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A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents

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Development and Test of a Text-Messaging Follow-Up Program After Sexual Assault.

Nancy R Downing¹, Richard J Bogue², Pamela Terrill²

¹Texas A&M Health College of Nursing, Bryan, USA.

Violence Against Women

|June 16, 2021

Summary

A new text-messaging system, Text-SAFE, improved follow-up care for sexual assault survivors after forensic exams. The protocol provided essential health information and support, proving feasible and helpful for patients.

Keywords:

electronic propinquity theory forensic nursing sexual assault sexual assault nurse examiner text-messaging

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Area of Science:

Medical Forensics
Public Health
Digital Health

Background:

Sexual assault survivors often lack crucial post-examination follow-up care.
Existing care gaps can negatively impact patient recovery and well-being.

Purpose of the Study:

To develop and evaluate the feasibility of a bidirectional text-messaging protocol, Text-SAFE, for sexual assault forensic exam patients.
To assess patient engagement, satisfaction, and adherence to the Text-SAFE protocol.

Main Methods:

A 37-day automated text-messaging protocol (Text-SAFE) was implemented, covering mental health, STIs, medications, and pregnancy.
Patient enrollment, message response rates, protocol completion, reliability, and nurse compliance were evaluated.
A total of 25 patients participated in the feasibility study.

Main Results:

High patient engagement was observed, with 24/25 patients sending at least one text message.
Protocol adherence was strong, with 21/25 patients receiving all messages.
Participants reported Text-SAFE as comfortable and helpful, indicating positive reception.

Conclusions:

The Text-SAFE protocol demonstrates feasibility for improving follow-up care for sexual assault survivors.
Bidirectional text messaging shows promise as a scalable tool to support patient health and recovery.
Further refinements are suggested to optimize the protocol for broader implementation.