Improving Mood Through Community Connection and Resources Using an Interactive Digital Platform: Development and Usability Study

BackgroundCOVID-19 continues to disrupt global health and well-being. In April-May 2020, we generated a digital, remote interactive tool to provide health and well-being resources and foster connectivity among community members through a text messaging platform. ObjectiveThis study aimed...

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Main Authors: Ortiz, Robin, Southwick, Lauren, Schneider, Rachelle, Klinger, Elissa V, Pelullo, Arthur, Guntuku, Sharath Chandra, Merchant, Raina M, Agarwal, Anish K
Format: Article
Language:English
Published: JMIR Publications 2021-02-01
Series:JMIR Mental Health
Online Access:https://mental.jmir.org/2021/2/e25834
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author Ortiz, Robin
Southwick, Lauren
Schneider, Rachelle
Klinger, Elissa V
Pelullo, Arthur
Guntuku, Sharath Chandra
Merchant, Raina M
Agarwal, Anish K
author_facet Ortiz, Robin
Southwick, Lauren
Schneider, Rachelle
Klinger, Elissa V
Pelullo, Arthur
Guntuku, Sharath Chandra
Merchant, Raina M
Agarwal, Anish K
author_sort Ortiz, Robin
collection DOAJ
description BackgroundCOVID-19 continues to disrupt global health and well-being. In April-May 2020, we generated a digital, remote interactive tool to provide health and well-being resources and foster connectivity among community members through a text messaging platform. ObjectiveThis study aimed to prospectively investigate the ability of a health system–based digital, remote, interactive tool to provide health and well-being resources to local community participants and to foster connectivity among them during the early phases of COVID-19. MethodsWe performed descriptive and nonparametric longitudinal statistical analyses to describe and compare the participants’ mood ratings over time and thematic analysis of their responses to text messages to further assess mood. ResultsFrom among 393 individuals seeking care in an urban emergency department in an academic setting, engaged in a two-way text messaging platform, we recorded 287 mood ratings and 368 qualitative responses. We observed no difference in the initial mood rating by week of enrollment [Kruskal-Wallis chi-square H(5)=1.34; P=.93], and the average mood rating did not change for participants taken together [Friedman chi-square Q(3)=0.32; P=.96]. However, of participants providing mood ratings at baseline, mood improved significantly among participants who reported a low mood rating at baseline [n=25, 14.97%; Q(3)=20.68; P<.001] but remained stable among those who reported a high mood rating at baseline [n=142, 85.03%; Q(3)=2.84; P=.42]. Positive mood elaborations most frequently included words related to sentiments of thankfulness and gratitude, mostly for a sense of connection and communication; in contrast, negative mood elaborations most frequently included words related to anxiety. ConclusionsOur findings suggest the feasibility of engaging individuals in a digital community with an emergency department facilitation. Specifically, for those who opt to engage in a text messaging platform during COVID-19, it is feasible to assess and respond to mood-related queries with vetted health and well-being resources.
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spelling doaj.art-231ed9c9faab46aa825b59331172bacd2022-12-21T20:06:24ZengJMIR PublicationsJMIR Mental Health2368-79592021-02-0182e2583410.2196/25834Improving Mood Through Community Connection and Resources Using an Interactive Digital Platform: Development and Usability StudyOrtiz, RobinSouthwick, LaurenSchneider, RachelleKlinger, Elissa VPelullo, ArthurGuntuku, Sharath ChandraMerchant, Raina MAgarwal, Anish KBackgroundCOVID-19 continues to disrupt global health and well-being. In April-May 2020, we generated a digital, remote interactive tool to provide health and well-being resources and foster connectivity among community members through a text messaging platform. ObjectiveThis study aimed to prospectively investigate the ability of a health system–based digital, remote, interactive tool to provide health and well-being resources to local community participants and to foster connectivity among them during the early phases of COVID-19. MethodsWe performed descriptive and nonparametric longitudinal statistical analyses to describe and compare the participants’ mood ratings over time and thematic analysis of their responses to text messages to further assess mood. ResultsFrom among 393 individuals seeking care in an urban emergency department in an academic setting, engaged in a two-way text messaging platform, we recorded 287 mood ratings and 368 qualitative responses. We observed no difference in the initial mood rating by week of enrollment [Kruskal-Wallis chi-square H(5)=1.34; P=.93], and the average mood rating did not change for participants taken together [Friedman chi-square Q(3)=0.32; P=.96]. However, of participants providing mood ratings at baseline, mood improved significantly among participants who reported a low mood rating at baseline [n=25, 14.97%; Q(3)=20.68; P<.001] but remained stable among those who reported a high mood rating at baseline [n=142, 85.03%; Q(3)=2.84; P=.42]. Positive mood elaborations most frequently included words related to sentiments of thankfulness and gratitude, mostly for a sense of connection and communication; in contrast, negative mood elaborations most frequently included words related to anxiety. ConclusionsOur findings suggest the feasibility of engaging individuals in a digital community with an emergency department facilitation. Specifically, for those who opt to engage in a text messaging platform during COVID-19, it is feasible to assess and respond to mood-related queries with vetted health and well-being resources.https://mental.jmir.org/2021/2/e25834
spellingShingle Ortiz, Robin
Southwick, Lauren
Schneider, Rachelle
Klinger, Elissa V
Pelullo, Arthur
Guntuku, Sharath Chandra
Merchant, Raina M
Agarwal, Anish K
Improving Mood Through Community Connection and Resources Using an Interactive Digital Platform: Development and Usability Study
JMIR Mental Health
title Improving Mood Through Community Connection and Resources Using an Interactive Digital Platform: Development and Usability Study
title_full Improving Mood Through Community Connection and Resources Using an Interactive Digital Platform: Development and Usability Study
title_fullStr Improving Mood Through Community Connection and Resources Using an Interactive Digital Platform: Development and Usability Study
title_full_unstemmed Improving Mood Through Community Connection and Resources Using an Interactive Digital Platform: Development and Usability Study
title_short Improving Mood Through Community Connection and Resources Using an Interactive Digital Platform: Development and Usability Study
title_sort improving mood through community connection and resources using an interactive digital platform development and usability study
url https://mental.jmir.org/2021/2/e25834
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