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Area of Science:

  • Public Health
  • Health Informatics
  • Patient Engagement

Background:

  • Automated text messaging interventions effectively support self-care and public health outreach.
  • The U.S. Veterans Health Administration (VHA) utilized text messaging during the COVID-19 pandemic.
  • Knowledge gaps exist regarding VHA patient preferences for texting protocols, impacting engagement and effectiveness.

Purpose of the Study:

  • To qualitatively evaluate patient suggestions for improving VHA COVID-related text message interventions.
  • To understand patient preferences for future automated text messaging protocols.
  • To identify factors influencing user receptivity and engagement with health-related text messages.

Main Methods:

  • Cross-sectional review of type-written survey responses from VHA patients.
  • Independent and inductive coding of open-response feedback by two team members.
  • Qualitative analysis of patient suggestions for improving existing and future text protocols.

Main Results:

  • Nine hundred five patients provided feedback.
  • Feedback on protocol acceptability yielded thirteen descriptive categories (83.5% inter-rater reliability).
  • Patients desired control over message frequency and more sophisticated message interactions; nine distinct topic areas emerged for future protocols.

Conclusions:

  • Patient suggestions can significantly impact the receptivity and engagement of automated text messaging interventions.
  • Incorporating patient-identified preferences is crucial for optimizing public health outreach via text messaging.
  • Findings offer actionable insights for enhancing current and future VHA text-based health interventions.