Yes @outlander.  You can write something in lines across the base colour you have printed or pasted or painted onto the page ..... or you can start with written text, magazine or newspaper text and paint on top of that. Then cut out the hearts and position where you want the before gluing them down, then outline them with a marker when they are dry.

You can write something else on top of all of that if you want, or cut out letters from magazine pages and glue thin on to make the text you want ..... and that can be outlined in white or coloured gel pens too it you want.  Just keep layering it up until you’re happy with it ..... and then you can draw a border around the edge of the page to provide a finish, or if you coat it all with matt medium, you can use blending textas to smudge a darker colour of what you have already used around the edges of the page, like a smokey grey-blue for instance ..... or make it brighter, like pink, teal, or mauve.