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HL7 mFHAST Research & Development Environmental Scan

Design and Multi-Country Validation of Text Messages for an mHealth Intervention for Primary Prevention of Progression to Hypertension in Latin America

An article form JMIR: doi: 10.2196/mhealth.3874

From the results section posted in PubMed: Overall, each of the 64 SMS text messages received a total of 12 evaluations (4 per country). The majority of evaluations-742 out of a total of 767 (96.7%) valid responses-revealed an adequate understanding of the key idea contained in the SMS text message. On a scale from 1 to 10, the average appeal score was 8.7 points, with a range of 4 to 10 points. Based on their low scores, 8 SMS text messages per country were discarded. Once the final set of 56 SMS text messages was established, and based on feedback obtained in the field, wording and content of some SMS text messages were improved. Of the final set, 9, 8, and 16 of the SMS text messages were improved based on participant evaluations from Argentina, Guatemala, and Peru, respectively. Most SMS text messages selected for the final set (49/56, 88%) were the same in all countries, except for small wording differences.

Level of EvidenceLevel III
Study RegionPeru
OrganizationUniversidad Peruana Cayetano Heredia
Issue or ProblemImpact of local cultural contexts on the design of SMS hypertension campaigns
Tech MediumSMS
Technology DeviceMobile Phone
mFHAST ImplicationEffective design of healthy lifestyle promotion SMS messages for use in decreasing hypertension

More links

  • Link to the original article in JMIRThis study highlights the importance of developing and validating a package of simple, preventative SMS text messages, grounded in evidence and theory, across three different Latin American countries with active engagement of end users.
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