Maryam Yuhas|Donna?Jean P. Brock|Lee M. Ritterband|Philip I. Chow|Kathleen Porter|Jamie Zoellner
Retention and engagement of rural caregivers of adolescents in a short message service intervention to reduce sugar-sweetened beverage intake
Syracuse University|University of Virginia|University of Virginia|University of Virginia|University of Virginia|University of Virginia
objective study investigates 6month short message service sms intervention reduce adolescent sugarsweetened beverage ssb intake objectives describe caregiver retention sms engagement well explore differences caregiver characteristics methods caregivers completed baseline survey messages sent two times per week message types included following ssb intake assessments educational information infographic urls strategies engagement measured interaction messages included assessment completion reminders needed number strategies chosen urls clicked results caregivers n 357 average baseline ssb intake 239 sd 268 ozday 89 retained caregivers greater income education retained higher rate average engagement included 41 sd 13 5 assessments completed reminders needed 41 sd 37 14 possible 32 sd 11 4 strategies selected 12 sd 16 5 urls clicked overall average engagement relatively high even disparities found demographic characteristics statistically related lower engagement included younger age lower income lower educational attainment single caregivers lower health literacy furthermore caregivers reduced intention change ssb behaviors completed fewer assessments needed reminders higher baseline ssb intake associated lower engagement across indicators except url clicks conclusions results used develop targeted retention engagement strategies eg justintime andor adaptive interventions rural sms interventions identified demographic subsets trial registration clincialtrialsgov nct03740113