Evaluating User Engagement and Satisfaction With Digital Mental Health Interventions: Randomized Controlled Trial of a Text Messaging Program and e-Mental Health Resources.

Text4Support participants reported significantly higher overall satisfaction than control group participants who received e-mental health resources.

• Overall mean (SD) satisfaction score in the Text4Support group was 7.1 (2.2) out of 10.
• Overall mean (SD) satisfaction score in the control group was 5.1 (2.3) out of 10.
• A total of 130 participants in the Text4Support group and 69 in the control group completed the satisfaction survey.
• The study was conducted in Nova Scotia, Canada as a randomized controlled trial.

Text4Support participants demonstrated higher engagement with the intervention compared to control group participants accessing e-mental health resources.

• 53.8% (70/130) of Text4Support recipients always read the messages.
• Only 39.1% (27/69) of the control group rarely accessed the eHealth resources.
• Participants in the Text4Support group were reported to sometimes take positive action upon reading the messages more often than controls (42.3% vs 33.3%).
• Engagement was measured using a 5-point Likert scale.

A significantly higher proportion of Text4Support users perceived the messages as supportive, positive, and helpful compared to control group participants.

• 81.4% of Text4Support users strongly agreed or agreed that messages were supportive, compared to 41.5% of control group participants.
• 88.4% of Text4Support users agreed messages were positive, compared to 49.2% of control group participants.
• 44.2% of Text4Support users agreed messages were helpful in coping with stress, compared to 11.9% of controls.
• 40.3% of Text4Support users agreed messages helped with loneliness, compared to 13.4% of controls.
• 51.2% of Text4Support users agreed messages helped improve mental well-being, compared to 17.9% of controls.

The majority of responses from the control group regarding the e-mental health resources were largely neutral.

• Control group participants received a single text message with a link to the Nova Scotia Mental Health and Addiction Program e-mental health resources.
• In contrast to Text4Support recipients, control group responses across perceived impact dimensions were predominantly neutral.
• Chi-square test and Fisher exact test were employed for data analysis.

The Text4Support intervention involved daily supportive text messages delivered as a low-cost adjunct to care, while the control received a single resource link.

• Text4Support group received daily supportive text messages.
• Control group received a single text message containing a link to e-mental health resources.
• The intervention is described as a 'low-cost adjunct to care delivery and mental health improvement.'
• The study design was a randomized controlled trial conducted in Nova Scotia, Canada.