Text 2 Connect- Texting Intervention for Mental Health Treatment Utilization
T2C
ETUDES Center- Text2Connect - Phase 2
2 other identifiers
interventional
52
1 country
3
Brief Summary
Text2Connect (T2C) proposes to test a text-based intervention designed to improve engagement with mental health treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable depression
Started Oct 2020
Shorter than P25 for not_applicable depression
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 10, 2020
CompletedFirst Posted
Study publicly available on registry
September 23, 2020
CompletedStudy Start
First participant enrolled
October 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2021
CompletedResults Posted
Study results publicly available
May 19, 2023
CompletedMay 19, 2023
May 1, 2023
4 months
September 10, 2020
August 30, 2022
May 10, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (11)
Engagement With Intervention: Text Message Check-ins
Participant's engagement with the T2C intervention will be assessed via their response rate to SMS prompts, as the primary outcome of Text2Connect Phase 2. "High" engagement with T2C will be rated as \>70% response rate. All Intervention participants (n=34) received text-message check-ins with question: "How would you rate your emotional health this past week?" on a likert scale of: 1=excellent; 2=very good; 3=good;4=fair; 5=poor. Participants who did not respond to this message initially were sent a reminder with the same content each week of the intervention.
Over 3 months after baseline
Engagement With Intervention: Web-based Check Ins
Participant's engagement with the T2C intervention will be assessed via their response rate to prompts, as the primary outcome of Text2Connect Phase 2. "High" engagement with T2C will be rated as \>70% response rate. Participants received 1 text "How would you rate our emotional health this last week" on a likert scale of: 1 (excellent), 2 Very good, 3 good 4 fair 5 poor. If respondents answered "fair" or "Poor" they were routed to a website with psychoeducational videos and additional questions called a "web-based check in." The questions inquired what type of stressors the participant experienced contributing to the "Fair" or "Poor" ratings, what types of symptoms the participants noticed as a result of the indicated stressor and if participants felt they could manage their stress.
Over 3 months after baseline
Engagement With Intervention: Drop Out Rate
Participant's engagement with the T2C intervention will be assessed via their response rate to prompts, as the primary outcome of Text2Connect Phase 2. "High" engagement with T2C will be rated as \>70% response rate. Participants are considered "dropped out" if they requested to be removed from the T2C intervention and all texts to be stopped.
Over 3 months after baseline
Usability & Satisfaction-PSSUQ
Satisfaction with the technical components of interventions will be assessed through the certain questions from the Post System Satisfaction and Usability Questionnaire (PSSUQ), as the primary outcome of Text2Connect Phase 2. The PSSUQ utilize 16 items w/ response options ranging from 1-7 where 1=strongly disagree and 7=strongly agree. The PSSUQ has sub-scores derived from subsets of the questions which reflect system usefulness, information quality, and interface quality. Scores are added and range from 16-112, with higher score indicating less satisfaction. Questions 1 to 16 result in the Overall score; Questions 1 to 6 result in System Usefulness score; Questions 7 to 12 result in Information Quality score; Questions 13 to 16 result in Interface Quality.
3 month follow up timepoint
Usability & Satisfaction-CSQ
Satisfaction with the technical components of interventions will be assessed through the certain questions from the Client Satisfaction Questionnaire (CSQ8). 8 items are scored on a likert scale of 1 to 4. Item 1 (reverse scored): scale 1(excellent)-4 (poor); Item 2: 1(definitely not)-4(definitely); item 3(reverse scored): 1(none of needs met)-4(all needs met); item 4: 1(definitely not)-4(definitely); item 5: 1(quite dissatisfied)-4(very satisfied); item 6(reverse scored): 1(made things worse)-4(helped a great deal); item 7 (reverse scored): 1(quite dissatisfied)-4(very satisfied); item 8: 1(definitely not)-4(definitely). Higher scores=higher satisfaction (score sum range is 8-32).
3 month follow up timepoint
Mental Health Self-Efficacy
Mental health self-efficacy will be assessed via the Mental Health Self-Efficacy Scale (MHSES), as the primary outcome of Text2Connect Phase 2. The MHSES contains 6 items that are scored on a 10-point Likert Scale. Scores range from 6-60 with higher scores indicating greater confidence in participant's mental health self-efficacy.
1 month timepoint
Mental Health Self-Efficacy
Mental health self-efficacy will be assessed via the Mental Health Self-Efficacy Scale (MHSES), as the primary outcome of Text2Connect Phase 2. The MHSES contains 6 items that are scored on a 10-point Likert Scale. Scores range from 6-60 with higher scores indicating greater confidence in participant's mental health self-efficacy.
3 month timepoint
Mental Health Self-Efficacy
Mental health self-efficacy will be assessed via the Mental Health Self-Efficacy Scale (MHSES), as the primary outcome of Text2Connect Phase 2. The MHSES contains 6 items that are scored on a 10-point Likert Scale. Scores range from 6-60 with higher scores indicating greater confidence in participant's mental health self-efficacy.
2 month timepoint
General Self-Efficacy
Mental health self-efficacy will be assessed via the General Self-Efficacy Scale (GSE), as the primary outcome of Text2Connect Phase 2. The GSE contains 10 items scored on a 4-point Likert Scale, with scores ranging from 10-40. Higher scores indicate greater self-efficacy.
1 month Timepoint
General Self-Efficacy
Mental health self-efficacy will be assessed via the General Self-Efficacy Scale (GSE), as the primary outcome of Text2Connect Phase 2. The GSE contains 10 items scored on a 4-point Likert Scale, with scores ranging from 10-40. Higher scores indicate greater self-efficacy.
2 month Timepoint
General Self-Efficacy
Mental health self-efficacy will be assessed via the General Self-Efficacy Scale (GSE), as the primary outcome of Text2Connect Phase 2. The GSE contains 10 items scored on a 4-point Likert Scale, with scores ranging from 10-40. Higher scores indicate greater self-efficacy.
3 month Timepoint
Secondary Outcomes (9)
Psychosocial Functioning
1 month timepoint
Psychosocial Functioning
2 month timepoint
Psychosocial Functioning
3 month timepoint
Symptom Severity
1 month timepoint
Symptom Severity
2 month timepoint
- +4 more secondary outcomes
Study Arms (2)
Text2Connect
EXPERIMENTALParticipants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life.
Psychoeducational Videos (PE) Only
ACTIVE COMPARATORParticipants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college.
Interventions
The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.
Participants in this group will receive psychoeducation through the PE video library.
Eligibility Criteria
You may qualify if:
- Participant engaged in treatment at CC Waterdam, STAR or CABS clinic
- Participants have a current psychiatric diagnosis documented in their electronic medical record and/or be in receipt of mental health services within 3 months per self-/ parent- or clinician- report
- At least 18 years of age
- Recently graduated high school
- Planning to attend college or higher education program within 6 weeks
- Own a text-capable phone
- Be willing and able to provide informed consent
You may not qualify if:
- Participants will be excluded if they have conditions that might impair their ability to effectively engage in Text2Connect
- Under the age of 18yo
- Non-English speakers
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Pittsburghlead
- Kaiser Foundation Research Institutecollaborator
- National Institute of Mental Health (NIMH)collaborator
Study Sites (3)
Children's Community Pediatrics (CCP- Waterdam) of Children's Hospital of Pittsburgh UPMC
McMurray, Pennsylvania, 15317, United States
Child and Adolescent Bipolar Spectrum Services (CABS) Center
Pittsburgh, Pennsylvania, 15213, United States
STAR Center
Pittsburgh, Pennsylvania, 15213, United States
Related Publications (1)
Suffoletto B, Goldstein T, Gotkiewicz D, Gotkiewicz E, George B, Brent D. Acceptability, Engagement, and Effects of a Mobile Digital Intervention to Support Mental Health for Young Adults Transitioning to College: Pilot Randomized Controlled Trial. JMIR Form Res. 2021 Oct 14;5(10):e32271. doi: 10.2196/32271.
PMID: 34647893DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Findings may not be valid in men or racial or ethnic minorities due to makeup of sample. This study may have a limited understanding of durability, prolonged engagement, and typical experiences and stresses related to college transition due to only following participants for 3 months during COVID pandemic.
Results Point of Contact
- Title
- Dr. Tina Goldstein
- Organization
- University of Pittsburgh
Study Officials
- PRINCIPAL INVESTIGATOR
Tina Goldstein, PhD
University of Pittsburgh
- STUDY DIRECTOR
Brian Suffoletto, MD
University of Pittsburgh Medical Center
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Outcomes assessors will be masked to the intervention condition at follow-up assessment time points.
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Psychiatry and Psychology
Study Record Dates
First Submitted
September 10, 2020
First Posted
September 23, 2020
Study Start
October 1, 2020
Primary Completion
January 31, 2021
Study Completion
January 31, 2021
Last Updated
May 19, 2023
Results First Posted
May 19, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will share
- Time Frame
- These data will be released to the NDCT soon after each project's "main outcomes" manuscript is accepted for publication
- Access Criteria
- In addition to public access to the NDCT, data can also be accessed by contacting ETUDES Center investigators.
All requests for study data will follow NIMH's data sharing and data use policies. The final completely de-identified dataset(s) will include demographic and clinical data at baseline, and primary and secondary outcomes for all studies, including those funded by the innovation contests. These analytic datasets may also include derived variables with documentation. Our form datasets will include original case report forms, a detailed codebook of variable names, value labels, and programming formats and all study documentation including the protocol and manual of procedures. For descriptive/raw data, study investigators/study staff will upload to NIMH's National Database for Clinical Trials Related to Mental Health Illness (NDCT) on a semi-annual basis all analyzed data being uploaded prior to primary paper publication.