Involving service users in intervention design: a participatory approach to developing a text-messaging intervention to reduce repetition of self-harm.

摘要: OBJECTIVE To engage a group of people with relevant lived experience in the development text-messaging intervention to reduce repetition self-harm. BACKGROUND Contact-based interventions, such as follow-up letters, postcards and telephone calls, have shown potential self-harm those who present at Accident Emergency departments. Text messaging offers low-cost alternative that has not been tested. We set out develop text-based intervention. The process is rarely reported little known about impact service user involvement on design. METHOD held series six participatory workshops invited users clinicians help us work how get right message person time, simulate test prototypes an RESULTS Service rejected both idea generic, 'one size fits all' approach 'audience segmentation', maintaining text messages could be safe effective only if individualized. This led abandon our original thinking way supporting individuals author their own self-efficacy store them personal bank for withdrawal times crisis. CONCLUSIONS paper highlights challenge involving consumers stage. Working requires openness, flexibility readiness or radically revise initial plans, may unexpected consequences