Clinical Structure of CBT-txt
adult abuse
ABUSE, ADULT ABUSE
We expanded our initial 4-week CBT-txt treatment [SMS text message–delivered cognitive behavioral therapy (CBT) content and structure (474 texts over 8 weeks; mean 14.8 texts per day, every other day).Participants assigned to the CBT-txt intervention condition received 474 texts delivered every other day over a 64-day period, averaging 14.8 texts per treatment day. Participants indicated the time of day they would like to receive the intervention texts. Intervention texts were delivered via a web-based automated SMS text messaging platform called TextIt. Project staff programmed TextIt to deliver intervention texts and extract data from the web-based survey platform Qualtrics to automatically personalize intervention texts. Texts were individualized based on data provided by participants in the baseline survey as well as throughout the treatment period.In addition to the scheduled intervention messages, participants could access automated booster messaging to provide on-demand supportive messages by texting “4MOOD” at any time, as needed. The “4MOOD” messages are organized around topics (eg, cognitive techniques and positive activities) such that participants select a category of message to receive each time they text “4MOOD” for additional support. All text messages end with the response, “If this is a crisis call 911.” If participants want to find out about receiving professional help, they choose option 4 and the program texts them a link to a list of national mental health services, suicide prevention hotlines, and a child and adult abuse hotline. This list includes a link to access Substance Abuse and Mental Health Services Administration’s treatment locator, which offers a database of treatment providers that can be filtered by location. 