![]() Results: A total of 6 CAB participants rated SMS text messages covering 9 domain areas of fatigue self-management with good clarity (mean ratings=3.5-5.0 out of 5) and relevance (mean ratings=3.2-5.0 out of 5). The study was conducted using a 4-step process: development of the initial SMS text messaging library and categorization of the content into 9 content areas, review and modification of the SMS text messages by the neurologist and CAB, integration of the content library into a digital platform, and utility testing by CAB members. Methods: We used evidence-based resources and input from a consumer advisory board (CAB composed of 2 participants from each of the 3 disability groups) and a neurologist to develop the intervention. Objective: This study aimed to develop and test a mobile phone–based fatigue self-management SMS text messaging intervention targeting patient activation in 3 groups of persons with disabilities: persons with multiple sclerosis, persons who had a stroke, and persons with a spinal cord injury. Little has been done to link mobile health approaches with patient activation and self-management to address fatigue in persons with disabilities. SMS text messaging is increasingly being used to implement health behavior change interventions in a person’s natural environment. However, satisfaction with self-management programs is low for persons with disabilities, and tailoring interventions to personalized needs has been recommended. Self-management programs have shown promising effects in targeting fatigue in persons with disabilities. One way to address fatigue is to increase knowledge, skills, and confidence for self-management (ie, patient activation). Fatigue management can be challenging, and the information provided during routine physician visits to manage fatigue can be overwhelming.
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