Sleep

Applying Virtual Community Engagement Studio to Inform a Dyadic Text Message Intervention for Diet, Physical Activity, and Sleep After Cancer.

TL;DR

A Virtual Community Engagement Studio (V-CES) model was used to develop and refine SMS health promotion messages for cancer survivors and caregivers, with stakeholders finding SMS accessible and appropriate and providing actionable feedback on content and delivery.

Key Findings

SMS as a health promotion intervention strategy in the context of cancer survivorship was viewed as accessible and appropriate by community expert stakeholders.

  • Nine stakeholders representative of the Southern Arizona cancer care community participated in the V-CES sessions
  • Stakeholder groups included survivors, caregivers, healthcare providers, and community health workers
  • Sessions were conducted in both English and Spanish
  • Feedback was solicited on 180 previously developed SMS messages related to dietary quality, physical activity, and sleep hygiene

Stakeholders provided actionable feedback recommending specific content and stylistic features for SMS health promotion messages.

  • Recommended using positive affirmations in message content
  • Recommended incorporating motivational strategies
  • Recommended using relatable language
  • Recommended emphasizing evidence-based information in the messages

Stakeholders provided specific recommendations for SMS delivery timing and frequency for survivor-caregiver dyads.

  • Stakeholders recommended that two SMS be sent daily to dyads
  • Recommended delivery window was between 8:00 am and 7:00 pm
  • Messages should be sent at times relevant to each specific health behavior (diet, physical activity, or sleep)

Spanish language SMS messages require special consideration of regional context during translation.

  • Stakeholders specifically identified that Spanish-language SMS should consider regional context during translation
  • The study was conducted in the Southern Arizona cancer care community, which has a Spanish-speaking population
  • Both English and Spanish V-CES sessions were conducted to capture language-specific feedback
  • This finding suggests that direct translation without cultural and regional adaptation may be insufficient

The V-CES model was identified as an innovative approach for developing and refining dyadic health behavior interventions.

  • The V-CES model was used to engage community expert stakeholders in reviewing 180 SMS messages
  • The approach generated actionable feedback applicable to both content and delivery of the intervention
  • Future research will test the refined SMS for feasibility and acceptability among survivor-caregiver dyads
  • Authors conclude the model 'may be beneficial for future research to engage communities'

What This Means

This research describes how scientists used a method called a Virtual Community Engagement Studio (V-CES) to get feedback on text message-based health programs designed for people with cancer and their caregivers. A group of nine community members — including cancer survivors, caregivers, healthcare providers, and community health workers from Southern Arizona — reviewed 180 text messages about healthy eating, physical activity, and sleep. Sessions were held in both English and Spanish to make the process inclusive. The community members found text messaging to be a practical and fitting way to support health after cancer, and they gave specific suggestions to make the messages more effective. The stakeholders recommended that messages use encouraging, positive language, incorporate motivational content, be written in relatable terms, and highlight evidence-based information. They also suggested sending two text messages per day, between 8:00 am and 7:00 pm, timed to match the behavior being promoted (for example, sleep-related messages sent in the evening). For Spanish-language messages, stakeholders emphasized that translation needs to account for regional language differences, not just direct word-for-word translation. This research suggests that involving community members early in the design of health interventions — particularly those targeting underserved or diverse populations — can lead to more relevant and practical programs. The V-CES approach allowed researchers to refine a text message intervention before testing it more formally, potentially saving time and improving the chances that the program will be accepted and used by cancer survivors and their caregivers. Future studies will test whether the revised messages are feasible and acceptable in real-world settings.

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Citation

Skiba M, Nelson M, Badger T, Chriswell A, Recio-Boiles A, Segrin C, et al.. (2026). Applying Virtual Community Engagement Studio to Inform a Dyadic Text Message Intervention for Diet, Physical Activity, and Sleep After Cancer.. Cancer control : journal of the Moffitt Cancer Center. https://doi.org/10.1177/10732748261424956