Codesign of a cardiovascular disease prevention text message bank for older adults.
Jessica Ardo, Jung-Ah Lee, Janett A Hildebrand and 4 others
PMID 33863587WHAT IT FOUND
Older adults rated a cardiovascular prevention text message bank as understandable and appealing.
Feedback from them and expert reviewers led to clearer wording, simpler infographics, and changes to messages that felt naggy.
Key findings
01Mean understanding scores were 1.73 for physical activity, 1.73 for nutrition, and 1.85 for motivation/adherence on a 0 to 2 scale.
02Mean appeal scores were 8.62 for physical activity, 8.57 for nutrition, and 8.40 for motivation/adherence on a 1 to 10 scale.
03One motivation/adherence message was omitted after a mean understanding score of 1.25.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review included only nine older adults and five expert reviewers, so it cannot show that most older adults at cardiovascular risk will understand or like the messages. The study did not test the text messages in the Get FIT trial or measure cardiovascular risk, diet, physical activity, medication adherence, or health outcomes. Some appeal responses were missing, and the missing values were imputed before averaging. The end-users may already have received cardiovascular prevention advice from healthcare professionals, which could have influenced their understanding and appeal ratings. The paper does not describe how the nine older adults were recruited or whether they represent a broader population.
Declared interests
No author conflicts of interest statement is provided in the supplied text. The article is supported by extramural NIH research funding.
The easy way to misread this
Do not conclude that this text message bank improves cardiovascular risk, diet, activity, or adherence. The study only tested whether messages were understood and liked by nine older adults and five expert reviewers.