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Exploratory mixed methods analysis of self-authored content from participants in a digital alcohol intervention trial
RISE Research Institutes of Sweden, Bioeconomy and Health, Material and Surface Design. Linköping University, Sweden.ORCID iD: 0000-0002-4730-6328
Linköping University, Sweden.
Linköping University, Sweden.
University of York, UK.
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2023 (English)In: Substance Abuse Treatment, Prevention, and Policy, E-ISSN 1747-597X, Vol. 18, no 1, article id 60Article in journal (Refereed) Published
Abstract [en]

Background: Digital interventions readily permit data capture of participant engagement with them. If future interventions are intended to be more interactive, tailored, or a useful resource offered to users, it may be valuable to examine such data. One module available in a digital alcohol intervention recently tested in a randomised control trial offered participants the opportunity to self-author prompts that were sent to them by a text message at a time of their choosing. This study thus aimed to evaluate these self-authored prompts to increase knowledge on how individuals negotiate behaviour change and assess whether intervention content can be improved in the future. Methods: The self-authored prompts were evaluated qualitatively using a combination of content and thematic analysis. The identified themes and subcategories are exemplified using anonymized quotes, and the frequency that each identified theme was coded for among the prompts was calculated. Associations between baseline characteristics and the odds of authoring a prompt at all, as well as a prompt within each theme, were investigated using logistic regression. Results: Five themes were identified (Encouragement Style, Level of Awareness, Reminders of reasons to reduce/quit, Strategies to reduce/quit, and Timescale), all with several subcategories. The prompts module was more likely to be used by women and older individuals, as well as those for whom reducing alcohol consumption was perceived as important, or who felt they had the know-how to do so. Participants who had immediate access to the support tool (intervention group) were more than twice as likely to author a prompt (OR = 2.36; probability of association > 99%) compared to those with 4-month delayed access (control group). Conclusions: Individuals who engaged with the prompts module showed evidence of using the information provided in the support tool in an active way, with several showing goal setting and making plans to change their drinking behaviour. Individuals also used this opportunity to remind themselves of personal and specific reasons they wanted to change their drinking, as well as to encourage themselves to do so. 

Place, publisher, year, edition, pages
BioMed Central Ltd , 2023. Vol. 18, no 1, article id 60
Keywords [en]
Female; Humans; Research Design; Text Messaging; controlled study; female; human; methodology; randomized controlled trial; text messaging
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:ri:diva-67884DOI: 10.1186/s13011-023-00569-4Scopus ID: 2-s2.0-85175151772OAI: oai:DiVA.org:ri-67884DiVA, id: diva2:1815626
Note

This study was conducted under the auspices of the Alcohol Research Council of the Swedish Alcohol Retailing Monopoly (grant numbers 2019-0056 and 2020-0043) and the Swedish Research Council for Health, Working Life, and Welfare (grant number 2022 − 00193).

Available from: 2023-11-29 Created: 2023-11-29 Last updated: 2024-01-17Bibliographically approved

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Collier, Elizabeth S

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