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Screening Depression and Related Conditions via Text Messaging Versus Interview Assessment: Protocol for a Randomized
Haomiao Jin1,2, Shinyi Wu1,2,3
1Department of Adult Mental Health and Wellness, Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, United States.
JMIR Research Protocols
|March 30, 2019
Summary
Short message service (SMS) text messaging offers a feasible method for assessing depression in diverse, low-income diabetic patients. This technology can overcome barriers to care and encourage self-disclosure of sensitive health information.
Area of Science:
- Digital Health
- Primary Care
- Mental Health Assessment
Background:
- Depression is underdiagnosed in low-income, diverse patients with chronic illnesses like diabetes.
- US Preventive Services Task Force recommends depression screening but not assessment methods.
- Short message service (SMS) text messaging offers a private, scalable solution to overcome access barriers for depression screening.
Purpose of the Study:
- To test SMS text messaging for assessing depression and related conditions in low-income, diverse primary care patients with diabetes.
- To examine concordance between SMS and interviewer assessments.
- To evaluate the test-retest reliability of SMS assessments.
Main Methods:
- Randomized design with 200 patients in four groups: SMS/Interviewer (INTW), INTW/SMS, SMS/SMS, INTW/INTW.
- Concordance assessed via SMS/INTW and INTW/SMS groups; test-retest reliability via SMS/SMS and INTW/INTW groups.
- Participants recruited from a prior Diabetes-Depression trial; analysis using interclass correlation and kappa statistics.
Main Results:
- 206 participants enrolled (57.1 years avg age, 57.8% female, 93.2% Latino, 77.7% preferred Spanish).
- SMS assessment cost is approximately $0.50 per person for 16 questions.
- Full results will be reported separately.
Conclusions:
- SMS text messaging is a feasible approach for assessing depression and related conditions in vulnerable populations.
- The study aims to determine patient willingness to self-disclose sensitive mental health information via SMS.
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