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Characterizing User Experiences With an SMS Text Messaging-Based mHealth Intervention: Mixed Methods Study.

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Summary

Mobile mental health (mHealth) services like Cope Notes improve access to care. User experiences show appreciation for reframing mental wellness, with personality and coping strategies influencing acceptability. Future apps may use sensors for personalized interventions.

Keywords:
SMScognitive restructuringcopinglow-intensity interventionmHealthmental healthmobile healthmobile phonestigmatext messagingubiquitous sensinguser perceptions

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Area of Science:

  • Digital mental health
  • Mobile health interventions
  • Human-computer interaction

Background:

  • Limited access to mental health services persists despite availability.
  • Mobile health (mHealth) offers a solution to bridge access gaps.
  • mHealth provides convenient and lower-cost mental health support.

Purpose of the Study:

  • Evaluate user experiences with the mental mHealth service, Cope Notes.
  • Investigate user perceptions regarding stigma, intervention impact, and usefulness.
  • Assess user ratings of Cope Notes and SMS text messaging acceptability.
  • Examine relationships between service ratings, user personality, and coping strategies.
  • Explore user perspectives on using ubiquitous sensing for tailored interventions.

Main Methods:

  • Mixed-methods study involving qualitative interviews (N=14) and quantitative surveys.
  • Users interviewed had utilized Cope Notes for at least 30 days.
  • Interviews were coded for themes; interrater reliability was 61.8%.
  • Quantitative measures included user experience surveys, personality inventories, and coping assessments.

Main Results:

  • Seven qualitative themes emerged: benefits, limitations, suggestions, stigma, sensing perceptions, cultural sensitivity, and alternative resources.
  • Positive correlations found between user trust and message understanding (r=0.82, P=.001).
  • Stronger correlations between accepting reality and message acceptability (r=0.86, P=.001).

Conclusions:

  • Cope Notes users value its role in mental wellness reframing.
  • User personality and coping mechanisms significantly correlate with service acceptability.
  • Some users desire personalized experiences and sensor-based interventions.