Testing the Effectiveness of Behavioral Text Messages to Promote Attendance at HMRE Sessions

Mathematica Policy Research

Status: Completed

Conditions: Marriage; Family Relations

Treatments: Behavioral: Behavioral Text Messages

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT02787460

MPR-500098-UF

Details and patient eligibility

About

The University of Florida offers relationship education programs named ELEVATE, for couples, and Smart Steps, for couples in stepfamilies, in Citrus, Duval, Manatee, Palm Beach, and Santa Rosa counties. Each workshop comprises 4 2.5-hour long sessions. The STREAMS evaluation will examine whether text messages informed by behavioral insight theory can improve couples' attendance at relationship skills education group sessions, and if so, which kinds of messages are most effective

Full description

The University of Florida operates the SMART program, which will offer four relationship education programs, each targeting a different population: (1) Relationship Smarts PLUS, for high school youth; (2) Before You Tie the Knot, for couples interested in marriage; (3) ELEVATE, for couples, and (4) Smart Steps, for couples in stepfamilies. All programming is offered through the University of Florida's IFAS Extension service in Citrus, Duval, Manatee, Palm Beach, and Santa Rosa counties.

The STREAMS evaluation will test text messaging strategies with couples enrolled in ELEVATE and Smart Steps. It will examine whether text messages informed by behavioral insight theory can improve couples' attendance at relationship skills education group sessions, and if so, which kinds of messages are most effective. ACF staff have noted that among the most common technical assistance requests from HMRE grantees are help with improving participation. Even if relationship skills sessions are offered in a convenient location where adults receive other services and even if programs offer transportation, child care and other assistance to facilitate regular program attendance, achieving consistent participation in these voluntary programs can be challenging. The University of Florida study will help address these challenges by examining whether text messages based on behavioral theories can work as a simple, practical strategy for improving program participation in group sessions. More broadly, the site will also add to the large and growing effort across the federal government to study the use of behavioral interventions or "nudges" to improve social programs.

Enrollment: 1,904 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Couple
• Both partners consent to receive text messages

Exclusion criteria

• Single Adults
• Either Partner or both do not consent to receive text messages

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

1,904 participants in 2 patient groups

Behavioral Text Messages

Experimental group

Description:

Couples assigned to a treatment group will receive weekly behavioral theory-based messages encouraging them to attend the sessions.

Treatment:

Behavioral: Behavioral Text Messages

Simple Reminder Text Messages

No Intervention group

Description:

Couples in the control group will receive "simple" reminder text messages that include the date, time, and location of their next group session