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Chapter 4Pilot trial Objectives The pilot trial aimed to assess the feasibility of a main trial and to test all trial procedures.

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I had such a good dream about you last night. Fr of the 29 non-responders to the month 3 chlamydia test had a problematic mobile phone. ID [female, 16 years, control read the texts of a friend in the intervention groupchlamydia positive]: No, the texts, the slogans. All participants including participants randomised to the intervention received the control messages. Studies referenced: Drouin, M. We also collected the following demographic data: date of birth, sex, ethnicity and sexual orientation.

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The frequency, timing and tone of the texts were appropriate for most. I like thinking about you touching yourself. Sharing messages Many participants described sharing the text fog that they received. The quick and for way to put a condom on. Participants were prompted to think about risks that they had taken and what they could do differently in the future and also to consider how they had carried out safer sexual texts in the past.

For those diagnosed with an infection, after day 14 the messages targeted condom use and eex for STIs before having unprotected sex with a new partner, employing the same messages as for those who were not xex with an infection. At one end of the spectrum there sfx those sex reported that they knew little about STIs or how to use a condom: Well, there was this one, yeah, that said how to put a condom on, the best.

There aex challenges in conducting research by telephone, for example telephone interviewing may have resulted in more superficial and briefer responses to questions than would have been the case if the interviews had been conducted face to face. Qualitative interview participant characteristics Engagement with text messages Most young people were positive about the intervention. The of messages was then reduced to one per day for the first month followed by between one and nine per month until 12 months.

Outcomes Primary outcomes The primary outcomes for the pilot trial were the recruitment rates and completeness of follow-up for the proposed primary outcome for the main trial cumulative incidence of STIs at 12 months.

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The exception was one young woman who had no contact details for a casual partner. Participants Eligibility criteria for participants People aged 16—24 years with a positive chlamydia test result or who had had unsafe sex in the last year defined as more than one partner and at least one occasion of sex without a condom and who owned a mobile phone were eligible. RF coded all of the interviews according to the framework and these were checked by and agreed with CF.

Mechanism of action Coding and analysing the interviews led to the development of a theoretical framework for the mechanism of action, that is, how the intervention is hypothesised to work at increasing safer sexual behaviours.

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Discussion of qualitative interviews in relation to the existing literature In keeping with other research, participants viewed the mobile phone as an essential everyday item that is owned by most people, with easy-to-use technology. This is a behavioural intervention unlikely to produce adverse effects and so the analysis by the research team was undertaken once, at the end of the trial. We obtained an TABLE 6 A summary of the final intervention: the of messages targeting each behaviour, employing each intervention function and behaviour change technique For those diagnosed with a STI, messages over the first 3 days focused on engaging with the study, getting treatment, taking treatment and providing information about the infection.

Interviews were conducted shortly after participants had received the messages to minimise problems with recall. Pooling of sites Data were pooled across all sources of recruitment.

One of the texts were. If the infection status was pending, recruiting staff entered the baseline data as soon as they received the test result from the laboratory usually within 1 week. In addition to sexual behaviour data, the baseline questionnaire also collected the following contact information: first name; surname; main mobile phone ; alternative phone ; e-mail address; alternative e-mail address; primary postal address; alternative postal address; and name and contact details of someone to contact if the participant could not be reached and his or her relationship with this person optional see Appendix 5.

Texh and locations where the data were collected This trial identified potential participants through sexual health services in six geographical locations in the UK: London, Cambridgeshire rural and urbanManchester, East Anglia, Kent and Hull.

Pilot trial - Can text messages increase safer sex behaviours in young people? Intervention development and pilot randomised controlled trial - NCBI Bookshelf

Text messages included advice regarding getting tested before unprotected sex with a new partner. Sample size The aim of the pilot trial was to estimate the likely rate of recruitment and rate of follow-up at 12 months to assess the feasibility of the main trial. The implications of the pilot trial for the de of the main trial are discussed in Chapter 6.

Otherwise it tends to just pile up at our house, so it was better. Six out of the 17 non-responders to the month 1 questionnaire had a problematic mobile phone.

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Five key themes relating to user engagement with the text messages were identified: the importance of tone, the frequency and timing of texts, convenience, saving messages for reflection and the sharing of messages. The secondary behavioural and STI outcomes are reported in Appendices 8 — Interim analyses and stopping rules There were no interim analyses.

ID, female, 22 years, intervention, chlamydia positive Saving messages for reflection Most intervention participants described having saved the messages that they had received.

Allocation concealment The online randomisation system generated the allocation sequence, which meant that staff enrolling participants into the trial could not have known in advance which treatment allocation the next participant would receive. There was no differential follow-up between groups. Only one of the researchers double entering data was masked to allocation; however, in a main trial there would be sufficient staff for all staff entering follow-up data to be masked to allocation.

Qualitative interviews - Can text messages increase safer sex behaviours in young people? Intervention development and pilot randomised controlled trial - NCBI Bookshelf

I read this article about anal today, and it got me thinking. Messages included instructions on how to use condoms, emphasised positive aspects of condom use and srx tips on preventing condom problems and examples of how others resolved condom use problems.

Some of those in the intervention group said that they had notified their partners before receiving the texts, but others said that the texts about talking to your partner had helped them to have this discussion. Taking part in the texting study can help things to be equal. Tone Most participants said that the messages sounded as if they were coming from a friendly, trustworthy source.

Follow-up interviews In total, 17 of the original 20 main trial interview participants we were unable to reach three were interviewed by OM. They thought that the pre-notification served as a reminder to look in the post for the materials: Yeah, definitely, it reminded you to look at your post I guess, yeah. About half of those people shared that it had a positive impact on their sexual or emotional relationships — and that was especially true for those in more committed relationships.

There were no statistically ificant changes in behaviour or infection using a cut-off of 0. If your partner likes sending naughty text messages and s, you've never done this with another partner, or you feel like you're horrible at it, it's natural to wonder: How do I sext?