In the Text4Hope program, individuals self-subscribe to receive daily supportive text messages for 3 months by texting “COVID19HOPE” to 393939. The messages are aligned with a cognitive behavioral framework, with content written by mental health therapists as well as our research team members (authors MH and VIOA). The following is an example of the messages sent: “When bad things happen that we can’t control, we often focus on the things we can’t change. Focus on what you can control; what you can do to help yourself (or someone else) today” [29 (link)]. The messages are preprogrammed into an online software that delivers messages at 9 AM each morning. At the onset of the first message, respondents are welcomed to the service and are invited to complete an online baseline survey capturing demographic information; COVID-19–related self-isolation/quarantine information; and responses on the Generalized Anxiety Disorder-7 (GAD-7) scale [30 (link)], Perceived Stress Scale [31 (link)], and the Patient Health Questionnaire-9 (PHQ-9) [32 (link)]. Survey questions were programmed into SelectSurvey.net, an online survey tool operated by the Alberta Health Services Evaluation Services Team. No incentives are offered to respondents. Participation in the program is entirely voluntary, and completion of the survey was not a prerequisite requirement to receive supportive text messages. Subscribers may opt out at any time by texting “STOP” to 393939. Survey responses will be stored within our regional health system (Alberta Health Services) Select Survey account, and data will be exported, stored, and maintained by the Research and Evaluation team within our health region. The supportive SMS text messaging project subscriber recruitment plan was based on the success of a Text4Mood program in Alberta that was launched in response to the Fort McMurray wildfire disaster in 2016. Text4Hope has been the subject of a wide-exposure communications campaign (TV, radio, internet, and print media), including the local provincial mental health foundation, the single provincial government health care provider Alberta Health Services (AHS). Additionally, Text4Hope was the subject of a specific COVID-19 mental health support media release by the Provincial Chief Medical Officer [33 ]. Ethics approval has been granted by the University of Alberta Health Research Ethics Board (Pro00086163).
Full text: Click here