Symposia
Technology/Digital Health
Tamar Kodish, Ph.D. (she/her/hers)
Assistant Professor
University of Colorado Boulder
Boulder, CO, United States
Francisco Reinosa, PhD (he/him/his)
Postdoctoral Research Scholar
UCLA
Los Angeles, CA, United States
Pamela Pichon, B.A. (she/her/hers)
Staff Research Associate
UCLA
Los Angeles, CA, United States
Michelle Craske, Ph.D.
Professor of Psychology, Psychiatry and Biobehavioral Sciences
University of California Los Angeles
Los Angeles, CA, United States
Kate Wolitzky-Taylor, Ph.D.
Associate Professor
UCLA School of Medicine
Los Angeles, CA, United States
David C. Mohr, Ph.D. (he/him/his)
Professor
Northwestern University Feinberg School of Medicine
Chicago, IL, United States
Denise A. Chavira, Ph.D.
Professor
University of California Los Angeles
Los Angeles, CA, United States
Latine community college (CC) face significant mental health concerns but are unlikely to receive treatment. Barriers to mental health service uptake among Latine CC students have been delineated, but few studies have identified strategies to improve engagement. The goal of this study was to codesign and pilot a text messaging intervention to address barriers and increase uptake of a mental health screening and treatment program, called STAND, among Latine CC students.
We conducted two parallel sets of four codesign focus groups with CC students who had varying levels of engagement with STAND. We utilized rapid qualitative analysis to extract key themes, make refinements, and present updated prototypes for feedback. Among a subset of participants (n=8), we assessed five usability factors on a 5-point Likert: satisfaction, helpfulness, attractiveness, readability, comprehension, and likelihood of getting started with STAND after receiving texts. We piloted the intervention by randomly assigning a subset of participants (n=41) who started STAND but dropped off before completing screening or attending STAND orientation to receive the text messaging intervention.
Key themes in 3 domains emerged: 1) perceptions of texting and barriers to STAND, 2) message format, 3) message content. Themes for domain 1 included positive regard for text messaging and general agreement on key barriers. Format themes included: use short messages, not too many messages, use relevant language, use images, memes and short videos, make messages “human-like”. Content themes included: reminders that you are not alone, knowledge that STAND has worked for students, express understanding of student stressors, and provide option to speak to a team member. Mean ratings on usability factors ranged from 3.9-4.2/5. Among pilot participants, 32% completed STAND screening (vs. 27% overall), 15% attended a STAND orientation (vs. 11% overall), and 46% of those who completed STAND screening attended an orientation (vs. 42% overall).
This study demonstrates a process for codesigning mental health engagement interventions with end-users. We also provide preliminary evidence for the potential effectiveness of a text messaging intervention to increase rates of treatment uptake among Latine CC students. Further research is needed to more rigorously test this intervention and make iterative refinements to improve response and effectiveness.