Response Patterns to Weekly Short Message Service Health Surveys Among Diverse Youth at High Risk for Acquiring HIV

HIV researchers use short messaging service (SMS)-based surveys to monitor health behaviors more closely than what would be possible with in-person assessment. Benefits are tempered by nonresponse to completing surveys. Understanding response patterns and their associated study participant character...

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Veröffentlicht in:AIDS and behavior 2022-07, Vol.26 (7), p.2229-2241
Hauptverfasser: Tang, Wenze, Gunn, Heather J., Kwok, Stephen, Comulada, W. Scott, Arnold, Elizabeth Mayfield, Swendeman, Dallas, Fernández, M. Isabel
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container_end_page 2241
container_issue 7
container_start_page 2229
container_title AIDS and behavior
container_volume 26
creator Tang, Wenze
Gunn, Heather J.
Kwok, Stephen
Comulada, W. Scott
Arnold, Elizabeth Mayfield
Swendeman, Dallas
Fernández, M. Isabel
description HIV researchers use short messaging service (SMS)-based surveys to monitor health behaviors more closely than what would be possible with in-person assessment. Benefits are tempered by nonresponse to completing surveys. Understanding response patterns and their associated study participant characteristics would guide more tailored use of SMS-based surveys for HIV studies. We examined response to weekly 7-item SMS surveys administered as part of an HIV prevention trial. Using Mixture hidden Markov models (MHMM), we identified the underlying response patterns shared by subgroups of participants over time and quantified the association between these response patterns and participant characteristics. Three underlying response patterns were identified; responders, responders with phone-related errors, and non-responders. Non-responders versus responders were more likely to be younger, male, cis-gender, Black and Latinx participants with histories of homelessness, incarceration, and social support service utilization. Responders with phone-related errors compared to non-responders were more likely to be Black, Latinx, female, students, and have a history of incarceration and social support service utilization. More nuanced results from MHMM analyses better inform what strategies to use for increasing SMS response rates, including assisting in securing phone ownership/service for responders with phone-related errors and identifying alternative strategies for non-responders. Actively collecting and monitoring non-delivery notification data available from SMS gateway service companies offers another opportunity to identify and connect with participants when they are willing but unable to respond during follow-up.
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Using Mixture hidden Markov models (MHMM), we identified the underlying response patterns shared by subgroups of participants over time and quantified the association between these response patterns and participant characteristics. Three underlying response patterns were identified; responders, responders with phone-related errors, and non-responders. Non-responders versus responders were more likely to be younger, male, cis-gender, Black and Latinx participants with histories of homelessness, incarceration, and social support service utilization. Responders with phone-related errors compared to non-responders were more likely to be Black, Latinx, female, students, and have a history of incarceration and social support service utilization. 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subjects Acquired Immunodeficiency Syndrome
Adolescent
Black people
Cell Phone
Errors
Female
Gender differences
Health behavior
Health Psychology
Health services
Health Surveys
Hispanic people
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Homeless people
Homelessness
Human immunodeficiency virus
Humans
Imprisonment
Infectious Diseases
Male
Markov chains
Medicine
Medicine & Public Health
Minority & ethnic groups
Original Paper
Ownership
Polls & surveys
Public Health
Short message service
Social interactions
Social support
Students
Subgroups
Support services
Surveys and Questionnaires
Teenagers
Telephone communications
Telephones
Text Messaging
title Response Patterns to Weekly Short Message Service Health Surveys Among Diverse Youth at High Risk for Acquiring HIV
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