Trial Outcomes & Findings for Text 2 Connect- Texting Intervention for Mental Health Treatment Utilization (NCT NCT04560075)

Last Updated: 2023-05-19

Results Overview

Participant's engagement with the T2C intervention will be assessed via their response rate to SMS prompts, as the primary outcome of Text2Connect Phase 2. "High" engagement with T2C will be rated as \>70% response rate. All Intervention participants (n=34) received text-message check-ins with question: "How would you rate your emotional health this past week?" on a likert scale of: 1=excellent; 2=very good; 3=good;4=fair; 5=poor. Participants who did not respond to this message initially were sent a reminder with the same content each week of the intervention.

Recruitment status

COMPLETED

Study phase

Target enrollment

52 participants

Primary outcome timeframe

Over 3 months after baseline

Results posted on

2023-05-19

Participant Flow

Participant milestones

Participant milestones
Measure	Text2Connect Intervention Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Overall Study STARTED	34	18
Overall Study COMPLETED	34	18
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Text 2 Connect- Texting Intervention for Mental Health Treatment Utilization

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Text2Connect Intervention n=34 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=18 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.	Total n=52 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	34 Participants n=5 Participants	18 Participants n=7 Participants	52 Participants n=5 Participants
Age, Categorical >=65 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Sex: Female, Male Female	27 Participants n=5 Participants	18 Participants n=7 Participants	45 Participants n=5 Participants
Sex: Female, Male Male	7 Participants n=5 Participants	0 Participants n=7 Participants	7 Participants n=5 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	2 Participants n=5 Participants	1 Participants n=7 Participants	3 Participants n=5 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	32 Participants n=5 Participants	17 Participants n=7 Participants	49 Participants n=5 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Asian	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Black or African American	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Race (NIH/OMB) White	33 Participants n=5 Participants	15 Participants n=7 Participants	48 Participants n=5 Participants
Race (NIH/OMB) More than one race	0 Participants n=5 Participants	3 Participants n=7 Participants	3 Participants n=5 Participants
Race (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Mental health self-efficacy	40.3 score on a scale STANDARD_DEVIATION 10.7 • n=5 Participants	37.4 score on a scale STANDARD_DEVIATION 12.0 • n=7 Participants	39.3 score on a scale STANDARD_DEVIATION 11.1 • n=5 Participants
General self-efficacy	29.5 score on a scale STANDARD_DEVIATION 3.9 • n=5 Participants	27.5 score on a scale STANDARD_DEVIATION 3.3 • n=7 Participants	28.8 score on a scale STANDARD_DEVIATION 3.8 • n=5 Participants
Symptom Severity Depression	1.43 score on a scale STANDARD_DEVIATION 0.95 • n=5 Participants	1.81 score on a scale STANDARD_DEVIATION 0.99 • n=7 Participants	1.56 score on a scale STANDARD_DEVIATION 0.97 • n=5 Participants
Symptom Severity General Anxiety	1.80 score on a scale STANDARD_DEVIATION 0.98 • n=5 Participants	2.22 score on a scale STANDARD_DEVIATION 0.95 • n=7 Participants	1.94 score on a scale STANDARD_DEVIATION 0.98 • n=5 Participants
Symptom Severity Social Anxiety	2.11 score on a scale STANDARD_DEVIATION 0.93 • n=5 Participants	2.37 score on a scale STANDARD_DEVIATION 0.93 • n=7 Participants	2.20 score on a scale STANDARD_DEVIATION 0.93 • n=5 Participants
Symptom Severity Academic Distress	1.42 score on a scale STANDARD_DEVIATION 1.02 • n=5 Participants	1.90 score on a scale STANDARD_DEVIATION 0.88 • n=7 Participants	1.58 score on a scale STANDARD_DEVIATION 1.00 • n=5 Participants
Symptom Severity Eating Concerns	1.37 score on a scale STANDARD_DEVIATION 0.89 • n=5 Participants	1.51 score on a scale STANDARD_DEVIATION 1.06 • n=7 Participants	1.42 score on a scale STANDARD_DEVIATION 0.94 • n=5 Participants
Symptom Severity Family Distress	1.28 score on a scale STANDARD_DEVIATION 0.85 • n=5 Participants	1.58 score on a scale STANDARD_DEVIATION 0.81 • n=7 Participants	1.39 score on a scale STANDARD_DEVIATION 0.84 • n=5 Participants
Symptom Severity Hostility	1.00 score on a scale STANDARD_DEVIATION 0.83 • n=5 Participants	1.38 score on a scale STANDARD_DEVIATION 0.61 • n=7 Participants	1.13 score on a scale STANDARD_DEVIATION 0.78 • n=5 Participants
Symptom Severity Substance Abuse	0.33 score on a scale STANDARD_DEVIATION 0.60 • n=5 Participants	0.33 score on a scale STANDARD_DEVIATION 0.72 • n=7 Participants	0.33 score on a scale STANDARD_DEVIATION 0.64 • n=5 Participants
Mental health service follow-through Any mental health	19 Participants n=5 Participants	12 Participants n=7 Participants	31 Participants n=5 Participants
Mental health service follow-through Inpatient	2 Participants n=5 Participants	2 Participants n=7 Participants	4 Participants n=5 Participants
Mental health service follow-through Outpatient	13 Participants n=5 Participants	9 Participants n=7 Participants	22 Participants n=5 Participants
Mental health service follow-through Primary Care	9 Participants n=5 Participants	4 Participants n=7 Participants	13 Participants n=5 Participants

PRIMARY outcome

Timeframe: Over 3 months after baseline

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=34 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Engagement With Intervention: Text Message Check-ins	5 # of text messages sent to participants Interval 3.0 to 10.0	—

PRIMARY outcome

Timeframe: Over 3 months after baseline

Population: 2 participants lost to follow up at 1 month timepoint after baseline, 1 additional participant lost to follow up 3 month time point with final 31/34 participants completing research visits. 21/34 participants in this arm reported poor mental health on text-messages and therefore were provided with these web-based check ins.

Participant's engagement with the T2C intervention will be assessed via their response rate to prompts, as the primary outcome of Text2Connect Phase 2. "High" engagement with T2C will be rated as \>70% response rate. Participants received 1 text "How would you rate our emotional health this last week" on a likert scale of: 1 (excellent), 2 Very good, 3 good 4 fair 5 poor. If respondents answered "fair" or "Poor" they were routed to a website with psychoeducational videos and additional questions called a "web-based check in." The questions inquired what type of stressors the participant experienced contributing to the "Fair" or "Poor" ratings, what types of symptoms the participants noticed as a result of the indicated stressor and if participants felt they could manage their stress.

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=55 total number of web-based check-ins Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Engagement With Intervention: Web-based Check Ins	43 total number of web-based check-ins	—

PRIMARY outcome

Timeframe: Over 3 months after baseline

Participant's engagement with the T2C intervention will be assessed via their response rate to prompts, as the primary outcome of Text2Connect Phase 2. "High" engagement with T2C will be rated as \>70% response rate. Participants are considered "dropped out" if they requested to be removed from the T2C intervention and all texts to be stopped.

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=34 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Engagement With Intervention: Drop Out Rate	0 Participants	—

PRIMARY outcome

Timeframe: 3 month follow up timepoint

Population: In Intervention Arm: 2 participants lost to follow up at 1 month timepoint after baseline, 1 additional participant lost to follow up 3 month time point with final 31/34 participants completing research visits. In Usual Care Arm: 1 participant lost to follow up at 1 month time point, 2 additional participants lost to follow up at 2 month time point and 1 further participant lost at 3 month follow up timepoint. A total of 14/18 completed research visits in usual care arm.

Satisfaction with the technical components of interventions will be assessed through the certain questions from the Post System Satisfaction and Usability Questionnaire (PSSUQ), as the primary outcome of Text2Connect Phase 2. The PSSUQ utilize 16 items w/ response options ranging from 1-7 where 1=strongly disagree and 7=strongly agree. The PSSUQ has sub-scores derived from subsets of the questions which reflect system usefulness, information quality, and interface quality. Scores are added and range from 16-112, with higher score indicating less satisfaction. Questions 1 to 16 result in the Overall score; Questions 1 to 6 result in System Usefulness score; Questions 7 to 12 result in Information Quality score; Questions 13 to 16 result in Interface Quality.

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=31 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=14 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Usability & Satisfaction-PSSUQ Overall Score	32.3 score on a scale Standard Deviation 25.3	35.4 score on a scale Standard Deviation 25.2
Usability & Satisfaction-PSSUQ System usefulness	11.4 score on a scale Standard Deviation 9.9	12.0 score on a scale Standard Deviation 8.4
Usability & Satisfaction-PSSUQ Quality of information	13.1 score on a scale Standard Deviation 9.0	14.4 score on a scale Standard Deviation 10.3
Usability & Satisfaction-PSSUQ Quality of interface	7.7 score on a scale Standard Deviation 6.7	9.0 score on a scale Standard Deviation 7.3

PRIMARY outcome

Timeframe: 3 month follow up timepoint

Satisfaction with the technical components of interventions will be assessed through the certain questions from the Client Satisfaction Questionnaire (CSQ8). 8 items are scored on a likert scale of 1 to 4. Item 1 (reverse scored): scale 1(excellent)-4 (poor); Item 2: 1(definitely not)-4(definitely); item 3(reverse scored): 1(none of needs met)-4(all needs met); item 4: 1(definitely not)-4(definitely); item 5: 1(quite dissatisfied)-4(very satisfied); item 6(reverse scored): 1(made things worse)-4(helped a great deal); item 7 (reverse scored): 1(quite dissatisfied)-4(very satisfied); item 8: 1(definitely not)-4(definitely). Higher scores=higher satisfaction (score sum range is 8-32).

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=31 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=14 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Usability & Satisfaction-CSQ	27.4 score on a scale Standard Deviation 4.1	25.4 score on a scale Standard Deviation 5.8

PRIMARY outcome

Timeframe: 1 month timepoint

Population: In Intervention Arm: 2 participants lost to follow up at 1 month timepoint after baseline In Usual Care Arm: 1 participant lost to follow up at 1 month time point

Mental health self-efficacy will be assessed via the Mental Health Self-Efficacy Scale (MHSES), as the primary outcome of Text2Connect Phase 2. The MHSES contains 6 items that are scored on a 10-point Likert Scale. Scores range from 6-60 with higher scores indicating greater confidence in participant's mental health self-efficacy.

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=32 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=17 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Mental Health Self-Efficacy	42.6 score on a scale Standard Deviation 11.2	37.9 score on a scale Standard Deviation 11.0

PRIMARY outcome

Timeframe: 3 month timepoint

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=31 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=14 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Mental Health Self-Efficacy	44.0 score on a scale Standard Deviation 11.0	39.5 score on a scale Standard Deviation 12.4

PRIMARY outcome

Timeframe: 2 month timepoint

Population: In Intervention Arm: 2 participants lost to follow up at 1 month timepoint after baseline Usual Care: 2 additional participants lost to follow up at 2 month time point

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=32 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=15 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Mental Health Self-Efficacy	42.9 score on a scale Standard Deviation 11.3	39.9 score on a scale Standard Deviation 10.7

PRIMARY outcome

Timeframe: 1 month Timepoint

Population: In Intervention Arm: 2 participants lost to follow up at 1 month timepoint after baseline In Usual Care Arm: 1 participant lost to follow up at 1 month time point

Mental health self-efficacy will be assessed via the General Self-Efficacy Scale (GSE), as the primary outcome of Text2Connect Phase 2. The GSE contains 10 items scored on a 4-point Likert Scale, with scores ranging from 10-40. Higher scores indicate greater self-efficacy.

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=32 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=17 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
General Self-Efficacy	29.7 score on a scale Standard Deviation 4.4	28.3 score on a scale Standard Deviation 3.8

PRIMARY outcome

Timeframe: 2 month Timepoint

Population: In Intervention Arm: 2 participants lost to follow up at 1 month timepoint after baseline In Usual Care Arm: 1 participant lost to follow up at 1 month time point, 2 additional participants lost to follow up at 2 month time point

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=32 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=15 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
General Self-Efficacy	30.0 score on a scale Standard Deviation 4.2	27.6 score on a scale Standard Deviation 4.7

PRIMARY outcome

Timeframe: 3 month Timepoint

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=31 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=14 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
General Self-Efficacy	31.3 score on a scale Standard Deviation 5.2	27.2 score on a scale Standard Deviation 4.1

SECONDARY outcome

Timeframe: 1 month timepoint

Population: In Intervention Arm: 2 participants lost to follow up at 1 month timepoint after baseline In Usual Care Arm: 1 participant lost to follow up at 1 month time point

Psychosocial functioning will be assessed via the College Adjustment Questionnaire (CAQ) The CAQ contains 14 questions \& 3 subscales (Educational, Relational, \& Psychological functioning) embedded within. Each subscale is scored on 1(very inaccurate)-5 (very accurate) likert scale. Educational Functioning items include: 1, 5, 7, 12, 13; Relational Functioning items include: 2, 4, 9, 10, 14; Psychological Functioning items include: 3, 6, 8, 11. Items 2 \& 9 from Relational subscale, 13 from Educational subscale, \& 8 \& 11 from Psychological subscale are reversed scored on 5 (very inaccurate)-1(very accurate) likert scale. The Educational functioning subscale score can be summed range from 5-25; the Relational functioning subscale score can be summed range from 5-25; the Psychological subscale can be summed range from 4-20. Total scores across all 3 subscales can be summed \& range from 14-70. Higher scores indicate better functioning on each scale and across the total measure.

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=32 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=17 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Psychosocial Functioning Educational Functioning	21.0 score on a scale Standard Deviation 4.8	19.4 score on a scale Standard Deviation 4.0
Psychosocial Functioning Psychological Functioning	14.3 score on a scale Standard Deviation 4.1	12.1 score on a scale Standard Deviation 4.0
Psychosocial Functioning Relational Functioning	17.7 score on a scale Standard Deviation 5.3	14.5 score on a scale Standard Deviation 6.2

SECONDARY outcome

Timeframe: 2 month timepoint

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=32 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=15 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Psychosocial Functioning Educational Functioning	20.2 score on a scale Standard Deviation 4.6	17.7 score on a scale Standard Deviation 5.6
Psychosocial Functioning Psychological Functioning	14.3 score on a scale Standard Deviation 4.3	10.8 score on a scale Standard Deviation 3.9
Psychosocial Functioning Relational Functioning	17.3 score on a scale Standard Deviation 5.2	13.7 score on a scale Standard Deviation 5.6

SECONDARY outcome

Timeframe: 3 month timepoint

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=31 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=14 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Psychosocial Functioning Educational Functioning	21.0 score on a scale Standard Deviation 4.1	18.0 score on a scale Standard Deviation 6.5
Psychosocial Functioning Psychological Functioning	14.2 score on a scale Standard Deviation 3.8	10.1 score on a scale Standard Deviation 4.1
Psychosocial Functioning Relational Functioning	17.1 score on a scale Standard Deviation 5.1	13.1 score on a scale Standard Deviation 6.4

SECONDARY outcome

Timeframe: 1 month timepoint

Population: In Intervention Arm: 2 participants lost to follow up at 1 month timepoint after baseline In Usual Care Arm: 1 participant lost to follow up at 1 month time point

Symptom severity will be assessed via the CCAPS Mental Health Symptoms. The CCAPS is a 62-item instrument with 8 subscales (depression, general anxiety, social anxiety, academic distress, eating concerns, family distress, hostility, substance abuse) related to psychological symptoms \& distress in college students. Scores are on a 5 point likert scale for each subscale: 0 (not at all like me), 1,2,3,4 (Extremely like me). Lower scores indicate greater severity of symptoms. Some items are reverse-scored. To score, average the items scores for each subscale to create the subscale raw score.

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=32 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=17 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Symptom Severity Depression	1.36 score on a scale Standard Deviation 0.96	1.57 score on a scale Standard Deviation 1.00
Symptom Severity General Anxiety	1.82 score on a scale Standard Deviation 1.05	2.02 score on a scale Standard Deviation 1.07
Symptom Severity Social Anxiety	2.06 score on a scale Standard Deviation 1.07	2.15 score on a scale Standard Deviation 0.95
Symptom Severity Academic Distress	1.45 score on a scale Standard Deviation 1.06	1.76 score on a scale Standard Deviation 0.96
Symptom Severity Eating Concerns	1.22 score on a scale Standard Deviation 1.03	1.61 score on a scale Standard Deviation 1.11
Symptom Severity Family Distress	1.13 score on a scale Standard Deviation 0.96	1.41 score on a scale Standard Deviation 1.00
Symptom Severity Hostility	0.93 score on a scale Standard Deviation 0.80	1.26 score on a scale Standard Deviation 0.81
Symptom Severity Substance Abuse	0.43 score on a scale Standard Deviation 0.72	0.32 score on a scale Standard Deviation 0.54

SECONDARY outcome

Timeframe: 2 month timepoint

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=32 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=15 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Symptom Severity Depression	1.24 score on a scale Standard Deviation 0.94	1.85 score on a scale Standard Deviation 1.02
Symptom Severity General Anxiety	1.70 score on a scale Standard Deviation 1.15	2.24 score on a scale Standard Deviation 0.99
Symptom Severity Social Anxiety	1.92 score on a scale Standard Deviation 1.07	2.39 score on a scale Standard Deviation 1.02
Symptom Severity Academic Distress	1.39 score on a scale Standard Deviation 1.06	2.13 score on a scale Standard Deviation 0.90
Symptom Severity Eating Concerns	1.21 score on a scale Standard Deviation 0.97	1.72 score on a scale Standard Deviation 1.13
Symptom Severity Family Distress	1.18 score on a scale Standard Deviation 0.82	1.13 score on a scale Standard Deviation 0.83
Symptom Severity Hostility	0.75 score on a scale Standard Deviation 0.82	1.39 score on a scale Standard Deviation 0.86
Symptom Severity Substance Abuse	0.38 score on a scale Standard Deviation 0.60	0.21 score on a scale Standard Deviation 0.38

SECONDARY outcome

Timeframe: 3 month timepoint

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=31 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=14 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Symptom Severity Hostility	0.82 score on a scale Standard Deviation 0.89	1.10 score on a scale Standard Deviation 0.73
Symptom Severity Substance Abuse	0.40 score on a scale Standard Deviation 0.58	0.39 score on a scale Standard Deviation 0.76
Symptom Severity Depression	1.12 score on a scale Standard Deviation 0.94	1.83 score on a scale Standard Deviation 1.11
Symptom Severity General Anxiety	1.42 score on a scale Standard Deviation 0.99	1.96 score on a scale Standard Deviation 0.93
Symptom Severity Social Anxiety	1.81 score on a scale Standard Deviation 1.03	2.39 score on a scale Standard Deviation 0.90
Symptom Severity Academic Distress	1.31 score on a scale Standard Deviation 0.98	2.12 score on a scale Standard Deviation 1.11
Symptom Severity Eating Concerns	1.01 score on a scale Standard Deviation 0.86	1.55 score on a scale Standard Deviation 0.97
Symptom Severity Family Distress	0.93 score on a scale Standard Deviation 0.63	1.10 score on a scale Standard Deviation 0.71

SECONDARY outcome

Timeframe: 1 month timepoint

Population: In Intervention Arm: 2 participants lost to follow up at 1 month timepoint after baseline In Usual Care Arm: 1 participant lost to follow up at 1 month time point

Mental health service follow-through will be assessed via the Client Service Receipt Inventory (CSRI). Ratings of 4 questions are Yes or No indicating if participants received the type of service. Scores described below are count of participants indicating "Yes" on the scale.

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=32 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=17 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Mental Health Service Follow-through Any mental health care	17 Participants	11 Participants
Mental Health Service Follow-through Inpatient	0 Participants	0 Participants
Mental Health Service Follow-through Outpatient	15 Participants	11 Participants
Mental Health Service Follow-through Primary care	4 Participants	1 Participants

SECONDARY outcome

Timeframe: 2 month timepoint

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=32 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=15 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Mental Health Service Follow-through Outpatient	12 Participants	10 Participants
Mental Health Service Follow-through Primary care	6 Participants	3 Participants
Mental Health Service Follow-through Any mental health care	16 Participants	11 Participants
Mental Health Service Follow-through Inpatient	0 Participants	1 Participants

SECONDARY outcome

Timeframe: 3 month timepoint

Outcome measures

Outcome measures
Measure	Text2Connect Intervention n=31 Participants Participants receiving Text2Connect (T2C) personalized messages will receive a monthly check-in text prompt. Based on their response, the participants then receive either general psychoeducational videos and prompts to continue to monitor mental health or are then prompted to endorse stressors and symptoms they are experiencing to prompt awareness of treatment targets in daily life. Text2Connect: The T2C intervention aims to increase mental health self-efficacy though psychoeducation, self-monitoring of symptoms and stressors, and cues to action for college-bound youth.	Usual Care-Psychoeducational Videos (PE) Only n=14 Participants Participants will receive a web link to a library of 4 PE videos. These brief 2-minute videos include general information about self-care during college. Psychoeducational Videos (PE) Only: Participants in this group will receive psychoeducation through the PE video library.
Mental Health Service Follow-through Any mental health care	15 Participants	7 Participants
Mental Health Service Follow-through Inpatient	0 Participants	0 Participants
Mental Health Service Follow-through Outpatient	12 Participants	7 Participants
Mental Health Service Follow-through Primary care	5 Participants	1 Participants

Adverse Events

Text2Connect Intervention

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Usual Care-Psychoeducational Videos (PE) Only

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Tina Goldstein

University of Pittsburgh

Phone: (412) 246-5604

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place