European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169 S139
EW0100
Supportive text messages for patients
with depression – A randomized
controlled trial
V. Agyapong ∗, M. Juhas , A. Ohinmaa , J. Omeje , K. Mrklas ,
V. Suen , S. Dursun , A. Greenshaw
1 University of Alberta, Department of Psychiatry, Edmonton, Canada
2 University of Alberta, School of Public Health, Edmonton, Canada
3 Alberta Health Services, Department of Public Health, Fort
McMurray, Canada
4 Alberta Health Services, Research Priorities and Implementation
and Research Innovation and Analytics, Calgary, Canada
5 Alberta Health Services, Addiction and Mental Health Strategic
Clinical Network, Edmonton, Canada
∗ Corresponding author.
Background Depression is projected to be the primary cause of
disabilityworldwide by 2030. Our aimwas to test the feasibility of a
supportive text messagingmobile health intervention in improving
treatment outcomes in depressed patients.
Methods We performed a single-rater-blinded randomised trial
involving 73 patients with Major Depressive Disorder. Patients in
the intervention group (n = 35) received twice-daily supportive text
messages for 3 months while those in the control group (n = 38)
received a single text message every fortnight thanking them for
participating in the study.
Results After adjusting for baseline BDI scores, a significant dif-
ference remained in the three month mean BDI scores between
the intervention and control groups: (20.8 (SD = 11.7) vs. 24.9 (SD =
11.5), F (1, 60) = 4.83, P= 0.03, p2 = 0.07). The mean difference in
the BDI scores change was significant with an effect size (Cohen’s
d) of 0.67. Furthermore, after adjusting for baseline scores, a sig-
nificant difference remained in the three month mean self-rated
VAS scores (EQ-5D-5L scale) between the intervention and control
groups, 65.7 (SD = 15.3) vs. 57.4 (SD = 22.9), F (1, 60) = 4.16, P = 0.05,
p2 = 0.065. The mean difference in change mean self-rated VAS
scores was also statistically significant with an effect size (Cohen’s
d) of 0.51.
Conclusions Our findings suggest that supportive text messages
are a potentially useful psychological intervention for depression,
especially in underserved populations. Further studies are needed
to explore the implications of our findings in larger clinical samples.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0101
Mobile health program to reduce
psychological treatment gap in
mental healthcare in Alberta through
daily supportive text
messages – Cross-sectional survey
evaluating Text4Mood
V. Agyapong ∗, K. Mrklas , M. Juhás , J. Omeje , A. Ohinmaa ,
S. Dursun , A. Greenshaw
1 University of Alberta, Department of Psychiatry, Edmonton, Canada
2 Alberta Health Services, Research Priorities and Implementation
and Research Innovation and Analytics, Calgary, Canada
3 Alberta Health Services, Department of Public Health, Fort
McMurray, Canada
4 University of Alberta, School of Public Health, Edmonton, Canada
∗ Corresponding author.
Background To complement the oversubscribed counselling ser-
vices in Alberta, the Text4Mood program which delivers daily
supportive text messages to subscribers was launched on the 18th
of January, 2016. This report presents an evaluation of self-reports
of the impact of the program on the mental wellbeing of sub-
scribers.
Methods An online link to a survey questionnaire was created by
an expert group and delivered via text messages to mobile phones
of all 4111 active subscribers of the Text4Mood program as of April
11, 2016.
Results Overall, 894 subscribers answered the survey (overall
response rate 21.7%). The response rate for individual questions
varied and is reported alongside the results. Most respondents
were female (83%,n = 668), Caucasian (83%, n = 679), and diagnosed
with a psychiatric disorder (38%, n = 307), including Depression
(25.4%, n = 227) and Anxiety (20%, n = 177). Overall, 52% (n = 461)
signed up for Text4Mood to help elevate their mood and 24.5% (n =
219) signed up to help them worry less. Most respondents felt the
text messages made them more hopeful about managing issues in
their lives (81.7%, n = 588), feel in charge of managing depression
and anxiety (76.7%, n = 552), and feel connected to a support sys-
tem (75.2%, n = 542). The majority of respondents felt Text4Mood
improved their overall mental well-being (83.1%, n = 598).
Conclusion Supportive text messages are a feasible and accept-
able way of delivering adjunctive psychological interventions.
Given that text messages are affordable, readily available, and can
be delivered to thousands of people simultaneously, they present
an opportunity to help close the psychological treatment gap for
mental health patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0102
Explanatory and confirmatory factor
structure of beck scale for suicide
ideation in non-clinical sample
R. Alsalman∗ lansari
Department of Psychology, Kuwait University, Kuwait, Kuwait
∗ Corresponding author.
Introduction The Beck Scale for Suicidal Ideation (BSS) is a self-
report 19-item scale preceded by five screening items. The BSS and
its screening items are intended to assess a patient’s thoughts, plans
and intent to commit suicide. All 24 items are rated on a three-point
scale (0 to 2). In this study, scores from the five screening items
were included in the overall score. Therefore, total scores could
range from 0 to 48.There is no study until this date that examines
the factor structure of BSS among Kuwaitis.
Objectives The current study investigated the original three-
factor model of the (BSS) in non-clinical sample.
Methods Sample one consisted of 285 males and 300 female stu-
dents from Kuwait University while sample two consisted of 201
males and 302 females from Kuwait University. The Arabic version
of BSS was administered to participants. Explanatory factor based
on sample 1 and conformity factor analysis based on sample 2 of
BSS were used in this study.
Results The explanatory and confirmatory factor analysis of (BSS)
extracts three factors and three structures of BSS. Factor I = active
suicidal desire; Factor II = preparation; Factor III = passive suicidal
desire. In addition, the results revealed no significant gender dif-
ferences in the factor structure of BSS.
Conclusions The results of both confirmatory and exploratory fac-
tor analysis indicated that the original three-factor model provided
the best fit for the two genders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.