Name
Text me! Text messages as a supportive component of integrated care for older adults
Description
Text messages hold promise as a clinical tool to extend the effects of integrated care. We recruited older adults who were receiving CoCM for depression to participate in a program in which they received 3 different types of text messages each week for up to 6 months. The 3 types of messages were a weekly mood rating, tips for managing depression, and a general supportive message. We measured the effects of these messages on treatment engagement, patient experience, and depression outcomes using both quantitative and qualitative methods. We also interviewed the three behavioral health care managers to understand their experience of using text messages as part of their clinical care.
Speakers

Co-Authors
Erin LePoire, MPH
Anna Ratzliff, MD, PhD
Anna Ratzliff, MD, PhD
Content Level
All Audience
Tags
Collaborative Care Model of Integrated Care, Geriatrics, Innovations
Session Type
Poster
SIG or Committee
Collaborative Care Model (CoCM)
Objective 1
Discuss the rationale for including text messages as supplement to the clinical care delivered in a CoCM program for older adults
Objective 2
Define the different types of text messages that can be used to support clinical care
Objective 3
Describe the effects of text messaging on patient engagement, mood ratings, and patient experience as well as on the experience of behavioral health care managers
Content Reference 1
Cox, K. L., Allida, S. M., & Hackett, M. L. (2021). Text messages to reduce depressive symptoms: Do they work and what makes them effective? A systematic review. Health Education Journal, 80(3), 253–271.
Content Reference 2
Figueroa, C. A., DeMasi, O., Hernandez-Ramos, R., & Aguilera, A. (2021). Who Benefits Most from Adding Technology to Depression Treatment and How? An Analysis of Engagement with a Texting Adjunct for Psychotherapy. Telemedicine and E-Health, 27(1), 39–46.
Content Reference 3
Hull, T. D., Malgaroli, M., Connolly, P. S., Feuerstein, S., & Simon, N. M. (2020). Two-way messaging therapy for depression and anxiety: Longitudinal response trajectories. BMC Psychiatry, 20(1), 297.
Content Reference 4
Graham, A. K., Lattie, E. G., Powell, B. J., Lyon, A. R., Smith, J. D., Schueller, S. M., Stadnick, N. A., Brown, C. H., & Mohr, D. C. (2020). Implementation strategies for digital mental health interventions in health care settings. The American Psychologist, 75(8), 1080–1092.
Content Reference 5
Mosio . (2021). Text messaging, older demographics and clinical research [online]. Seattle. https://www.mosio.com/text-messaging-older-demographics-and-clinical-research/