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Table 2 Example text messages and scoring for text message inclusion, exclusion, replacement and editing

From: Striking the right balance: co-designing the Health4Me healthy lifestyle digital health intervention with adolescents

 

Original message

Scores

Comments

Edited message

Edited

Hey you, yes you! Reminding you to take a break from the screens—your eyes need a rest. How about 15 min outside to get some fresh air too!

Pa: 15/15 for understanding, 15/15 for usefulness

Ab: 14/15 for understanding, 13/15 for usefulness

A1: The start bit is a little cringey

A2: Good message

Hi [pref_name], reminding you to take a break from the screens—your eyes need a rest. How about 15 min outside to get some fresh air too!

Edited

We understand its really tough to manage your time when all of your assessments are due at the same time! It can be rough. Hang in there [pref_name]. You're doing great!

P: 12/15 for understanding, < 12/15 for usefulness

A: 15/15 for understanding, 14/15 for usefulness

P: A link to time-management or study skills resources could be helpful

A: Maybe provide some solution to this issue? I know this is a source of stress for a lot of students, myself included

We understand its really tough to manage your time when all of your assessments are due at the same time! It can be rough. Hang in there [pref_name]. You're doing great! Learn some tips here: https://au.reachout.com/articles/how-to-manage-your-time

Included

We can help the environment and improve our health at the same time! A win–win, text back if you have done any of the following this week: (a) used a reusable water bottle; (b) ate less processed foods; (c) used reusable food containers, or (d) all of the above!

P: 14/15 for understanding, 15/15 for usefulness

A: 14/15 for understanding, 14/15 for usefulness

P: Great, loved this message! Can help the participant feel good about themselves if they have managed to do some of the options listed:

A: can provide opportunity for interaction for those who havent done the options

No change

Included

Complimenting your friends or family members on an aspect of their personality or behaviour, rather than on their appearance can brighten their mood—it can also make you happier knowing you made someone smile!

P: 15/15 for understanding, 15/15 for usefulness

A: 14/15 for understanding, 15/15 for usefulness

P: love it

No change

Excluded

What if soy milk is just regular milk introducing itself in Spanish? Hola! Soooy funny. Soy milk isn't Spanish. It’s made from soybeans, which are naturally low in calcium. If you drink soy milk, make sure to grab one with extra calcium added in so you can build strong bones!

P: < 12/15 for understanding, 14/15 for usefulness

A: < 12/15 for understanding, < 12/15 for usefulness

P: I love this

Deleted

Excluded

I hear bouldering's really popular nowadays—why not try it at a rock climbing centre and see if you like it, [pref_name]?

P: 14/15 for understanding, 13/15 for usefulness

A: A: < 12/15 for understanding, < 12/15 for usefulness

A: Why bouldering? Is there an actual purpose to why you said that? Why not something more approachable for a beginner—because bouldering is not

Deleted

Replaced

Leafy greens like spinach are packed with protein, so they’re great for building muscles. How about in a blue smoothie? Just blend 1 cup frozen blueberries + 1 cup milk + 1 tsp honey + 2 cups of baby spinach (you won't taste it!)—[centre_name]

3/6 voted not appropriate for 12–14-year-olds

N/A

Replaced in 12–14 years old message stream with message below

Replaced

Did you know elephants and gorillas are some of the strongest animals on the planet and are also herbivores? Remember to keep greens in your diet to stay strong!

2/6 voted not appropriate for 17–18-year-olds

1/6 voted not appropriate for 15–16-year-olds

N/A

Replaced in 15–18 years old message stream with message above

  1. aProfessional reviewer
  2. bAdolescent reviewer