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A Text Messaging Intervention for Coping With Social Distancing During COVID-19 (StayWell at Home): Protocol for a
Caroline Astrid Figueroa1, Rosa Hernandez-Ramos1, Claire Elizabeth Boone2
1School of Social Welfare, University of California Berkeley, Berkeley, CA, United States.
JMIR Research Protocols
|December 28, 2020
Summary
This study tests a 60-day text messaging intervention to reduce depression and anxiety from COVID-19 social distancing. Machine learning may enhance this digital mental health support.
Area of Science:
- Digital mental health interventions
- Psychological support during pandemics
- Machine learning in healthcare
Background:
- Social distancing is essential for mitigating COVID-19 transmission but can increase depression and anxiety.
- Digital interventions, like text messaging, offer scalable support for mental well-being.
- This study addresses the need for accessible psychological tools during public health crises.
Purpose of the Study:
- To evaluate a 60-day text messaging intervention for managing depressive mood and anxiety.
- To assess the efficacy of machine learning in personalizing message frequency and content.
- To compare daily mood ratings across different message categories and time windows.
Main Methods:
- A two-arm randomized controlled trial comparing standard messaging with machine learning-adapted messaging.
- Intervention includes daily messages in behavioral activation and coping skills categories.
- Participants provide daily mood ratings and complete depression (PHQ-8) and anxiety (GAD-7) scales.
Main Results:
- Study approved by the Committee for the Protection of Human Subjects at UC Berkeley (April 2020).
- Data collection initiated in April 2020, with 229 participants enrolled by August 2020.
- Manuscripts detailing trial results will be submitted for publication and scientific meetings.
Conclusions:
- Findings will inform the development of effective digital tools for mental health.
- The study will elucidate the benefits of machine learning in personalizing digital mental health interventions.
- Results aim to mitigate the adverse psychological effects of social distancing measures.

