Analysis of the Intensity of Engagement with , a Text Message Intervention for Dementia Caregiver Support Among Latinos/as
Overview
Public Health
Social Sciences
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Objectives: To examine the associations between participant intensity of engagement with a text message intervention, , and socio-demographic factors, acceptability measures, and clinical outcomes among Latino/a caregivers of individuals with dementia.
Methods: is a six-month, bilingual, and bidirectional intervention. We enrolled 24 Latino/a caregivers in a one-arm feasibility trial. Participants received approximately one automatic daily text message and could engage with the intervention by texting specific keywords (e.g. STRESS to receive messages about stress-coping), and by chat-texting with a live coach. We used metrics and psychometric scales to quantify variables.
Results: Participants sent a total of 1847 messages to . Higher intensity of engagement was associated with higher intervention satisfaction ( = 0.6, = 0.007), as were several other acceptability outcomes. We found no associations between intensity of engagement with and sociodemographic or clinical outcomes ( > 0.05).
Conclusion: Encouraging more intense engagement with might lead to higher levels of satisfaction with the intervention. However, it is possible that those who are highly satisfied, engage more intensely with . Future research should determine the directionality of these associations to optimize text message interventions.
Clinical Implications: Creating more opportunities to increase the intensity of text message engagement with caregiver support interventions may improve caregiver satisfaction with them.