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Table 2 Behaviour change techniques used in the SMS text-messaging intervention

From: Using the Medical Research Council framework for development and evaluation of complex interventions in a low resource setting to develop a theory-based treatment support intervention delivered via SMS text message to improve blood pressure control

Behaviour change technique clustera

Text message contentb

Type of messagec

Repetition and substitution

 Habit formation

Taking your medicine at the same time every day can help you remember to take your pills regularly.

Weekly

 Behaviour substitution

Please remember, if you can’t make your MEDICINES TIME&DATE, send someone you trust to pick-up your pills. We need your clinic card and their identification document.

Weekly

 Behavioural rehearsal/practice

Planning ahead (counting out tomorrow’s pills today) can help you remember to take your pills.

Weekly

 Generalization of a target behaviour

Your good health is important. Please try to do more exercise. Activities that make you sweat or your heart beat faster are good for you.

Weekly

Natural consequences

 Health consequences

Please tell us (DR&PHARMACY) if you think your high blood pills are making you feel unwell. Ask us about common side effects of your pills.

Weekly

 Salience of consequences

Please don’t give yours meds to people who are not prescribed them. Giving other people pills can endanger their health. Ask them to please come to the clinic.

Weekly

 Anticipated regret

Did you know untreated high blood (when you don’t take your pills) puts you at risk for heart disease? Please take your pills as directed.

Weekly

Goals and planning

 Action planning

Ask someone you trust to help you remember to take your medicine as directed.

Weekly

 Problem solving

Please remember to come back to clinic if you run out of medicine before your next date. You can come even if it is not your date.

Weekly

 Commitment

Please remember your high blood is with you always. Work with [CLINIC NAME] to stay healthy. Keep your clinic dates & take your medicine as directed.

Weekly

 Goal setting (outcome)

Please remember your next MEDICINE PICK-UP DATE is on [DAY][DD/MM/YY] at [00:00].

48 h prior to scheduled appointment

 Behavioural contract

Please remember your high blood can’t be cured. To keep healthy Please keep on with your pills, come on your booked clinic dates, exercise & eat healthy food

Weekly

 Review of behaviour goals

Thanks for picking up your meds. Keeping on your pills & attending on your correct dates helps us serve you better.

48 h post scheduled appointment

Social support

 Practical

Please be sure to tell the PHARMACY if you need to go away. We will give you a letter & extra pills so you won’t run out.

Weekly

 General

Work with us to stay healthy. Learn about your condition & how to manage it. For more info ask us.

Weekly

 Emotional

You are an important member of your community. Please keep trying with a healthy lifestyle. Please try to do more exercise.

Weekly

  1. aMichie et al. [14]
  2. bAll text messages were signed off by a named health care provider
  3. cParticipants received one message per week, either a reminder to attend an up-coming appointment (48-h prior to scheduled appointment) or a message selected-at-random from the message library. Participants selected the time of day at which the message was sent, at trial recruitment