identifier.urihttp://hdl.handle.net/10072/410074
dc.description.abstractThere is growing evidence suggesting that text-message-based interventions are effective to promote sun protection behaviors. However, it is still unclear how engagement and adherence with the intervention messages can be optimized through intervention design. This study evaluated the effect of different combinations of personalized and two-way interactive messages on participant engagement with a theory-based skin cancer prevention intervention. In the SunText study conducted in February-July 2019 in Queensland, Australia participants 18-40 years were randomized to four different text message schedules using a Latin square design. This study analyzed if the order and intensity in which the schedules were received were associated with participants' level of engagement, and if this differed by demographic factors. Out of the 389 participants enrolled in the study, 375 completed the intervention period and remained for analysis. The overall intervention engagement rate was 71% and decreased from the beginning to the end of the study (82.2%-61.4%). The group starting with personalized, but not interactive messaging showed the lowest engagement rate. The intervention involving interactive messages three times a week for 4 weeks achieved the highest engagement rate. The intervention with increasing frequency (personalized and interactive three times a week for 2 weeks; then daily for 2 weeks) had lower engagement than intervention with constant or decreasing frequency. Engagement with two-way interactive messages was high across all intervention groups. Results suggest enhanced engagement with constant or decreasing message frequency compared to increasing frequency.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherOxford University Press (OUP)
dc.relation.ispartofjournalTranslational Behavioral Medicine
dc.subject.fieldofresearchOncology and carcinogenesis
dc.subject.fieldofresearchcode3211
dc.subject.keywordsEngagement
dc.subject.keywordsHealth promotion
dc.subject.keywordsPrevention
dc.subject.keywordsSkin cancer
dc.subject.keywordsText-delivered intervention
dc.subject.keywordsmHealth
dc.titleFactors influencing participants' engagement with an interactive text-message intervention to improve sun protection behaviors: "SunText" randomized controlled trial
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSilva, CV; Horsham, C; Kou, K; Baade, P; Soyer, HP; Janda, M, Factors influencing participants' engagement with an interactive text-message intervention to improve sun protection behaviors: "SunText" randomized controlled trial, Translational Behavioral Medicine, 2021
dc.date.updated2021-11-11T06:42:46Z
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis publication has been entered as an advanced online version in Griffith Research Online.
gro.rights.copyright© 2021 Oxford University Press. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Translational Behavioral Medicine following peer review. The version of record Factors influencing participants’ engagement with an interactive text-message intervention to improve sun protection behaviors: “SunText” randomized controlled trial, Translational Behavioral Medicine, 2021 is available online at: https://doi.org/10.1093/tbm/ibab135
gro.hasfulltextFull Text
gro.griffith.authorBaade, Peter D.


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