Development of an Ecological Momentary Assessment-Triggered Text Message Library for Peripheral Artery Disease

Mihui Kim, Yesol Kim, Mona Choi

Research output: Contribution to journalArticlepeer-review


This study developed an ecological momentary assessment (EMA)-triggered text message library based on the behavior change wheel framework to encourage exercise engagement in patients with peripheral artery disease (PAD). This study was conducted in three steps. In Step 1, semi-structured interviews were conducted with 15 patients with PAD. Their accounts of their exercise experiences revealed six barriers and three facilitators through thematic analysis. In Step 2, based on the findings from the prior step, the EMA survey was developed; its items included barriers to exercise, PAD-related leg symptoms, and general conditions. In Step 3, intervention functions to overcome exercise barriers were mapped, and 120 text messages were generated. Responses to the exercise barriers in the EMA survey triggered the automatic text messages. Additional studies are needed to examine the end-user acceptability of the text message library and the effectiveness of EMA-triggered text message interventions.

Original languageEnglish
JournalWestern Journal of Nursing Research
Publication statusAccepted/In press - 2023

Bibliographical note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2019R1A2C1007185) and the Brain Korea 21 FOUR Project funded by the National Research Foundation (NRF) of Korea, Yonsei University College of Nursing.

Publisher Copyright:
© The Author(s) 2023.

All Science Journal Classification (ASJC) codes

  • Nursing(all)


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