Applying Innovative Methods to Develop Health Education Text Messages in Cancer Survivorship

Dietary quality, physical activity, and sleep hygiene are interrelated behaviors that have been associated with health outcomes among cancer survivors and caregivers. The purpose of this study was to develop health promotion short message service (SMS) content related to these three behaviors using generative artificial intelligence (AI) as part of a health promotion intervention development process. Generative AI was first used to develop English-language SMS drafts for each of the three health behaviors using ChatGPT 3.5 (OpenAI, 2023). SMS drafts were then refined by humans to produce usable messages and approved by content experts. Each SMS was translated to Spanish by a native bilingual/bicultural speaker, with assistance from an AI translator (IXL Learning, 2023). This work demonstrated that AI can be an effective tool for generating new health education SMS content; however, expert human review and revision are critical for ensuring both the accuracy of content and appropriateness of language. Lessons learned and recommendations for incorporating GenAI into future SMS intervention development are discussed.