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Using FLO text-messages to enhance health behaviours and self-management of long-term conditions in South-Asian patients
Objectives Cultural and communication differences faced by South-Asian (SA) ethnic minority groups have led to challenges in the delivery of health care and complex management of long-term conditions (LTCs). We aim to explore the use of text-messaging in SA communities, through the Florence (FLO) he...
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| Published in: | Digital health 2024-01, Vol.10, p.20552076241242558-20552076241242558 |
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| container_start_page | 20552076241242558 |
| container_title | Digital health |
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| creator | Chaudhry, Tahreem Ormandy, Paula Vasilica, Cristina |
| description | Objectives
Cultural and communication differences faced by South-Asian (SA) ethnic minority groups have led to challenges in the delivery of health care and complex management of long-term conditions (LTCs). We aim to explore the use of text-messaging in SA communities, through the Florence (FLO) health messaging system utilised within U.K. health sectors, to enhance positive health behaviours and self-management.
Methods
A mixed-methods approach was used for this study involving two phases. Phase 1 includes the administration of the patient activation measure to assess SA patient level of skills, knowledge, and confidence to self-manage their LTC; whilst in Phase 2 semi-structured interviews were conducted, exploring the experiences of users and non-users of FLO text messaging to promote self-management behaviours.
Findings
Forty participants (Florence users (n = 20) and non-users (n = 20)) completed the patient activation survey once after using FLO, and took part in interviews. Differences were noted to exist between the two groups (p |
| doi_str_mv | 10.1177/20552076241242558 |
| format | article |
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Cultural and communication differences faced by South-Asian (SA) ethnic minority groups have led to challenges in the delivery of health care and complex management of long-term conditions (LTCs). We aim to explore the use of text-messaging in SA communities, through the Florence (FLO) health messaging system utilised within U.K. health sectors, to enhance positive health behaviours and self-management.
Methods
A mixed-methods approach was used for this study involving two phases. Phase 1 includes the administration of the patient activation measure to assess SA patient level of skills, knowledge, and confidence to self-manage their LTC; whilst in Phase 2 semi-structured interviews were conducted, exploring the experiences of users and non-users of FLO text messaging to promote self-management behaviours.
Findings
Forty participants (Florence users (n = 20) and non-users (n = 20)) completed the patient activation survey once after using FLO, and took part in interviews. Differences were noted to exist between the two groups (p < .01). Users appeared to have higher activation levels and better self-management behaviours (p < .01 (p = .00). Interviews elicit participants’ perceptions of the text messaging system, along with key themes relative to behavioural constructs: socio-demographical factors; influencing behaviour changes, self-management, and uptake of text messages amongst SA ethnic minorities.
Conclusion
Text messaging and mHealth are being extensively used amongst general populations to monitor and enhance health. The study of SA patient experiences and their use of text messages within the United Kingdom (UK) remains scarce. Therefore, results from the study identify health beliefs that influence patient engagement with digital health interventions and their self-management. Developing policies and culturally appropriate education guidelines for healthcare practitioners can allow for the provision of culturally sensitive interventions tailored in terms of normative, cultural, and religious beliefs; which in turn will address crucial aspects including SA patient information and educational needs supporting their self-management journey.</description><identifier>ISSN: 2055-2076</identifier><identifier>EISSN: 2055-2076</identifier><identifier>DOI: 10.1177/20552076241242558</identifier><identifier>PMID: 38708186</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Text messaging</subject><ispartof>Digital health, 2024-01, Vol.10, p.20552076241242558-20552076241242558</ispartof><rights>The Author(s) 2024</rights><rights>The Author(s) 2024.</rights><rights>The Author(s) 2024. This work is licensed under the Creative Commons Attribution License https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c429t-c4f504472493f389f2beadbbbadbcea077656a61a141e58cb868f2fd9d59ee053</cites><orcidid>0000-0002-5245-3007</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/20552076241242558$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3149773905?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,21946,25732,27832,27903,27904,36991,36992,44569,44924,45312</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38708186$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chaudhry, Tahreem</creatorcontrib><creatorcontrib>Ormandy, Paula</creatorcontrib><creatorcontrib>Vasilica, Cristina</creatorcontrib><title>Using FLO text-messages to enhance health behaviours and self-management of long-term conditions in South-Asian patients</title><title>Digital health</title><addtitle>Digit Health</addtitle><description>Objectives
Cultural and communication differences faced by South-Asian (SA) ethnic minority groups have led to challenges in the delivery of health care and complex management of long-term conditions (LTCs). We aim to explore the use of text-messaging in SA communities, through the Florence (FLO) health messaging system utilised within U.K. health sectors, to enhance positive health behaviours and self-management.
Methods
A mixed-methods approach was used for this study involving two phases. Phase 1 includes the administration of the patient activation measure to assess SA patient level of skills, knowledge, and confidence to self-manage their LTC; whilst in Phase 2 semi-structured interviews were conducted, exploring the experiences of users and non-users of FLO text messaging to promote self-management behaviours.
Findings
Forty participants (Florence users (n = 20) and non-users (n = 20)) completed the patient activation survey once after using FLO, and took part in interviews. Differences were noted to exist between the two groups (p < .01). Users appeared to have higher activation levels and better self-management behaviours (p < .01 (p = .00). Interviews elicit participants’ perceptions of the text messaging system, along with key themes relative to behavioural constructs: socio-demographical factors; influencing behaviour changes, self-management, and uptake of text messages amongst SA ethnic minorities.
Conclusion
Text messaging and mHealth are being extensively used amongst general populations to monitor and enhance health. The study of SA patient experiences and their use of text messages within the United Kingdom (UK) remains scarce. Therefore, results from the study identify health beliefs that influence patient engagement with digital health interventions and their self-management. Developing policies and culturally appropriate education guidelines for healthcare practitioners can allow for the provision of culturally sensitive interventions tailored in terms of normative, cultural, and religious beliefs; which in turn will address crucial aspects including SA patient information and educational needs supporting their self-management journey.</description><subject>Text messaging</subject><issn>2055-2076</issn><issn>2055-2076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1kUFv1DAQhSMEolXpD-CCLHHhkmI7duwcq4pCpZV6gJ6tSTzeeJXYS-yg9t_j7ZaCQFzG1tM3z-N5VfWW0QvGlPrIqZScqpYLxgWXUr-oTg9afRBf_nE_qc5T2lFKmWpUx9rX1UmjFdVMt6fV_V3yYUuuN7ck432uZ0wJtphIjgTDCGFAMiJMeSQ9jvDDx3VJBIIlCSdXzxAKPWPIJDoyxbCtMy4zGWKwPvsYEvGBfI1rHuvL5CGQPWRf8PSmeuVgSnj-dJ5Vd9efvl19qTe3n2-uLjf1IHiXS3WSCqG46BrX6M7xHsH2fV_KgECVamULLQMmGEo99LrVjjvbWdkhUtmcVTdHXxthZ_aLn2F5MBG8eRTisjWwZD9MaJweKMriYxsrqGiBS817XRZl215KKF4fjl77JX5fMWUz-zTgNEHAuCbTUMkEF5rSgr7_C92VzYXyU9Mw0SnVdI_DsSM1LDGlBd3zgIyaQ8rmn5RLz7sn57Wf0T53_Mq0ABdH4BDk72f_7_gTdoyu5A</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Chaudhry, Tahreem</creator><creator>Ormandy, Paula</creator><creator>Vasilica, Cristina</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><general>SAGE Publishing</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-5245-3007</orcidid></search><sort><creationdate>20240101</creationdate><title>Using FLO text-messages to enhance health behaviours and self-management of long-term conditions in South-Asian patients</title><author>Chaudhry, Tahreem ; Ormandy, Paula ; Vasilica, Cristina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-c4f504472493f389f2beadbbbadbcea077656a61a141e58cb868f2fd9d59ee053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Text messaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chaudhry, Tahreem</creatorcontrib><creatorcontrib>Ormandy, Paula</creatorcontrib><creatorcontrib>Vasilica, Cristina</creatorcontrib><collection>SAGE Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (ProQuest Medical & Health Databases)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Digital health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chaudhry, Tahreem</au><au>Ormandy, Paula</au><au>Vasilica, Cristina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using FLO text-messages to enhance health behaviours and self-management of long-term conditions in South-Asian patients</atitle><jtitle>Digital health</jtitle><addtitle>Digit Health</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>10</volume><spage>20552076241242558</spage><epage>20552076241242558</epage><pages>20552076241242558-20552076241242558</pages><issn>2055-2076</issn><eissn>2055-2076</eissn><abstract>Objectives
Cultural and communication differences faced by South-Asian (SA) ethnic minority groups have led to challenges in the delivery of health care and complex management of long-term conditions (LTCs). We aim to explore the use of text-messaging in SA communities, through the Florence (FLO) health messaging system utilised within U.K. health sectors, to enhance positive health behaviours and self-management.
Methods
A mixed-methods approach was used for this study involving two phases. Phase 1 includes the administration of the patient activation measure to assess SA patient level of skills, knowledge, and confidence to self-manage their LTC; whilst in Phase 2 semi-structured interviews were conducted, exploring the experiences of users and non-users of FLO text messaging to promote self-management behaviours.
Findings
Forty participants (Florence users (n = 20) and non-users (n = 20)) completed the patient activation survey once after using FLO, and took part in interviews. Differences were noted to exist between the two groups (p < .01). Users appeared to have higher activation levels and better self-management behaviours (p < .01 (p = .00). Interviews elicit participants’ perceptions of the text messaging system, along with key themes relative to behavioural constructs: socio-demographical factors; influencing behaviour changes, self-management, and uptake of text messages amongst SA ethnic minorities.
Conclusion
Text messaging and mHealth are being extensively used amongst general populations to monitor and enhance health. The study of SA patient experiences and their use of text messages within the United Kingdom (UK) remains scarce. Therefore, results from the study identify health beliefs that influence patient engagement with digital health interventions and their self-management. Developing policies and culturally appropriate education guidelines for healthcare practitioners can allow for the provision of culturally sensitive interventions tailored in terms of normative, cultural, and religious beliefs; which in turn will address crucial aspects including SA patient information and educational needs supporting their self-management journey.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>38708186</pmid><doi>10.1177/20552076241242558</doi><orcidid>https://orcid.org/0000-0002-5245-3007</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2055-2076 |
| ispartof | Digital health, 2024-01, Vol.10, p.20552076241242558-20552076241242558 |
| issn | 2055-2076 2055-2076 |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_f8c0e541ed3d4046a2582b8818d6b55a |
| source | PubMed (Medline); SAGE Open Access; Publicly Available Content (ProQuest) |
| subjects | Text messaging |
| title | Using FLO text-messages to enhance health behaviours and self-management of long-term conditions in South-Asian patients |
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