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Table 2 Examples of text messages and response options by therapeutic module

From: Integrating technology into cognitive behavior therapy for adolescent depression: a pilot study

Module Text message Response options
Mood module: scheduled text Please rate your mood right now, from 0 to 10. 0 would be a Very Bad Mood. 10 would be a Very Good Mood 0–10
Mood module: scheduled text Please tell me why you gave that mood rating Free text response
Goal setting: morning text Hi. Remember your goal for the week is to {insert sub-goal}. Do you recall what step you were going to do today? Yes/no
Goal setting: evening text 1 Hi. Did you {insert first scheduled step} today? Yes/no
Goal setting: evening text 2 That’s great! Describe any problems you had, or any thing you’d like to discuss at our next session Free text response
Goal setting: alternate evening text 2 Okay. Please describe any problems you had, or when you plan to take this next step Free text response
Problem solving: morning text Hi! This is a reminder to work on {insert best solution} this week. Do you recall the steps you were going to take? Yes/no
Problem solving: evening text “Were you able to do any steps today in your problem solving?” Yes/no
Problem solving: evening text 2 Describe what steps you did and how successful you were Free text response
Problem solving: alternate evening text 2 Ok. Describe any issues or problems you’d like to talk about at our next session Free text response
Challenging unhelpful thoughts: morning text 1 Hi! Do you recall the process for challenging unhelpful thoughts? Yes/no
Challenging unhelpful thoughts: morning text 2 “Great. I’ll check back with you tonight”  
Challenging unhelpful thoughts: alternative morning text 2 “Ok. Identify the event leading to unhelpful thought and the associated mood. Then think of alternative thoughts and how it will affect your mood”  
Challenging unhelpful thoughts: evening text 1 Do you want to thought challenge anything that happened today? Yes/no
Challenging unhelpful thoughts: evening text 2 Ok, describe the event Free text response
Challenging unhelpful thoughts : alternate evening text 2 “Ok, tell me how your day was today” Free text response