Personal Messages Research Articles

ODP164 Asynchronous Diabetes Virtual Interventions, Support, & Empowerment (ADVISE) Program to Improve Glycemic Control in High-Risk Youth and Adults with Type 1 Diabetes

Abstract Background The use of personalized text messages to support and empower people with type 1 diabetes(T1D) has the potential to improve glycemic control, particularly in the parts of the world where access to high-quality diabetes care remains limited. Here, we examine the impact of the "Asynchronous Diabetes Virtual Interventions, Support, & Empowerment" (ADVISE) program on glycemic control in high-risk youth and young adults with T1D in Saudi Arabia. Methods We retrospectively coded all text messages, exchanged between healthcare professionals(HCPs) and patients with T1D enrolled in the ADVISE program between January and October 2020. Messages were categorized according to their direction ("outgoing" from HCPs to patients versus "incoming" from patients to HCPs) and type (problem-solving, coaching, encouraging, rapport building, strategic questioning, or appointment scheduling-related texts). Then, we examined: a) the change in patients’ A1C and CGM metrics from pre- to post-enrollment in the ADVISE program and b) the association between the type, direction, and frequency of the texts and change in glycemic control. Results The ADVISE program enrolled 74 high-risk youth and young adults with T1D [58% women, with a median(IQR) age of 20(16,27) years old and duration of diabetes of 8(4,14) years and an average pre-enrollment A1C of 10.1%]. Out of the 3,457 texts, exchanged between HCPs and patients with T1D, 2642 (76%) were outgoing from HCPs to patients, 815(24%) were incoming from patients to HCPs, and 2,203(83% of the outgoing texts) were coaching-related. Overall, A1C, TIR, and TAR have significantly improved throughout the study period. Patients who received virtual adjustments of insulin doses as part of the ADVISE program had significant improvements in TIR (from baseline: 41% to Month-3: 53% to Month-6: 55%) and TAR (Baseline: 52% to Month-3: 39% to Month-6: 37%). Whereas patients who received no virtual adjustments of insulin dose had no significant changes in any of the glycemic metrics. When examined by frequency of incoming texts, patients who sent ≥1 text/month to their HCPs noted significant improvements in TIR, TAR, and A1C, whereas those who sent <1 text/month noted no significant changes in any of the glycemic metrics. Similarly, A1C has significantly improved (from 9.6% to 8.6%, p<0. 01) in patients who received ≥8 texts/month from their HCPs, whereas those who received <8 texts/month had no significant change in A1C (9. 05% to 9%, p=0.24). Conclusion Our ADVISE program applies the four principles "Ps" of precision medicine to diabetes care (Predictive, Preventive, Personalized, and Participative) and is associated with significant improvements in various glycemic metrics in high-risk youth and young adults with T1D. Our findings have implications to mitigate the health- and economic- burden of diabetes, particularly in parts of the world where diabetes is highly prevalent and access to high-quality care is limited. Presentation: No date and time listed

“To Dear Deacon Kolya ...”: Newly Found Inscript of Sergey Yesenin

The results of a historical and cultural commentary on a previously unknown inscription by S. A. Yesenin, made by him in 1921 on a piece of paper, which was subsequently pasted into the book “Triptych” (Berlin: Publishing House “Scythians”, 1920), are presented. The scientific study of writers' dedicatory inscriptions as a separate area in domestic literary criticism is currently at the stage of its formation, which determines the relevance of the proposed study. It is proved that the addressee of Yesenin's dedication inscription is his elder friend and mentor in poetry Nikolai Alekseevich Klyuev (1884—1937) and it was made by the poet in December 1921 simultaneously with a short letter also addressed to Klyuev after a twoyear break in their creative communication. It is pointed out that Klyuev’s nickname “deacon Kolya” in Yesenin's script does not have negative connotations and serves as a playful, gentle definition of Klyuev’s mentoring role in Yesenin's poetic fate. An analysis of the structural and semantic connections of Yesenin's texts of the dedicatory inscription and letter makes it possible to establish that the inscription contains an implicit personal message for the renewal of former friendly relations between poets who have drifted away from each other due to creative differences. On the basis of Klyuev's reply message from Vytegra (January 28, 1922), it was established that Yesenin, at the end of December 1921, along with a letter, gave him his new books (including the “Triptych” containing poems of 1917) through Nikolai Ilyich Arkhipov (1887—1967) (a Vytegorsk acquaintance of Klyuev), who came to Moscow as a delegate to the IX All-Russian Congress of Soviets (December 23—28, 1921). It is put forward and substantiated that Yesenin, not being able to make a dedication to Klyuev on the book, sent an autographed sheet with Arkhipov for its subsequent pasting into the book. The authors of the article do not rule out that the pasting of Yesenin's inscription on the title page of the Berlin edition may have a later character. However, even so, it has an undoubted symbolic meaning, appealing to the Scythian philosophy, which united the poets in 1915—1917, being one of the signs of their spiritual kinship, the feeling of which Yesenin will carry through his entire creative life.

Beyond Personal Responsibility: Analyzing How Attributing Responsibility for Environmental Protection Can Hinder Action

Environmentalists face several challenges when communicating water quality hazards, especially those that are unseen to the naked eye. Grounded in the Extended Parallel Process Model, we analyzed how perceptions of conservation responsibility and the visualization of pollution affected perceived water quality threats, efficacy, and pro-environmental behavior outcomes. We conducted a 2 × 2 between-subjects controlled message-testing experiment with 502 adults from the Chesapeake Bay watershed. Individuals viewed personal or government attribution messages with fear or non-fear visuals to see how messages affected intentions to take part in a river clean-up day, enact environmentally friendly behaviors, and comment on public policy. Messages that promoted government responsibility and those that featured images of polluted water increased response efficacy, threat appraisals, fear, and intentions. Promoting personal responsibility yielded more limited effects. Furthermore, messages were less effective when they featured visuals of clean water. Implications include recommendations for using responsibility attribution messages in practice and engaging the public with information about unseen hazards.

Promoting and Maintaining Changes in Smoking Behavior for Patients Following Discharge from a Smoke-free Mental Health Inpatient Stay: Development of a Complex Intervention Using the Behavior Change Wheel.

Evidence suggests that smokers can successfully quit, remain abstinent or reduce smoking during a smoke-free mental health inpatient stay, provided behavioral/pharmacological support are offered. However, few evidence-based strategies to prevent the return to prehospital smoking behaviors post-discharge exist. We report the development of an intervention designed to support smoking-related behavior change following discharge from a smoke-free mental health stay. We followed the Behavior Change Wheel (BCW) intervention development process. The target behavior was supporting patients to change their smoking behaviors following discharge from a smoke-free mental health stay. Using systematic reviews, we identified the barriers and enablers, classified according to the Theoretical Domains Framework (TDF). Potential intervention functions to address key influences were identified by consulting the BCW and Behavior Change Technique (BCT) taxonomy. Another systematic review identified effectiveness of BCTs in this context. Stakeholder consultations were conducted to prioritize and refine intervention content. Barriers and enablers to supporting smoking cessation were identified within the domains of environmental context and resources (lack of staff time); knowledge (ill-informed interactions about smoking); social influences, and intentions (lack of intention to deliver support). Potential strategies to address these influences included goal setting, problem-solving, feedback, social support, and information on health consequences. A strategy for operationalizing these techniques into intervention components was agreed upon: Pre-discharge evaluation sessions, a personalized resource folder, tailored behavioral and text message support post-discharge, and a peer interaction group, delivered by a trained mental health worker. The intervention includes targeted resources to support smoking-related behavior change in patients following discharge from a smoke-free mental health setting. Using the BCW and TDF supported a theoretically and empirically informed process to define and develop a tailored intervention that acknowledges barriers and enablers to supporting smoking cessation in mental health settings. The result is a novel complex theory- and evidence-based intervention that will be formally tested in a randomized controlled feasibility study.

The right to privacy and an implication of the EU General Data Protection Regulation (GDPR) in Europe: challenges to the companies

ABSTRACT The article traces the European Union (EU)’s General Data Protection Regulation (GDPR) and implication in the Europe. In the era of global digitalisation, the right to respect private life, communication and the home has become a matter of protection. Protecting the right to privacy is a responsibility of a state which includes privacy of personal information, e.g. birth, messages, phone call and number and emails. Likewise, this study explains EU concern’s about its citizens’ privacy and the recent inclusion of the GDPR for the protection of natural persons. The article aims to explore individual fundamental rights and implications in the digital age, as well as cooperation data rules between companies and public bodies. At the same time, questions arise about the rightful implication of GDPR and the right to privacy of the public through protection, especially from tech companies. For validating the argument, various qualitative research methods were applied. The COVID-19 pandemic has raised a serious question over privacy rights protection by the government, which supports our findings that EU GDPR has a long road to go and have challenges. Its credibility of lawful data activities is also a matter of concern and a reliable promise by the member states and the EU.

A székely írás emlékei: Corpus Monumentorum Alphabeto Siculico Exaratorum ed. by Elek Benkő; Klára Sándor and István Vásáry

Reviewed by: A székely írás emlékei: Corpus Monumentorum Alphabeto Siculico Exaratorum ed. by Elek Benkő; Klára Sándor and István Vásáry George Gömöri Benkő, Elek; Sándor, Klára and Vásáry, István (eds). A székely írás emlékei: Corpus Monumentorum Alphabeto Siculico Exaratorum. Bölcsészettudományi Kutatóközpont, Budapest, 2021. 836 pp. Illustrations. Bibliography. Indexes. Ft8,900.00. This large collection of documents is the result of many years of meticulous research. It contains all the available relics of the Székely (Szekler) script, a runic writing system originally used by Transylvanian Hungarians who live to this day in South-Eastern Transylvania, Romania. The Szekler script (in Hungarian rovásírás) was first mentioned in the thirteenth-century chronicle, Gesta Hungarorum, but information about it reached the West only thanks to Johannes Thúróczy's Chronica Hungarorum two hundred years later. Originally the letters were carved into wooden sticks and gates, and only later on walls of (mainly Protestant) churches, and were used for personal messages or for the commemoration of those who built the churches. Most of the inscriptions have been discovered in the past seventy years, in the course of the restoration of medieval churches. With the renewed interest in antiquities, especially in Oriental languages and non-Latin scripts, Western scholars 'discovered' Szekler runic writing in the seventeenth and eighteenth centuries, mainly thanks to Rudimenta, an oft-copied manuscript in Latin by Johannes Telegdi, but most scholarly writing on the subject was carried out in Hungary, with the first book gathering and classifying all the documents available at the time being published in 1915 by Gyula Sebestyén. The Corpus Monumentorum contains six chapters, each identified by a capital letter of the alphabet. 'A' covers all the historical information about the Szekler script; 'B' the relics known as of now, mostly carved into church walls in Szeklerland; 'C' introduces those relics extant in manuscripts from places as diverse as Bologna, Constantinople and Csíkszentmiklós (Nicolești in today's Romania). Chapter 'D', by far the longest in the book, lists all relics of the runic writing extant both in print and manuscripts from the so-called Nickolsburg (today Mikulov, Moravia) Alphabet to the nineteenth century. As for 'E', this contains three sub-chapters, amongst them Mátyás Bél (Matej Bel)'s informative essay (Leipzig, 1718) on runic script, both in the Latin original and in Hungarian translation. Finally, a brief Chapter 'F' deals with uncertain sources and forgeries. Many of the original texts about rovásírás were in Latin, intended not only for a Szekler but a Hungarian and foreign Humanist readership. Already in his preface to the Rudimenta János Baranyai Decsi, a Strasbourg-educated Transylvanian, proudly asserts that the existence of this runic script demonstrates both the ancient origins of the 'Scythian' Hungarians and, with [End Page 745] its thirty-four characters, the richness of their language, as well as its kinship with Hebrew, 'the language of God'. The latter claim intensified foreign interest in the Szekler runic script, mostly from Orientalists and scholars of the so-called 'sacred languages'. Amongst them a special place must be accorded to the Leiden professor Marcus Zuerius van Boxhorn, whose Historia universalis (1652) played a seminal role in providing Western scholars with information about the existence of the Szekler script. It is partly through his work and partly through information provided by a Hungarian diplomat in Brandenburg, Jakab Harsányi Nagy, that a number of Oxford scholars began to show interest in this topic, an interest that culminated in the publication of a table of Szekler runic script in the first volume of George Hickes's Linguarum veterum septentrionalium… (1703–05). (Unfortunately facts about Harsányi Nagy's role — largely thanks to the research of the Oxford scholar William Poole — reached the editors only after the publication of this volume.) It is impossible to give a full account of the rich material assembled in this impressive volume, but let me mention some facts that will be new even to those who have followed recent research...

Use of Signs and Symbols as Technique in Dayo Liadi's Selected Choreographic Creative Works

Contemporary Dance choreography is traceable to the contemporary dance genre in Nigeria and has produced various dance techniques and new sets of dancers. Dayo Liadi is one of the leading dancers/choreographers in the Nigerian dance industry. He uses signs and symbols as a medium of communication to convey significant personal and cultural messages through his choreographic works. However, the audience hardly responds appropriately to the dance presentations and techniques due to their lack of/or knowledge of the dance code in the form of signs and symbols. Hence the need to examine the use of signs and symbols in Dayo Liadi's creative works. This paper adopted the quantitative research method involving participant observation and case study content analysis through previews of selected choreographic films of Dayo Liadi. Major findings revealed that Dayo Liadi uses traditional elements in the application of signs, symbols, movements, space, costumes, props, and music to depict mood and emotion that brings self-fulfilment and self-discovery. The paper recommends that dance practitioners and scholars should replicate the use of signs and symbols as dance techniques to boost understanding and further expansion in the cultural and dance industries in Nigeria.

Exercise adherence Mobile app for Knee Osteoarthritis: protocol for the MappKO randomised controlled trial

BackgroundIn people with knee osteoarthritis (OA), ongoing exercise participation, particularly with strengthening exercises, is central to management. Patient adherence to prescribed exercise typically declines once consultations with a clinician have ceased. Mobile applications (apps) can incorporate behaviour change techniques that may assist adherence, potentially optimising clinical outcomes.MethodsThis is a two-arm, pragmatic, superiority randomised trial. One hundred and eighty two Australians with chronic knee pain (clinical knee OA) and who have at least a mild level of physical dysfunction are being recruited. Participants are randomly allocated i) exercise (physiotherapist-prescribed exercise) or; ii) exercise plus app (physiotherapist-prescribed exercise plus access to the ‘My Exercise Messages’ mobile app). Exercise care comprises two videoconferencing consultations with a physiotherapist over two weeks (30 min each) for a strengthening exercise program, which is then conducted independently at home for 24 weeks without any further physiotherapist consultations. Participants are also provided with exercise resources to facilitate home-based exercise. Those randomised to exercise plus app will download the app after completing the two weeks of physiotherapy consultations and will be instructed by research staff to use the app for the 24 weeks of unsupervised home-based exercises. The app works by tracking completion of weekly exercise sessions, providing regular messages to facilitate weekly exercise and providing personalised messages to help overcome individual barriers to exercise participation. The two primary outcomes are i) self-reported physical function; and ii) number of days strengthening exercises were performed (previous fortnight), with a primary endpoint of 26 weeks and a secondary endpoint of 14 weeks. Secondary outcomes include knee pain severity; knee-related quality of life; global change; exercise program satisfaction; exercise self-efficacy; physical activity; sport and recreation function; another measure of exercise adherence; and willingness to undergo joint replacement. Process measures are also included.DiscussionFindings will determine if a theory-informed mobile app improves exercise adherence and physical function in people with knee OA who have received a home-based strengthening program.Trial RegistrationAustralian New Zealand Clinical Trials Registry, ACTRN12621000724875. Prospectively registered 9/06/2021.

Inferring sleep disturbance from text messages of suicide attempt survivors: A pilot study.

Identifying digital markers of sleep disturbance-a known suicide risk factor-may aid in the detection of imminent suicide risk. This study examined sleep-related communication and texting patterns in personal text messages (N=86,705) of suicide attempt survivors. Twenty-six participants provided dates of past suicide attempts and 2-week periods of positive mood, depressed mood, or suicidal ideation. Linguistic Inquiry Word Count was used to identify sleep-related texts via a custom dictionary. Mixed effect models were fitted to test the association between suicide/mood episode type (e.g., attempt versus ideation) and three outcomes: likelihood of a text including sleep-related content, nightly count of texts sent from midnight to 5:00 AM, and sum of unique hour bins from midnight to 5:00 AM with outgoing texts. Analyses with a sleep dictionary that was manually revised to be more accurate (but not the original unedited dictionary) showed sleep-related communication was more likely during depressed mood episodes than positive mood episodes. Otherwise, there were no significant differences in sleep-related communication or objective texting patterns across episode type. Although we did not detect differences in sleep-related communication tied to suicidal thoughts or behaviors, sleep-related communication may differ as a function of within-person mood level.

Improving cardiac rehabilitation patient adherence via personalized interventions.

ObjectivesDespite documented benefits and physicians’ recommendations to participate in cardiac rehabilitation (CR) programs, the average dropout rate remains between 12–56%. This study’s goal was to demonstrate that using personalized interventions can significantly increase patient adherence.MethodNinety-five patients (ages 18–90) eligible for the CR program were randomly recruited and received personalized interventions using the Well-Beat system. Adherence levels were compared to those of a historical control group. The Well-Beat system provided Sheba CR Health Care Provider (HCP) guidelines for personalized patient-therapist dialogue. The system also generated ongoing personalized text messages for each patient sent twice a week and related each patient’s dynamic profile to their daily behavior, creating continuity, and reinforcing the desired behavior.ResultsA significant increase in patient adherence to the CR program: Three months after initiation, 76% remained active compared to the historical average of 24% in the matched control group (log-rank p-value = 0.001).ConclusionsUsing an Artificial Intelligence (AI)-based engine that generated recommendations and messages made it possible to improve patient adherence without increasing HCP load, benefiting all. Presenting customized patient insights to the HCP and generating personalized communications along with action motivating text messages can also be useful for remote care.

The role of personality traits and engagement factors towards the use of paid stickers in personal communication messages

Background: The research investigated the personality traits and engagement factors that influence the use of paid stickers in personal communication. The study was driven by the increasing significance of stickers such as emoticons and emojis in online dialogues. The study was hinged on the Theory of the big five personality traits; neuroticism, extraversion, openness to experience, agreeableness and conscientiousness. The study tested seven hypotheses to ascertain the effect of personality traits and engagement factors towards the utilization of paid stickers in personal communication. Methods: The research applied the quantitative survey research design, where primary data was collected from respondents that had experience in using emojis and emoticons in their communications. The data was collected from respondents in Bangkok, Thailand using a structured questionnaire between May 14, 2022, and May 31, 2022. Results: The results from 391 respondents indicated that conscientiousness, extraversion, openness, and neuroticism influence perceived enjoyment, while perceived enjoyment and perceived ease of use have a significant and positive influence on the intention to use paid stickers. Two elements of engagement, interactive engagement, and personal engagement were used to assess the influence of engagement parameters on the behavioral intention to use paid stickers. The intention to employ paid stickers in personal messages was found to be strongly and favorably influenced by these two engagement characteristics. Conclusions: The study recommends that the creators of stickers, emoticons, and emojis should consider user personality features, sticker engagement, sticker simplicity of use, and the personal delight of users in the creative and communication process. The study concludes that perceived enjoyment and perceived ease of use have a large and favorable impact on the use of paid stickers. The study's main limitation was that it focused on one area of social media. This must be taken into account when applying the findings.

Personalized Texts Can Boost Receipt of Second Influenza Shot for Young Children.

Vaccinating young children against influenza is a public health priority in the United States. Young children, particularly those under the age of 2, are at higher risk of experiencing serious complications if not vaccinated and could transmit the infection to other high-risk populations.1,2 The Advisory Committee on Immunization Practices currently recommends that children get 2 doses of the vaccine 4 weeks apart if they are aged 6 months to 8 years of age and are receiving the influenza vaccine for the first time or only received 1 dose previously.3 Receiving 2 doses of the influenza vaccine may provide nearly 50% greater odds of reducing the likelihood of infection than if only 1 dose is received;4 however, many young children do not receive the recommended second dose,5,6 leaving them and the greater public at increased risk of infection.Finding ways to effectively communicate these recommendations to caregivers of young children is necessary to improve adherence. Reaching caregivers through in-person patient–provider communication or mass media campaigns has potential, but these communication methods require that caregivers be present, available, and willing to receive the message when it is delivered. Instead, sending personalized educational text messages about second-dose vaccination directly to caregivers’ cell phones may better ensure that the message is received, and then, if the recipient does not delete the message, allows for them to come back to the information later at their time and convenience.In this issue of Pediatrics, Stockwell et al7 present results from the Flu2Text randomized control trial that included a diverse sample of patients from pediatric practices across the United States, with a mix of census regions, urbanicity, and patient demographics (eg, race/ethnicity, insurance provider status) represented. Over 2 influenza seasons (2017 to 2018 and 2018 to 2019), caregivers of young children from 1 of 50 pediatrics primary care practices enrolled in the study were randomly assigned to either receive 5 text messages about second-dose vaccination for their young children (ie, intervention group) or were not sent any text messages (ie, usual care/control group). The authors found that the young children whose caregivers received the text messages were significantly more likely to receive a second dose of the influenza vaccine for both seasons and at both time points measured, after the last text message was sent (day 42 after the first dose) and by the influenza season end.The successful results from this study should, however, not be misinterpreted to indicate that all it takes are a few simple text message reminders to get caregivers to bring their children back in for a second dose of the influenza vaccine. The text messages sent in this study were personalized to the individual recipient, allowed for interactivity, and included educational information about vaccination. Messages included personal information such as the child’s name, sex, and practice location. They were delivered in either English or Spanish based on the caregiver’s preferred language. One message also allowed recipients to request additional information about influenza vaccination.Although the authors did not test the effectiveness of sending simple text message reminders versus personalized educational text messages, some research suggests that messages using personalization can improve receipt of health information if the messages are perceived as personalized.8,9 Pediatricians and health practitioners who wish to implement similar practices with their own patients must, therefore, ensure they have the resources and information to personalize messages and are available to respond to any patients who reach out for additional information.It is also important to note that caregivers in the current study were motivated caregivers who already brought their young children in to receive the first dose of the influenza vaccine and were not vaccine-hesitant, indicating that significant effects of sending personalized educational text messages may only be observed among patients who already indicate interest and willingness to engage with flu vaccination for their young children. Other potential limitations of this approach may be related to social determinants of health, such as caregivers having access to a cell phone to receive text messages and access to transportation and time off from work to get their children vaccinated. Nevertheless, the results from this nationwide study provide a promising intervention for improving influenza vaccination among young children using a low-cost, accessible tool such as personalized text messages, something many pediatric practices can employ.

The role of personality traits and engagement factors towards the use of paid stickers in personal communication messages.

Background: The research investigated the personality traits and engagement factors that influence the use of paid stickers in personal communication. The study was driven by the increasing significance of stickers such as emoticons and emojis in online dialogues. The study was hinged on the Theory of the big five personality traits; neuroticism, extraversion, openness to experience, agreeableness and conscientiousness. The study tested seven hypotheses to ascertain the effect of personality traits and engagement factors towards the utilization of paid stickers in personal communication. Methods: The research applied the quantitative survey research design, where primary data was collected from respondents that had experience in using emojis and emoticons in their communications. The data was collected from respondents in Bangkok, Thailand using a structured questionnaire between May 14, 2022, and May 31, 2022. Results: The results from 391 respondents indicated that conscientiousness, extraversion, openness, and neuroticism influence perceived enjoyment, while perceived enjoyment and perceived ease of use have a significant and positive influence on the intention to use paid stickers. Two elements of engagement, interactive engagement, and personal engagement were used to assess the influence of engagement parameters on the behavioral intention to use paid stickers. The intention to employ paid stickers in personal messages was found to be strongly and favorably influenced by these two engagement characteristics. Conclusions: The study recommends that the creators of stickers, emoticons, and emojis should consider user personality features, sticker engagement, sticker simplicity of use, and the personal delight of users in the creative and communication process. The study concludes thatperceived enjoyment and perceivedease of use have a large and favorable impact on the use of paid stickers. The study's main limitation was that it focused on one area of social media. This must be taken into account when applying the findings.

Development and preliminary effectiveness of a smartphone-based, just-in-time adaptive intervention for adults with alcohol misuse who are experiencing homelessness.

Adults experiencing homelessness have much higher rates of alcohol misuse than housed individuals. This study describes the development and preliminary effectiveness of a smartphone-based, just-in-time adaptive intervention (JITAI) to reduce alcohol use among adults experiencing homelessness. We conducted a pilot trial (N= 41; mean age [SD]=45.2 [11.5]; 19.5% women) of the Smart-T Alcohol JITAI where participants completed brief ecological momentary assessments (EMAs) each day, received personalized treatment messages following each EMA, and accessed on-demand intervention content for 4 weeks. The prediction algorithm and treatment messages were developed based on an independent but similar sample as part of the trial. We examined three drinking outcomes: daily drinking (yes/no), drinks per day, and heavy episodic drinking, controlling for scores on the Alcohol Use Disorders Identification Test (AUDIT) at baseline, age, and sex using quadratic growth curve models. Over the 4-week period, participants showed a decline in all alcohol use outcomes. Participants also reported high levels of satisfaction with the JITAI. Use of the Smart-T Alcohol JITAI was well received and provided encouraging evidence that it may reduce any drinking, drinks per day, and heavy episodic drinking among adults experiencing homelessness.

PERSONAL BRANDING TRAVEL BLOGGER MELALUI MEDIA SOSIAL INSTAGRAM (Analisis Isi Pesan pada akun @her_journeys)

The development of communication technology, especially in the use of new media affects various aspects of communication and the development of ways of communicating. The use of new media, namely social media, is used by individuals to form personal branding. Personal branding is a process that uses the values, characteristics, and advantages of individuals to make themselves different and highlight their qualities from others. The focus of this research is to identify and analyze the content of personal branding messages, especially personal branding elements and personal branding laws proposed by (Montoya & Vandehey, 2002) which appear in posts through Anggey Anggraini's Instagram Travel Blogger social media account @her_journeys. Therefore, this research uses quantitative content analysis method. The sampling technique used purposive sampling to determine the period of content being analyzed based on two units of analysis, namely photos and captions. The results of the study indicate that the characteristics based on personal branding elements are time and repetition, while based on personal branding laws, stand out in the sub categories of personality, distinctiveness, unity, persistence, and goodwill.

Patient Sense of Belonging in the Veterans Health Administration: A Qualitative Study of Appointment Attendance and Patient Engagement.

Health care systems have increasingly focused on patient engagement in efforts to improve patient-centered care. Appointment attendance is an integral component of patient engagement, and missed appointments are an ongoing problem for health care systems. Virtually no studies have examined how the sense of belonging is related to patient engagement within a health care system. To examine patient experiences in the Veterans Health Administration (VA) with outpatient appointment attendance to identify factors that affect sense of belonging and patient engagement. This study draws from qualitative data collected as part of a study to reduce missed appointments through use of enhanced appointment reminder letters. We conducted semistructured interviews with 27 VA patients with primary care or mental health clinic visits, using deductive and inductive analysis to develop themes. More than half of the participants were Vietnam veterans, 24 were over 40 years old, 21 were White, and 18 were men. We identified 3 factors that influence sense of belonging within the VA: (1) feelings of camaraderie and commitment toward other veterans were relevant to patient experience in the VA; (2) interactions with all staff influenced the engagement a patient felt with a particular clinic, care team, and the VA; (3) personalized communication and messaging could humanize the VA and demonstrate its interest in engaging with veterans. Lastly, we found (4) sense of belonging appeared to promote appointment attendance and patient engagement. There are multiple opportunities to strengthen patients' sense of belonging within the health care system that serves them. For veterans, strategies that build their sense of belonging may be a novel approach to increase appointment attendance and patient engagement in their health care.

Reducing Anxiety Through Workplace Communication During COVID-19: Who, What, When, and How

Organizational communication is particularly important during times of uncertainty and turmoil, such as the first few weeks of COVID-19 in the United States. This paper explores the who, what, when, and how of organizational communication during this time, looking at how these factors affected satisfaction with communication and anxiety among a sample of working adults. Through path analysis the paper suggests that having the direct manager communicate, communicating personal messages of support, communicating daily, and communicating via text media are related to higher levels of satisfaction with communication, and in turn with lower levels of anxiety. Individual traits of the employee are also discussed, including the need for affiliation as a moderator on the relationship between communication satisfaction and anxiety. Finally, suggestions are presented regarding how organizations can best leverage communication in novel and uncertain situations such as the COVID-19 pandemic.

A look into 2021 phones: A quantitative survey research study on user phone customization

Aim: The three research objectives for this paper are to examine how users are customizing their phones and which features they use the most and provide suggestions for phone companies to customize users’ phones based on gender and age beforehand. The research aims to give more quantitative feedback and further study user phone customization.Methodology: An online survey, distributed personally and publically through personal messages, was used to gather data on the user’s details and screenshots of their lock screens and home screens.Findings: First, users customize eight categories: wallpaper, icons, widgets, for organization, group, menu bar, launcher, and all of the above to create an aesthetic. Every user has customized their wallpaper, and most prefer graphic-drawing images. Next, 63.75% use organizational features (like filling up the screen, keeping it plain, arranging the content to see the background, using negative space, and creating patterns with the elements), 61.25% use widgets, and 57.50% use groups. The research also found a difference in customization between males and females (men use more basic features while women know more advanced ones) and between diverse age groups (ages 37+ are more beginners while ages 24 below like customizing their phones more uniquely).Implications/Novel Contribution: It is one of the first research and focuses on observing how users have customized their phones to fit their needs. The data gathered can be used by others to implement more user-centered customization features. The study gives quantitative data on how users are customizing their phones, then possible gaps were examined, and finally, a list of features was recommended to give fresher and user-tailored ideas for phone companies hopefully. The user must be considered at the start of a product’s initialization to provide useful solutions.

The Effects of Personalized Text Messages on Diet Quality and Anthropometric Markers in College Students – A Protocol for a 12-Week Randomized Control Pilot Study

ObjectivesConsumption of highly processed foods and beverages, and inadequate fruit and vegetable intake is common among college students. These low diet quality eating patterns may predispose students to excess weight gain, metabolic derangements, and risk for chronic health conditions later in life. It is currently unknown if personalized text messages can improve eating patterns in this population. The objective of the present study is to examine the effects of personalized text messages on diet quality and anthropometric markers in college students attending a public Midwestern university.MethodsA 12-week randomized, two-arm, parallel design pilot study will examine the effects of personalized text messages (INV) compared to generic text messages (CON) on diet quality and anthropometric markers. Recruitment will be delimited to healthy (i.e., no diagnosis of chronic health conditions), undergraduate students ≥18 years old with normal weight, overweight, or obesity, and a low diet quality score (assessed during the initial screening survey). Students without access to a text-capable mobile phone and those who engage in >420 minutes of physical activity per week will be excluded. One-way short message service (SMS) will be utilized, and text messages will be sent between 7 AM – 7 PM according to a pre-determined schedule (i.e., each participant will receive seven text messages per week during weeks 1–8 and five text messages per week during weeks 9–12). Thirteen areas of focus with five distinct text messages per area were created for the INV group using a validated diet quality screener. Text messages were reviewed by two dietitians and were further refined based on feedback from four virtual focus groups (n = 13 graduate nutrition and/or health majors attending U.S. universities). General, non-nutrition text messages (e.g., handwashing) will be utilized for the CON group, and each area of focus will consist of five distinct text messages.ResultsStudy approval has been granted by the University's Institutional Review Board. Recruitment activities have commenced, and data collection is ongoing.ConclusionsFindings will inform the development of effective and sustainable mobile health initiatives for college students.Funding SourcesBall State University.

English as a Status Marker on Facebook:

Nowadays, Facebook seems to have become a platform for people to show off their statuses (social, economic, educational, etc.) to the extent that their choice of language here can be linked to a status symbol. This study specifically examines the reasons and different ways Bangladeshi university students use English on Facebook to achieve status. Data were collected through observations of Facebook posts, a survey of 117 university students, and a semi-structured interview of 10 undergraduate students. The study found that most of the participants preferring English for Facebook posts and comments feel more educated, impressive, and prestigious. However, most participants agreed to preferring Bangla for personal messages. Interestingly, English is found to be preferred when writing to someone respectful in a formal context. Even participants with a weaker command of English were found to be using the language on Facebook without being bothered about linguistic accuracy. The study also found that all participants used code switching and code mixing between English and Bangla languages. These findings imply that English is mostly used by these university students to exhibit their high education status and language identities in public on Facebook.