A Self-management SMS Text Messaging Intervention for People With Inflammatory Bowel Disease: Feasibility and Acceptability Study
BackgroundMobile health technologies can be useful for providing disease self-management information and support to people with inflammatory bowel disease (IBD). ObjectiveThe aim of this study was to test a self-management SMS text messaging intervention for peopl...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2022-05-01
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| Series: | JMIR Formative Research |
| Online Access: | https://formative.jmir.org/2022/5/e34960 |
| _version_ | 1797735095455449088 |
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| author | Jacob A Rohde Edwin B Fisher Marcella H Boynton Deen Freelon Dennis O Frohlich Edward L Barnes Seth M Noar |
| author_facet | Jacob A Rohde Edwin B Fisher Marcella H Boynton Deen Freelon Dennis O Frohlich Edward L Barnes Seth M Noar |
| author_sort | Jacob A Rohde |
| collection | DOAJ |
| description |
BackgroundMobile health technologies can be useful for providing disease self-management information and support to people with inflammatory bowel disease (IBD).
ObjectiveThe aim of this study was to test a self-management SMS text messaging intervention for people with IBD. Our goal was to examine intervention feasibility, acceptability, and engagement and to preliminarily evaluate improvements in certain self-reported health outcomes among participants.
MethodsWe developed an SMS text messaging program called Text4IBD. The program sent daily support messages and resources about disease self-management over the course of a 2-week, single-group, pretest-posttest intervention to participants (N=114) diagnosed with IBD. We examined intervention feasibility, acceptability, and engagement through Text4IBD message topic recall and use of resources (ie, visiting supplemental websites recommended by the Text4IBD program). We also assessed pretest-posttest measures of IBD-related distress, self-efficacy, perceived support, use of coping strategies, and medication adherence. Analyses examined participants’ evaluations of the intervention and compared pretest-posttest changes in secondary outcomes using paired-samples statistics.
ResultsApproximately all participants who completed the intervention (n=105) were receptive to Text4IBD and viewed the program as feasible and acceptable. In addition, most participants (103/105, 98.1%) recalled at least one of the message topics sent by the program, and 79% (83/105) of them self-reported engaging with at least one of the external self-management resources recommended by the Text4IBD program. Pretest-posttest results showed reduced IBD-related distress (mean 3.33, SD 0.68 vs mean 2.86, SD 0.73; P<.001) and improvements in most other secondary outcomes.
ConclusionsFindings from this study highlight the value of SMS text messaging as a useful digital medium for providing support to people with IBD, particularly to those who may struggle with disease-related distress. Text4IBD was highly feasible and acceptable and may help people self-manage their IBD. Future studies should aim to evaluate this program in a randomized controlled trial in clinical settings. |
| first_indexed | 2024-03-12T12:54:05Z |
| format | Article |
| id | doaj.art-f3918ae218634e21ad95829636cdd347 |
| institution | Directory Open Access Journal |
| issn | 2561-326X |
| language | English |
| last_indexed | 2024-03-12T12:54:05Z |
| publishDate | 2022-05-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Formative Research |
| spelling | doaj.art-f3918ae218634e21ad95829636cdd3472023-08-28T21:43:24ZengJMIR PublicationsJMIR Formative Research2561-326X2022-05-0165e3496010.2196/34960A Self-management SMS Text Messaging Intervention for People With Inflammatory Bowel Disease: Feasibility and Acceptability StudyJacob A Rohdehttps://orcid.org/0000-0001-6334-1986Edwin B Fisherhttps://orcid.org/0000-0003-0234-7465Marcella H Boyntonhttps://orcid.org/0000-0001-7793-2111Deen Freelonhttps://orcid.org/0000-0001-5055-0316Dennis O Frohlichhttps://orcid.org/0000-0002-4069-5930Edward L Barneshttps://orcid.org/0000-0001-9894-8796Seth M Noarhttps://orcid.org/0000-0002-3453-5391 BackgroundMobile health technologies can be useful for providing disease self-management information and support to people with inflammatory bowel disease (IBD). ObjectiveThe aim of this study was to test a self-management SMS text messaging intervention for people with IBD. Our goal was to examine intervention feasibility, acceptability, and engagement and to preliminarily evaluate improvements in certain self-reported health outcomes among participants. MethodsWe developed an SMS text messaging program called Text4IBD. The program sent daily support messages and resources about disease self-management over the course of a 2-week, single-group, pretest-posttest intervention to participants (N=114) diagnosed with IBD. We examined intervention feasibility, acceptability, and engagement through Text4IBD message topic recall and use of resources (ie, visiting supplemental websites recommended by the Text4IBD program). We also assessed pretest-posttest measures of IBD-related distress, self-efficacy, perceived support, use of coping strategies, and medication adherence. Analyses examined participants’ evaluations of the intervention and compared pretest-posttest changes in secondary outcomes using paired-samples statistics. ResultsApproximately all participants who completed the intervention (n=105) were receptive to Text4IBD and viewed the program as feasible and acceptable. In addition, most participants (103/105, 98.1%) recalled at least one of the message topics sent by the program, and 79% (83/105) of them self-reported engaging with at least one of the external self-management resources recommended by the Text4IBD program. Pretest-posttest results showed reduced IBD-related distress (mean 3.33, SD 0.68 vs mean 2.86, SD 0.73; P<.001) and improvements in most other secondary outcomes. ConclusionsFindings from this study highlight the value of SMS text messaging as a useful digital medium for providing support to people with IBD, particularly to those who may struggle with disease-related distress. Text4IBD was highly feasible and acceptable and may help people self-manage their IBD. Future studies should aim to evaluate this program in a randomized controlled trial in clinical settings.https://formative.jmir.org/2022/5/e34960 |
| spellingShingle | Jacob A Rohde Edwin B Fisher Marcella H Boynton Deen Freelon Dennis O Frohlich Edward L Barnes Seth M Noar A Self-management SMS Text Messaging Intervention for People With Inflammatory Bowel Disease: Feasibility and Acceptability Study JMIR Formative Research |
| title | A Self-management SMS Text Messaging Intervention for People With Inflammatory Bowel Disease: Feasibility and Acceptability Study |
| title_full | A Self-management SMS Text Messaging Intervention for People With Inflammatory Bowel Disease: Feasibility and Acceptability Study |
| title_fullStr | A Self-management SMS Text Messaging Intervention for People With Inflammatory Bowel Disease: Feasibility and Acceptability Study |
| title_full_unstemmed | A Self-management SMS Text Messaging Intervention for People With Inflammatory Bowel Disease: Feasibility and Acceptability Study |
| title_short | A Self-management SMS Text Messaging Intervention for People With Inflammatory Bowel Disease: Feasibility and Acceptability Study |
| title_sort | self management sms text messaging intervention for people with inflammatory bowel disease feasibility and acceptability study |
| url | https://formative.jmir.org/2022/5/e34960 |
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