Text4Hope: Receiving Daily Supportive Text Messages for Three Months during the COVID-19 Pandemic Reduces Stress, Anxiety, and Depression

Vincent I.O. Agyapong, Marianne Hrabok, Reham Shalaby, Wesley Vuong, Jasmine M. Noble, April Gusnowski, Kelly Mrklas, Daniel Li, Liana Urichuck, Mark Snaterse, Shireen Surood, Bo Cao, Xin Min Li, Russ Greiner, Andrew J. Greenshaw

Research output: Contribution to journalArticlepeer-review

49 Citations (Scopus)

Abstract

Background: This study reports on the changes in stress, anxiety, and depressive symptoms of subscribers after 3 months using Text4Hope, a supportive text messaging program designed to provide support during the pandemic. Methods: Standardized self-report measures were used to evaluate perceived stress (measured with the Perceived Stress Scale-10 (PSS-10)), anxiety (measured with the General Anxiety Disorder Scale 7 (GAD-7)), and depressive symptoms (measured with the Patient Health Questionnaire (PHQ-9)), at baseline and 3 months (n=373). Results: After 3 months of using Text4Hope, subscribers' self-reports revealed significant (p<0.001) mean score reductions compared to baseline on: the GAD-7 by 22.7%, PHQ-9 by 10.3%, and PSS-10 scores by 5.7%. Reductions in inferred prevalence rates for moderate to high symptoms were also observed, with anxiety demonstrating the largest reduction (15.7%). Conclusions: Observed Text4Hope-related reductions in psychological distress during COVID-19 indicate that Text4Hope is an effective, convenient, and accessible means of implementing a population-level psychological intervention.

Original languageEnglish
JournalDisaster Medicine and Public Health Preparedness
DOIs
Publication statusAccepted/In press - 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021 Society for Disaster Medicine and Public Health, Inc.

ASJC Scopus Subject Areas

  • Public Health, Environmental and Occupational Health

PubMed: MeSH publication types

  • Journal Article

Fingerprint

Dive into the research topics of 'Text4Hope: Receiving Daily Supportive Text Messages for Three Months during the COVID-19 Pandemic Reduces Stress, Anxiety, and Depression'. Together they form a unique fingerprint.

Cite this