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Using ADAPT-ITT to Modify a Telephone-Based HIV Prevention Intervention for SMS Delivery: Formative Study
Teaniese Davis1, Ralph Joseph DiClemente2, Michael Prietula3
1Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, GA, United States.
JMIR Formative Research
|August 25, 2020
Summary
This study adapted a health intervention for African American adolescent females using text messages to prevent sexually transmitted infections (STIs) and HIV. User feedback guided the creation of culturally relevant, persona-specific text-based preventive maintenance interventions (PMIs).
Area of Science:
- Public Health
- Digital Health Interventions
- Adolescent Health
Background:
- African American adolescent females face disproportionately high rates of STIs and HIV.
- Innovative strategies are needed to promote STI and HIV preventive behaviors in this demographic.
- Text messaging offers a promising platform for developing preventive maintenance interventions (PMIs).
Purpose of the Study:
- To describe the formative process of adapting an evidence-based intervention (EBI) for STI/HIV prevention.
- To design and test text-based PMIs for African American adolescent females.
- To adapt a health educator-led phone intervention to a text-based communication strategy.
Main Methods:
- Utilized the ADAPT-ITT framework for adapting EBIs.
- Formed an advisory board of 6 African American women (aged 18-24) for 12 weeks.
- Adapted original phone scripts into SMS-based texts, incorporating user feedback through focus groups and iterative texting.
Main Results:
- The formative process yielded rich insights into developing SMS-based PMIs for the target population.
- Prior contact and context were identified as crucial for message relevance.
- Narrative adaptations and persona-specific messaging were suggested for enhanced engagement.
Conclusions:
- Existing telephone-based PMI scripts provided a foundation for text message design.
- Narrative analysis of advisory board data allowed for contextual adjustments.
- Persona-specific modifications of texting narratives can enhance intervention effectiveness.
