Randomised controlled pilot trial of the EndoSMS supportive text message intervention for individuals with endometriosis: Feasibility and acceptability results

Kerry A Sherman*, Melissa J Pehlivan, Chantelle Pereira, Alex Hawkey, Anna C Singleton, Julie Redfern, Mike Armour, Tanya Duckworth, Donna Ciccia, Blake Dear, Michael Cooper

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

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Abstract

OBJECTIVE: Diminished quality of life, inadequate support and social isolation are commonly experienced by individuals living with the chronic pain condition, endometriosis. We aimed to determine the feasibility and acceptability of EndoSMS, a psychologically-focused text message intervention designed to support individuals living with endometriosis.

METHODS: As part of a two-arm parallel pilot randomised controlled trial with waitlist control, the feasibility and acceptability of a brief (3-month) version of EndoSMS was assessed using a mixed methods approach. Feasibility data (uptake, attrition, text message delivery analytics) and user acceptability (via self-report survey items and written feedback) were assessed. Qualitative data were thematically analysed using the template approach. Primary trial outcomes are not reported in this paper.

RESULTS: Feasibility was indicated by: high conversion rate (99.1 %), low attrition (14.2 %), few opt-outs (0.02 %) and a high message delivery rate (99.8 %). Most intervention participants indicated user acceptability (mean = 4.02/5) across self-report questions. Most rated the length of the program (65.5 %), and the number (80.9 %) and language (94.5 %) of the text messages to be 'just right'. Thematic analysis created four themes: A shared "battle": Feeling less isolated and alone; "Be kind to yourself": A focus on self-care, self-compassion and active coping; Keeping endometriosis at the forefront: Helpful or stressful?; Mixed perceptions surrounding the provision of general endometriosis information; and, Tailoring of text messages.

CONCLUSION: EndoSMS supportive text message program was feasible and acceptable for individuals with endometriosis. Future developments of the program should consider greater tailoring of content to user needs.

TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ACTRN12621001642875).

Original languageEnglish
Article number111929
Pages (from-to)1-9
Number of pages9
JournalJournal of Psychosomatic Research
Volume187
Early online date12 Sept 2024
DOIs
Publication statusPublished - Dec 2024

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