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Other misunderstandings arose in viewing intervention text that coaches users to communicate concerns to physicians.
The large variation in vocabulary observed across intervention text resulted in difficulty matching content to the BCT definitions provided (Abraham & Michie, 2008).
Although BCT definitions were provided by the coding manual (Abraham & Michie, 2008), in some cases it was not possible to code certain BCTs because the technique was not explicitly stated in the intervention text.
In an adjusted analysis, adherence to ART, our primary outcome and dependent variable will be modelled as a function of the intervention (text message/no text message) and baseline characteristics (age, gender, duration on ART and level of education) as fixed effects.
We conducted three focus groups with clinic social workers, linkage team members, and current clinic patients to refine the intervention content.> Additional formative work included a pilot phase to test technical and administrative aspects of field operations, as well as the acceptability of intervention text messages.
We will use one-on-one semi-structured interviews to assess satisfaction with and perceived benefits of the text messages and explore issues related to: 1) barriers to and facilitators of responding to intervention text messages, including access to and comfort with text messaging; 2) frequency and content of text messages, and; 3) privacy and confidentiality.
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As a team of HIV clinicians and behavioral scientists, we created intervention texts in six domains (Table 1) that targeted a sixth-grade reading level.
17– 24 In the three studies that used mobile telephone-based interventions, text messages were the primary source of intervention.
Supporting this assertion, one review notes that technology interventions (text messaging or smartphone applications) supported either by education or an additional intervention demonstrated a beneficial impact by reducing physical inactivity and/or overweight/obesity [ 30].
Participants in the intervention with text message condition, will receive a text message once a week for a total of twelve weeks.
In addition, participants allocated to the intervention with text message condition will receive goal reminder text messages over the 12 weeks of the intervention.
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