Adaptation of the Content of a Behavioural Text Message Delivered Weight Management Intervention for a Socio-Culturally and Geographically Diverse Population of Postpartum Women in the UK: The Supporting MumS (SMS) Intervention

IF 3.2 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2025-08-06 DOI:10.1111/hex.70368

Eleni Spyreli, Lizzie Caperon, Emma Ansell, Sara Ahern, Sally Bridges, Elinor Coulman, Stephan U. Dombrowski, Frank Kee, Jayne V. Woodside, Dunla Gallagher, Michelle C. McKinley

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引用次数: 0

Abstract

Background

The Supporting MumS (SMS) intervention, originally piloted in Northern Ireland, United Kingdom (UK), uses automated text messages aiming to support diet and physical activity behaviour change for weight management in the postpartum period. Before testing the effectiveness of the SMS intervention in a UK-wide randomised controlled trial, it was important to ensure that the core component of the intervention was acceptable and culturally relevant for a diverse range of women across different regions of the UK.

Objective

to undertake Personal and Public Involvement (PPI) to adapt the content of the previously developed library of text messages for a socio-culturally and geographically diverse population of postpartum women.

Setting and Participants

Recruitment focused on mothers who lived in London, Bradford and various locations in Scotland, who had had a child within the last 2 years and had struggled with their weight. Existing PPI networks and community groups helped identify PPI representatives.

Design

The PPI activities employed an iterative process including three stages: (1) an online group session to review some of the text messages and provide immediate feedback; (2) online group sessions to review adaptations made to messages; and (3) working remotely on a one-to-one basis with PPI collaborators to review and provide comments and suggestions on the entire text message library (previously modified based on feedback from stages 1 and 2).

Results

A total of 19 PPI representatives responded to the invitation and 18 contributed to the review of the SMS text messages: n = 12 from England [n = 4 from London (African-Caribbean ethnicity); n = 8 from Bradford (Asian ethnicity]; n = 6 from Scotland (White ethnicity). During a period of 9 months (July 2021-March 2022), they provided unprompted, positive feedback about the overall concept of a text message-delivered intervention to support postpartum weight management. During review and discussion of the original text message content they suggested minor amendments on the length, language, humour and cultural relevance of the text messages. Overall, no messages needed major re-writing.

Conclusion

This PPI work provided useful suggestions for the cultural and regional adaptation of the content of a text message library that aims to support postpartum weight management. Minor modifications to the messages were suggested. The effectiveness of the Supporting MumS intervention will be tested in a UK-wide trial.

Patient or Public Contribution

Our PPI collaborators were identified through existing PPI networks and community groups. They contributed through online group sessions and on a one-to-one basis through email correspondence. They offered valuable insights into ways of enhancing the cultural and regional relevance of a library of text messages to support diet and physical activity behaviour change for weight loss and weight loss maintenance in the postpartum period.

查看原文本刊更多论文

适应行为短信提供的体重管理干预的社会文化和地理上不同的人口产后妇女在英国的内容：支持妈妈（短信）干预

支持妈妈（SMS）干预最初在英国北爱尔兰试点，使用自动短信，旨在支持产后体重管理期间饮食和身体活动行为的改变。在英国范围内的随机对照试验中测试SMS干预的有效性之前，重要的是要确保干预的核心组成部分是可接受的，并且与英国不同地区的不同女性具有文化相关性。目的：开展个人和公众参与（PPI），以适应以前开发的短信库的内容，以适应社会文化和地理上不同的产后妇女群体。背景和参与者招募的重点是居住在伦敦、布拉德福德和苏格兰各地的母亲，她们在过去两年内生了一个孩子，并且一直在为体重而挣扎。现有PPI网络和社区团体帮助确定PPI代表。设计PPI活动采用了一个迭代过程，包括三个阶段：(1)在线小组会议，审查一些短信并提供即时反馈；(2)在线小组会议，回顾对信息的修改；(3)与PPI合作者在一对一的基础上远程工作，对整个文本消息库进行审查并提供评论和建议（先前根据阶段1和2的反馈进行了修改）。结果共有19名PPI代表回应了邀请，18名代表参与了短信审查：n = 12来自英格兰[n = 4来自伦敦（非洲-加勒比族裔）；Bradford（亚洲族裔）n = 8；n = 6来自苏格兰（白种人）。在9个月的时间里（2021年7月至2022年3月），他们就短信干预支持产后体重管理的总体概念提供了主动的积极反馈。在审查和讨论原始短信内容时，他们建议对短信的长度、语言、幽默和文化相关性进行轻微修改。总的来说，没有消息需要大量重写。结论本研究为短信库内容的文化和地域适应性提供了有益的建议，旨在为产后体重管理提供支持。建议对这些信息进行微小的修改。支持妈妈干预的有效性将在英国范围内的试验中进行测试。我们的PPI合作者是通过现有的PPI网络和社区团体确定的。他们通过在线小组会议和一对一的电子邮件通信进行贡献。他们提供了有价值的见解，如何增强短信库的文化和区域相关性，以支持饮食和身体活动行为的改变，以减轻体重，并在产后维持体重。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.