![]() ![]() Globally, the 5-year survival rates for early stage breast cancer in high-income countries vary between 80% and 90%. However, further research is needed to evaluate barriers and enablers to adoption and implementation for health professionals and strategies for long-term maintenance. The program had high fidelity, low cost, and required minimal staff oversight, which may facilitate future implementation. ![]() ![]() Postintervention adaptations included adding weblinks and participant-selected customizations.Ĭonclusions: EMPOWER-SMS COVID-19 was implemented quickly, had a broad reach, and had high engagement and acceptability among socioeconomically diverse participants. No adaptations were made during the intervention period. With regard to implementation/maintenance, SMS text messages were delivered as planned (97.43% of SMS text messages were successfully delivered) with minimal opt-outs (62/838, 7.4%) and low cost (Aus $15.40/participant Aus $1=US $0.67). Concerning adoption, 50% (18/36) of organizations/health professionals agreed to promote the program. Free-text responses revealed 5 factors influencing engagement: (1) feeling supported and less alone, (2) motivation and reassurance for health self-management, (3) the variety of information, (4) weblinks to information and resources, and (5) the option to save the SMS text messages. Among participants who provided feedback (449/841, 53.4%), most “(strongly) agreed” the SMS text messages were easy to understand (445/448, 99.3%), useful (373/440, 84.8%), helped participants feel supported (388/448, 86.6%), and motivated participants to be physically active (312/445, 70.1%) and eat healthier (313/457, 68.5%). None of the replies contained urgent safety concerns. The most common replies were participants stating how they heard about the program (467/852, 54.8%) or “thank you” (131/852, 15.4%). In terms of effectiveness, 852 replies were received from 511 unique participants (median 1 range 1-26). According to the data collected, most participants identified as female (837/840, 99.6%) and White (736/840, 87.6%) and nearly half (418/841, 49.7%) finished treatment ≤18 months ago. Participants had a mean age of 58.8 (SD 9.8 range 30-87) years. Results: With regard to the reach/representativeness of the program, 841/1340 (62.8%) participants enrolled and provided electronic consent. Quantitative data were summarized using means and SDs or frequencies and percentages, while qualitative data were analyzed thematically. The study evaluated the following aspects: (1) reach/representativeness, which refers to the proportion of participant enrollment (ie, number enrolled/number that visited the study website) and demographics (eg, age, sex, ethnicity, time since completing treatment, Index of Relative Socio-economic Advantage and Disadvantage [IRSAD quintile 1, which refers to most disadvantaged areas, to quintile 5, which refers to least disadvantaged areas, and remoteness) (2) effectiveness, in which participant engagement and acceptability were evaluated using SMS text message reply data and a feedback survey (5-point Likert scale and free-text responses) (3) adoption, which corresponds to the proportion of organizations or health professionals who agreed to promote the program (4) implementation fidelity and maintenance, which evaluated SMS text message delivery data, opt-outs, costs, and adaptations. Methods: A mixed methods pre-post study was conducted to evaluate the EMPOWER-SMS COVID-19 program. Objective: This study aims to evaluate the reach (uptake) of an adapted 3-month lifestyle-focused SMS text message program (EMPOWER-SMS COVID-19) and barriers and enablers to implementation using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. In a randomized controlled trial, our team’s lifestyle-focused, evidence-based SMS text message support program (EMPOWER-SMS COVID-19) was found to be acceptable and useful for breast cancer survivors, and it was ready for rapid widespread delivery. Online Journal of Public Health InformaticsĮngagement and Co-Design Research Hub, School of Health SciencesĮmail: COVID-19 lockdowns caused widespread closures of supportive care services for breast cancer survivors in Australia.Asian/Pacific Island Nursing Journal 11 articles.JMIR Bioinformatics and Biotechnology 35 articles.JMIR Biomedical Engineering 69 articles.Journal of Participatory Medicine 80 articles.JMIR Perioperative Medicine 91 articles.JMIR Rehabilitation and Assistive Technologies 206 articles.JMIR Pediatrics and Parenting 287 articles.Interactive Journal of Medical Research 315 articles.JMIR Public Health and Surveillance 1176 articles.Journal of Medical Internet Research 7628 articles.
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