Mobile MyPlate: A Pilot Study Using Text Messaging to Provide Nutrition Education and Promote Better Dietary Choices in College Students

Abstract

Objective: To evaluate the acceptance and effectiveness of repetitive nutrition-related text messages on college students’ nutrition knowledge and fruit and vegetable consumption. Participants: One hundred fifty undergraduate (18–24 years old) non–health major students with a texting mobile phone. Methods: The intervention group received biweekly text messages of the MyPlate icon and the United States Department of Agriculture's Dietary Guidelines (DGs) for 7 weeks. The control group received the same information in a mailed brochure. A pre and post online survey assessed the students’ knowledge and behavior. Results: The intervention resulted in greater MyPlate food group recognition (p <.05) compared with control and a trend toward improved knowledge of the DGs. In the intervention group, fruit consumption was elevated (p <.05) and a trend toward elevated vegetable consumption was determined. No gender differences in intervention effectiveness exist. Conclusion: Texting repeated messages appears to be an acceptable and effective way to increase nutrition knowledge and promote positive diet-related behaviors in college students.     

Rates of Asymptomatic Nonurethral Gonorrhea and Chlamydia in a Population of University Men Who Have Sex With Men

ABSTRACT

Objective: To evaluate a text message (SMS) program as a booster to an in-person alcohol intervention with mandated college students. Participants: Undergraduates (N = 224; 46% female) who violated an on-campus alcohol policy over a 2-semester period in 2014. Methods: The SMS program sent drinking-related queries each Thursday and Sunday and provided tailored feedback for 6 weeks. Response rates to SMS drinking-related queries and the associations between weekend drinking plans, drinking-limit goal commitment, and alcohol consumption were examined. Gender differences were explored. Results: Ninety percent of SMS queries were completed. Weekend binge drinking decreased over 6 weeks, and drinking-limit goal commitment was associated with less alcohol consumption. Compared with women, men had greater reductions in alcohol consumption when they committed to a drinking-limit goal. Conclusions: Preliminary evidence suggests that an SMS program could be useful as a booster for helping mandated students reduce weekend binge drinking.     

Research report: a software solution for rapid policy assessment with reimbursed SMS and mobile cash

In this report, we introduce a system for running reimbursed surveys via text messages and mobile cash. The key advantage of this approach is the ability to conduct rapid surveys at an extremely low cost. After reviewing existing literature, we describe an automated system for conducting such surveys and demonstrate its merits in a proof-of-principle application in India. We obtain substantive insights on the effectiveness of a policy trial that are in line with expert assessments. This application suggests that our approach can be applied to a wide range of problems including impact assessment for policy or developmental aid, and monitoring of public sentiment, and possibly monitoring of conflict dynamics.     

How to Maintain High Retention Rates in Long-Term Research on Addiction: A Case Report

High dropout rates threaten the validity of longitudinal studies involving participants suffering from substance use disorder (SUD). The objective of this article is to evaluate strategies to improve retention. The data analysis was based on an ongoing study of long-term recovery of neurocognitive and psychosocial functions. We used traditional strategies to enhance the contact rate. Common factors in psychosocial treatments and biweekly Short Message Service (SMS; text messaging) monitoring were added to further increase the contact rate. The participants (n = 146) were recruited from treatment facilities for SUD. Assessments were measured at 3 months, 6 months, 9 months, and 12 months. This study was successful in retaining a cohort of participants who are typically characterized as having a negative prognosis because of their unstable living arrangements and incomes. Compared to those using GHB, addictive medications, and opiates, the retention rate was the lowest among participants with severe alcohol use disorder (42%).     

Evaluation of a Web-Phone Intervention System in Changing Smoking Behavior—A Randomized Controlled Trial

This study evaluates the effectiveness of a web-phone intervention in changing smoking behavior. One hundred and sixteen university student smokers were recruited to participate in a randomized controlled trial. Each participant used their own mobile phone to receive messages from an automated web-phone system. After 4 weeks the participants in both the experimental group and comparison group improved on self-efficacy (SE) and stage of change (SOC) toward smoking cessation. After another 5 weeks, their SE remained significantly improved, but SOC did not. Participants in the control group did not improve. The findings provide support for further research on and possible adoption of automated phone interventions as a tool in helping smokers move toward quitting, especially those who are at an earlier stage of change. Dosage in automated interventions was found to be an area requiring future research.     

Working in the hidden economy: The experience of unemployed men in the UK

Hidden economy working amongst unemployed people can be defined in terms of working for financial gain without declaration for tax purposes while also claiming social welfare benefits. The extent, nature, and experience of hidden economy working among the unemployed in Britain is, as yet, little understood. As part of an in-depth interview study of 44 long-term unemployed men, 17 of the men talked about their experiences of working in the hidden economy. This paper reports on the extent, nature and experience of hidden economy working amongst these long-term unemployed men, and the meaning of such work to them, their families and local community. The complex matrix of feelings (including guilt, anxiety and pleasure), combined with the financial gains, fear of losing welfare benefit and the ability to practise work-related skills contributed to creating a lifeworld for these men which had implications for their experience of family and community life.     

The Efficacy of a Condensed Seeking Safety Intervention for Women in Residential Chemical Dependence Treatment at 30 Days Posttreatment

This study examined the efficacy of a condensed version of the Seeking Safety intervention in the reduction of trauma-related symptoms and improved drug abstinence rates among women in residential chemical dependence treatment. One hundred and four women were randomly assigned to treatment including a condensed (six session) Seeking Safety intervention or the standard chemical dependence intervention. The Seeking Safety participants reported lower sexual-abuse-related trauma symptoms at 30 days posttreatment as compared to participants who received only standard treatment. However, the condensed Seeking Safety intervention was not more advantageous in reducing overall trauma symptoms or relapse 30 days after treatment ended.     

Internet and Mobile Phone Text Messaging Intervention for College Smokers

Objective: The authors developed a smoking cessation program using mobile phone text messaging to provide tailored and stage-specific messages to college smokers. Participants and Methods: The authors recruited 31 daily smokers who desired to quit from a college campus and asked them to use an Internet and mobile phone text messaging program to quit smoking. Results: Six weeks after program initiation, 45% reported abstinence with 42% abstinent based on cotinine verification. Continued smokers reported significantly reduced smoking rates and dependence. Overall, participants accepted the text messages. Conclusions: These results replicate findings from an earlier study and indicate that mobile phone text messaging is a potentially efficacious and easily disseminated method for providing cessation interventions to young adult smokers.     

Great Expectations: Preventive Health Concepts in Childbearing and Parenting for College Students

Abstract

The authors tested the long-term effectiveness of a cognitive-behavioral group intervention in reducing depressive symptoms, decreasing negative thinking, and enhancing self-esteem in 92 college women aged 18 to 24 years who ere at risk for clinical depression. The women were randomly assigned to either an experimental or a no-treatment control group. The experimental group participated in a 6-week cognitive-behavioral intervention that targeted identification and reduction of negative thinking, using such techniques as thought stopping and affirmations. Data on depressive symptoms, self-esteem, and negative thinking were collected before the intervention and at intervals of 1, 6, and 18 months postintervention. The women in the intervention group experienced a greater decrease in depressive symptoms and negative thinking and a greater increase in self-esteem than those in the control group. The beneficial effects continued over an 18-month follow-up period. These findings support the importance of thought stopping and affirmations as prevention interventions with at-risk college women.     

Internet and mobile phone text messaging intervention for college smokers

OBJECTIVE: The authors developed a smoking cessation program using mobile phone text messaging to provide tailored and stage-specific messages to college smokers. PARTICIPANTS AND METHODS: The authors recruited 31 daily smokers who desired to quit from a college campus and asked them to use an Internet and mobile phone text messaging program to quit smoking. RESULTS: Six weeks after program initiation, 45% reported abstinence with 42% abstinent based on cotinine verification. Continued smokers reported significantly reduced smoking rates and dependence. Overall, participants accepted the text messages. CONCLUSIONS: These results replicate findings from an earlier study and indicate that mobile phone text messaging is a potentially efficacious and easily disseminated method for providing cessation interventions to young adult smokers.     

The Effectiveness of Fisher’s Rebuilding Group Intervention on Divorce Adjustment and General Health of Iranian Divorced Women

This research explores the effects of participating in the Rebuilding Seminar on postdivorce adjustment and the general health of divorced women in Arak, Iran. For this quasi-experimental study, 15 participants were recruited through convenience sampling. Prior to the participation in group intervention, participants were asked to complete a demographic questionnaire, the Fisher Divorce Adjustment Scale (FDAS), and the General Health Questionnaire (GHQ–28). Participants then completed the 10 weekly, 2-hour group intervention program. After the completion of the group intervention, postintervention questionnaires were administered. Results indicate that this particular educational program affected adjustment in participants on all subscales of the FDAS, except for social self-worth. The results also suggest that the intervention program was effective on all subscales of the GHQ–28, except for somatic symptoms. Due to numerous changes in the life of divorced women and the stressful nature of divorce, designing and implementing effective intervention plans seems necessary and constructive.     

Mobile Selves: Gender, ethnicity and mobile phones in the everyday lives of young Pakistani-British women and men

This paper focuses on mobile phone use by a young minority ethnic group as a medium through which to explore diversity and technology use in everyday life. Recent research with young people has shown that mobile phones are instrumentally, socially and emotionally important but few have problematized the homogeneous concept of 'youth'. This paper argues for increased recognition of the intersections of social categories such as youth, gender and ethnicity with technologies, specifically mobile phones, in order to understand complexity of use. Drawing on new empirical, qualitative data from an urban area in the North East of England we explore the focus group narratives of young Pakistani-British Muslim women and men focusing on the notion of 'shifting' gendered and cultural identities and social practices, developed and reworked in relation to the use of mobile phones. We look at the gendered dynamics of mobile use, including gender talk and text, and ask whether the young women and men experience mobiles differently in everyday life. We also explore the ways in which mobiles are used to create 'space of one's own' and the gendered dynamics of remaining connected, especially to key peer groups. The paper concludes with the assertion that in order to fully explore the mutability of youth cultures across space and time, we need to develop a more dynamic concept of 'mobile selves' by exploring the place and meaning of technologies such as mobile phones in the rich tapestries of young people's lives.     

Using social media-based drama therapy and family counselling to treat symptoms of postpartum depression among women

This study examines the impact of social media-based drama therapy and family counselling in reducing symptoms of postpartum depression (PPD) in women aged 18–34. The researchers used a quasi-experimental design and randomly assigned the participants (n = 303) to the control, drama therapy, and family counselling groups. The key findings of the study are as follows. First, at baseline, women not only showed more symptoms of PPD than their male counterparts, but men also reached the PPD threshold of 12/13. Second, the difference between women and men regarding their PPD scores achieved statistical significance (p = 0.004). However, during the post-intervention assessment, men who received drama therapy intervention reported a significant drop in their PPD below the threshold of 12/13. Only women whose spouses received family counselling on spousal support reported a significant drop in their PPD. However, those whose partners did not receive family counselling on spousal support still reported PPD scores within the threshold. In both instances, women in the control group still had high PPD scores. Finally, during the 6-month follow-up assessment, even men in the control group did not have significant symptoms of PPD as their scores dropped below the threshold. On the contrary, women in the control group still had high PPD, indicating that PPD lasted more in women than in men. Also, women whose husbands received family counselling on spousal support reported PPD scores below the threshold. However, women whose husbands did not receive spousal counselling still had PPD scores at the threshold, even though their scores marginally dropped.     

Preventing depression in high-risk college women: a report of an 18-month follow-up.

The authors tested the long-term effectiveness of a cognitive-behavioral group intervention in reducing depressive symptoms, decreasing negative thinking, and enhancing self-esteem in 92 college women aged 18 to 24 years who ere at risk for clinical depression. The women were randomly assigned to either an experimental or a no-treatment control group. The experimental group participated in a 6-week cognitive-behavioral intervention that targeted identification and reduction of negative thinking, using such techniques as thought stopping and affirmations. Data on depressive symptoms, self-esteem, and negative thinking were collected before the intervention and at intervals of 1, 6, and 18 months postintervention. The women in the intervention group experienced a greater decrease in depressive symptoms and negative thinking and a greater increase in self-esteem than those in the control group. The beneficial effects continued over an 18-month follow-up period. These findings support the importance of thought stopping and affirmations as prevention interventions with at-risk college women.     

Capturing daily family dynamics via text messages: development of the mobile diary

In this paper we introduce a new tool, the mobile phone, for use in diary research. We demonstrate, with reference to two family studies conducted in Finland, how daily family dynamics can be captured by using the mobile diary. In both studies family members sent text messages (SMSs) in answer to structured diary questions three times a day over a one-week period. The participants kept also paper-and-pencil diaries. Two mobile diary items measuring mood (stressfulness and feelings of competence) both at home and at work are reported here as examples. For both items we found statistically significant daily and weekly variation as well as individual fluctuation. The data gathered by the mobile diary were congruent but not identical with the data gathered by the paper-and-pencil diary. The mobile phone method of data collection facilitated participants’ answers at the agreed times and the participants reported that answering was easy and did not take too much time. The main limitation is the lack of space for answers; therefore, the few questions that are used have to be reliable and valid.     

Sexual Health Interventions for Black Women in the United States: A Systematic Review of Literature

Objective: The purpose of this systematic review was to identify and evaluate approaches used in sexual health interventions targeting Black women in the United States. Methods: We conducted a review of 15 sexual health intervention studies for Black women published between January 2000 and May 2017 in the United States. Results: Each intervention focused on HIV/sexually transmitted infection prevention, incorporated an asset and deficit-based approach, primarily used individual-level assets, and was effective in achieving the stated sexual health-related outcomes. Conclusions: Comprehensive sexual health interventions require further development and refinement to include more community and institutional-level assets to improve long-term sustainable change and empower Black women.     

Promoting low-income preschoolers’ school readiness through a text messaging intervention

The aim of the study is to evaluate the effects of a language-rich math content text message intervention as a way to promote child literacy outcomes for children enrolled in 15 Head Start centers participating in Jumpstart. Two-hundred and fifty-eight families were randomly assigned to treatment (language-rich math text) or control (information about kindergarten enrollment) conditions. Families received text messages in English, Spanish, or written Chinese. Parents reported on children’s fall entry skills and family demography. Teachers reported on children’s interest in math and literacy. Children were directly assessed on literacy skills to determine if the language-rich math content increased literacy skills. Structural equation models reveal no main effects for the sample of 258, but subgroup analyses by language show intervention effectiveness. For families receiving text messages in English, effectiveness depended on children’s fall letter and shape knowledge for increasing phonological awareness (English). The intervention appears most effective for Spanish-speaking families by increasing children’s math and literacy interest, definitional vocabulary, and print knowledge. Limitations and finding implications are discussed.