Augmenting Mental Health Support for Patients Accessing Different Degrees of Formal Psychiatric Care through a Supportive Text Messaging Program: Protocol for a Randomized Controlled Trial

Author:

Dias Raquel da Luz12,Shalaby Reham3ORCID,Agyapong Belinda3ORCID,Obuobi-Donkor Gloria2,Adu Medard K.2,Eboreime Ejemai3ORCID,Obeng Nkrumah Samuel1,Sridharan Sanjana12,Simon Patryk4ORCID,Taylor Bryanne4ORCID,Henderson Neal4,White Mathew D.4,Maguire Hugh4,Gray Gerald4,Rahman Faisal4,Fair Janah4,Wadden Nadine4,Sulyman Mutiat4,Williams Olugbenga4,Akinkunmi Oluseye4ORCID,Edem Dorothy4,Arenella Pamela4,Morrison Jason24,Awara Mahmoud4,Natarajan Anand4,Nunes Abraham4,Hajek Tomas4,O’Donavan Claire4ORCID,Uher Rudolf24,Wang JianLi256,Rusak Benjamin2,Wozney Lori27ORCID,Sampalli Tara6,Grant Doris6,Tomblin Murphy Gail6,Warford Jordan6,Hodder Samantha8,Boe Rachel9,Agyapong Vincent Israel Opoku12ORCID

Affiliation:

1. Department of Psychiatry, Nova Scotia Health, Halifax, NS B3H 2E2, Canada

2. Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada

3. Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2B7, Canada

4. Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada

5. Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada

6. Nova Scotia Health Innovation Hub, Halifax, NS B3S 0H6, Canada

7. Mental Health and Addictions Program, IWK Health, Halifax, NS B3K 6R8, Canada

8. School of Nursing, Cape Breton University, Cape Breton, NS B1M 1A2, Canada

9. Addictions and Mental Health, Horizon Health Network, Fredericton, NB E3B 4R3, Canada

Abstract

Patients feel more vulnerable when accessing community mental health programs for the first time or after being discharged from psychiatric inpatient units. Long wait times for follow-up appointments, shortage of mental health professionals, lack of service integration, and scarcity of tailored support can weaken their connection to the health care system. As a result, patients can present low adherence, dissatisfaction with treatment, and recurrent hospitalizations. Finding solutions to avoid unnecessary high-cost services and providing tailored and cost-effective mental health interventions may reduce the health system burden and augment patient support. We propose implementing an add-on, supportive text messaging service (Text4Support), developed using cognitive–behavioural therapy (CBT) principles to augment mental health support for patients attending to or being discharged from psychiatric care in Nova Scotia, Canada. This randomized controlled trial aims to investigate the effectiveness of Text4Support in improving mental health outcomes and overall mental well-being compared with usual care. We also will examine the intervention’s impact on health services utilization and patient satisfaction. The results from this study will provide evidence on stepped and technology-based mental health care, which will contribute to generating new knowledge about mental health innovations in various clinical contexts, which is not only helpful for the local context but to other jurisdictions in Canada and abroad that are seeking to improve their health care.

Funder

QEII Foundation at Nova Scotia Health

Publisher

MDPI AG

Subject

Biochemistry, Genetics and Molecular Biology (miscellaneous),Structural Biology,Biotechnology

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