Qualitative Feedback From a Text Messaging Intervention for Depression: Benefits, Drawbacks, and Cultural Differences
Open accessAbstract
BACKGROUND: Mobile health interventions are often standardized and assumed to work the same for all users; however, we may be missing cultural differences in the experiences of interventions that may impact how and if an intervention is effective. OBJECTIVE: The objective of the study was to assess qualitative feedback from participants to determine if there were differences between Spanish speakers and English speakers. Daily text messages were sent to patients as an adjunct to group Cognitive Behavioral Therapy (CBT) for depression. METHODS: Messages inquired about mood and about specific themes (thoughts, activities, social interactions) of a manualized group CBT intervention. There were thirty-nine patients who participated in the text messaging pilot study. The average age of the participants was 53 years (SD 10.4; range of 23-72). RESULTS: Qualitative feedback from Spanish speakers highlighted feelings of social support, whereas English speakers noted increased introspection and self-awareness of their mood state. CONCLUSIONS: These cultural differences should be explored further, as they may impact the effect of supportive mobile health interventions. TRIAL REGISTRATION: Clinicaltrials.gov NCT01083628; http://clinicaltrials.gov/ct2/show/study/NCT01083628 (Archived by WebCite at http://www.webcitation.org/6StpbdHuq).
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Text messaging reminders have proven effective in increasing treatment adherence among POC community samples, including those in app-based mindfulness meditation studies.
“Text messaging reminders have proven effective in increasing treatment adherence among POC community samples [54-56,63], including those in app-based mindfulness meditation studies [49].”
From App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress: Protocol for a Randomized Controlled Trial (2022) · cites this paper as [63]
The Methods (page unavailable) describe therapy-session and optional medication reminders in a depression-treatment group that included Latino and African American patients. In Results, Table 2 (page unavailable), respondents rated whether messages made them more likely to attend sessions highly, but this is self-reported likelihood, not proof that reminders increased treatment adherence. The app-based mindfulness clause has a separate citation and is not attributed to this source. (LLM, conf=0.88)
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- Authors
- Aguilera, A., & Berridge, C.
- Affiliations
- Brown University (US)
- ORCID
- Berridge, Clara
- Venue
- JMIR mHealth and uHealth
- Publisher
- JMIR Publications Inc.
- Published
- 2014-11-05
- Volume
- 2
- Issue
- 4
- Pages
- e46
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC4259984
- OpenAlex
- W2121833483
- Cited by
- 62
- References
- 26
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 8 · 2022: 7 · 2021: 6 · 2020: 7 · 2019: 5 · 2018: 4 · 2017: 10 · 2016: 1 · 2015: 6
- FWCI
- 8.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR mhealth and uhealth (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (K23MH094442)
- National Institute on Minority Health and Health Disparities (L60 MD003465)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- depression, text messaging intervention, mobile health, cognitive behavioral therapy, group therapy, cultural differences, Spanish speakers, English speakers, social support, mood tracking, self-awareness, participant feedback
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