Table 2 Text messaging challenges to consider in the intervention
Challenge | Recommendation |
|---|---|
Access to cell phones—may not have a cellphone or may not be able to receive text and picture messages | Provide booklet with all daily text messages |
Ability to use text messages—may not know how to use text messaging or download image | Assess the technology focus group Provide education on how to use text messages on their cell phone upon enrollment to study |
Comprehension of messages—may have low reading ability | Text messages at 3rd–4th grade reading level Use images for the majority of text messages Use colloquial language |
Interest in messages over time—may lose interest, stop checking messages, or get annoyed at messages telling them what to do | Have illustrations be empowering and uplifting Use encouraging vs. prescriptive language |