학술논문
Augmenting Mental Health Support for Patients Accessing Different Degrees of Formal Psychiatric Care through a Supportive Text Messaging Program: Protocol for a Randomized Controlled Trial.
Document Type
Academic Journal
Author
Dias RDL; Department of Psychiatry, Nova Scotia Health, Halifax, NS B3H 2E2, Canada.; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.; Shalaby R; Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2B7, Canada.; Agyapong B; Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2B7, Canada.; Obuobi-Donkor G; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.; Adu MK; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.; Eboreime E; Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2B7, Canada.; Obeng Nkrumah S; Department of Psychiatry, Nova Scotia Health, Halifax, NS B3H 2E2, Canada.; Sridharan S; Department of Psychiatry, Nova Scotia Health, Halifax, NS B3H 2E2, Canada.; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.; Simon P; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Taylor B; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Henderson N; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; White MD; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Maguire H; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Gray G; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Rahman F; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Fair J; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Wadden N; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Sulyman M; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Williams O; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Akinkunmi O; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Edem D; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Arenella P; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Morrison J; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Awara M; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Natarajan A; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Nunes A; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Hajek T; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; O'Donavan C; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Uher R; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.; Mental Health and Addictions Program, Nova Scotia Health, Halifax, NS B3S 1B8, Canada.; Wang J; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.; Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada.; Nova Scotia Health Innovation Hub, Halifax, NS B3S 0H6, Canada.; Rusak B; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.; Wozney L; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.; Mental Health and Addictions Program, IWK Health, Halifax, NS B3K 6R8, Canada.; Sampalli T; Nova Scotia Health Innovation Hub, Halifax, NS B3S 0H6, Canada.; Grant D; Nova Scotia Health Innovation Hub, Halifax, NS B3S 0H6, Canada.; Tomblin Murphy G; Nova Scotia Health Innovation Hub, Halifax, NS B3S 0H6, Canada.; Warford J; Nova Scotia Health Innovation Hub, Halifax, NS B3S 0H6, Canada.; Hodder S; School of Nursing, Cape Breton University, Cape Breton, NS B1M 1A2, Canada.; Boe R; Addictions and Mental Health, Horizon Health Network, Fredericton, NB E3B 4R3, Canada.; Agyapong VIO; Department of Psychiatry, Nova Scotia Health, Halifax, NS B3H 2E2, Canada.; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 2E2, Canada.
Source
Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101720073 Publication Model: Electronic Cited Medium: Internet ISSN: 2409-9279 (Electronic) Linking ISSN: 24099279 NLM ISO Abbreviation: Methods Protoc Subsets: PubMed not MEDLINE
Subject
Language
English
Abstract
Patients feel more vulnerable when accessing community mental health programs for the first time or after being discharged from psychiatric inpatient units. Long wait times for follow-up appointments, shortage of mental health professionals, lack of service integration, and scarcity of tailored support can weaken their connection to the health care system. As a result, patients can present low adherence, dissatisfaction with treatment, and recurrent hospitalizations. Finding solutions to avoid unnecessary high-cost services and providing tailored and cost-effective mental health interventions may reduce the health system burden and augment patient support. We propose implementing an add-on, supportive text messaging service (Text4Support), developed using cognitive-behavioural therapy (CBT) principles to augment mental health support for patients attending to or being discharged from psychiatric care in Nova Scotia, Canada. This randomized controlled trial aims to investigate the effectiveness of Text4Support in improving mental health outcomes and overall mental well-being compared with usual care. We also will examine the intervention's impact on health services utilization and patient satisfaction. The results from this study will provide evidence on stepped and technology-based mental health care, which will contribute to generating new knowledge about mental health innovations in various clinical contexts, which is not only helpful for the local context but to other jurisdictions in Canada and abroad that are seeking to improve their health care.