Department of Mental Health Law & Policy, University of South Florida, Tampa, FL, USA.
Department of Computer Science and Engineering, University of South Florida, Tampa, FL, USA.
J Ment Health. 2023 Jun;32(3):625-633. doi: 10.1080/09638237.2023.2182424. Epub 2023 Mar 12.
Cope Notes is a subscription-based EMI that uses Short Message Service (SMS) technology to deliver daily text messages that promote hope, reduce stigma, and encourage coping and the use of positive psychology strategies.
We aimed to evaluate the preliminary effectiveness of Cope Notes, a brief ecological momentary intervention (EMI).
We conducted a longitudinal study where participants ( = 64) completed measures of depression, anxiety, perceived stress, coping, emotional intelligence, label avoidance, attitudes towards treatment-seeking, and readiness for change before the intervention, 1 month post-intervention, and 2 months post-intervention. This study includes mixed repeated measures ANOVAs to analyze over time.
Findings show that participants with severe depression experienced a significant decrease in anxiety and depressive symptoms, and perceived stress ( < .001) and showed a significant increase in emotional intelligence at 1 month post-intervention. Participants with mild to moderate depression experienced a significant increase in overall coping and problem-focused coping.
While further investigation of Cope Notes' feasibility and acceptability is warranted, these findings support that the Cope Notes EMI holds promise as a low-cost, impactful mental health solution for populations with limited access to care and those experiencing self-stigma preventing help-seeking.
CopeNotes 是一种基于订阅的 EMI，它使用短信服务 (SMS) 技术来发送每日文本信息，以促进希望、减少污名化，并鼓励应对和使用积极心理学策略。
我们旨在评估 CopeNotes 的初步效果，CopeNotes 是一种简短的生态瞬时干预 (EMI)。
我们进行了一项纵向研究，其中参与者（ = 64）在干预前、干预后 1 个月和干预后 2 个月完成了抑郁、焦虑、感知压力、应对、情绪智力、标签回避、治疗寻求态度和改变准备的测量。本研究包括混合重复测量方差分析来进行时间分析。
研究结果表明，严重抑郁的参与者的焦虑和抑郁症状、感知压力（ <.001）显著降低，并且在干预后 1 个月情绪智力显著增加。轻度至中度抑郁的参与者整体应对和问题焦点应对显著增加。
虽然需要进一步调查 CopeNotes 的可行性和可接受性，但这些发现支持 CopeNotes EMI 有望成为一种低成本、有影响力的心理健康解决方案，适用于获得护理机会有限的人群和那些因自我污名化而阻碍寻求帮助的人群。
