TY  - JOUR
AU  - Vakili, Negar
AU  - Curran, Janet A
AU  - Walls, Roisin
AU  - Phillips, Debbie
AU  - Miller, Alanna
AU  - Cassidy, Christine
AU  - Wozney, Lori
PY  - 2024
DA  - 2024/8/27
TI  - Preferences for Text Messaging Supports During Youth Transition to Adult Mental Health Services: Theory-Informed Modified e-Delphi Study
JO  - JMIR Form Res
SP  - e51690
VL  - 8
KW  - patient satisfaction
KW  - satisfaction
KW  - cross-sectional
KW  - survey
KW  - surveys
KW  - engagement
KW  - usage
KW  - technology use
KW  - transitional
KW  - transition
KW  - coordinated care
KW  - service
KW  - services
KW  - feature
KW  - features
KW  - need
KW  - needs
KW  - transitional care
KW  - information science
KW  - human-computer interaction
KW  - health behavior
KW  - text-messaging
KW  - messaging
KW  - text messages
KW  - text message
KW  - SMS
KW  - mental health
KW  - persuasive system design
KW  - youth
KW  - adolescent
KW  - adolescents
KW  - teen
KW  - teens
KW  - teenager
KW  - teenagers
AB  - Background: For many young people, the transition from child to adult mental health services is a vulnerable time associated with treatment disengagement and illness progression. Providing service information and options to youth, appealing to them, and tailoring to their needs during this period could help overcome systematic barriers to a successful transition. We know little about how SMS text message–based interventions might be leveraged to support the motivational, informational, and behavioral needs of youth during this time. Ascertaining youth preferences for the content and functionality of an SMS text message service could inform prototype development. Objective: This study investigated consensus preferences among youth on important content, technology features, and engagement supports to inform a transition-focused SMS text message service. Methods: A modified e-Delphi survey design was used to collect demographics, current levels of technology use, importance ratings on message content, preferred technical features, and barriers and enablers to engagement for youth in Canada aged 16-26 years who have accessed mental health services within the past 5 years. Survey items on content were categorized according to the information-motivation-behavioral skills (IMB) model. Survey items on technical features were categorized according to the persuasive system design (PSD) model. A predefined consensus rating matrix and descriptive statistics were used to characterize the sample. The high consensus threshold was 70%. Results: A total of 100 participants, predominantly non-White (n=47, 47%), aged 20-26 years (n=59, 59%), and who had first accessed mental health services between the ages of 13 and 19 years (n=60, 60%), were selected. The majority (n=90, 90%) identified as daily SMS text message users. A high level of consensus on importance ratings was reported in 45% (9/20) of content items based on the IMB model. There were higher levels of consensus on importance ratings related to behavior domain items (3/3, 100%) than information domain items (4/9, 44%) or motivation domain items (2/8, 25%). A high level of consensus on importance ratings was reported in only 19% (4/21) of feature and functionality items based on the PSD model. Among PSD model categories, there was a high level of consensus on importance ratings in 8% (1/12) of the primary task support domain items and 100% (3/3) of the system credibility support domain items. None of the dialogue-support and social-support domain items met the high level of consensus thresholds. In total, 27% (27/100) of youth indicated that the most significant enabler for engaging with a transition-focused SMS text message intervention was the personalization of text messages. Conclusions: Scientists developing next-generation SMS text messaging interventions for this population need to consider how levels of consensus on different features may impact feasibility and personalization efforts. Youth can (and should) play an integral role in the development of these interventions. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2024/1/e51690
UR  - https://doi.org/10.2196/51690
UR  - http://www.ncbi.nlm.nih.gov/pubmed/39190437
DO  - 10.2196/51690
ID  - info:doi/10.2196/51690
ER  -