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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