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Clinical Application of Text Messaging for Anxiety and Depression

Effect of a clinical text messaging intervention on symptoms in adults with anxiety and depression

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12621000410853
Enrollment
450
Registered
2021-04-15
Start date
2022-04-25
Completion date
2023-12-18
Last updated
2022-03-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to improve mental health outcomes for those with anxiety and depression by using an innovative text messaging intervention to supplement therapy. We hope to develop a scalable intervention via psychological flexibility-based text messages, which does not require personal contact, and can be delivered remotely. This study will involve a randomised controlled trial to determine the efficacy of the text messaging intervention. Clients of a psychology clinic will be allocated to a control (treatment as usual) or intervention group (treatment as usual plus text messaging intervention). Text messages will be based on Acceptance and Commitment Therapy and will be delivered daily for 8 weeks. We hypothesise that the intervention group will have improved wellbeing compared to the control group after 8 weeks.

Interventions

Clients of a psychology clinic with a diagnosis of anxiety or depression will receive daily text messages alongside weekly therapy for 8 weeks. Clients will receive one text message per day. Messages will not be personalised, as they are designed to be scalable, therefore everyone will receive identical texts. Text messages will be sent via an app (Nudge Learning) that is being developed specifically for this purpose. The app has the capacity to monitor the delivery of the messages and identify

Clients of a psychology clinic with a diagnosis of anxiety or depression will receive daily text messages alongside weekly therapy for 8 weeks. Clients will receive one text message per day. Messages will not be personalised, as they are designed to be scalable, therefore everyone will receive identical texts. Text messages will be sent via an app (Nudge Learning) that is being developed specifically for this purpose. The app has the capacity to monitor the delivery of the messages and identify whether they have been opened. Text messages will be based on Acceptance and Commitment Therapy and Self compassion and messages have been generated by researchers and clinicians in these fields. Some example messages include: "Take a pause for a moment and name 5 things that you can see, 4 things that you can hear, 3 things that you can touch, 2 things that you can smell and 1 thing that you can taste. Becoming aware of the physical experience can help us to feel grounded and connected to the present moment." "When you feel distressed, can you create a feeling of support and kindness for yourself?"

Sponsors

Australian Catholic University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Diagnosis of anxiety or depression. Adult 18+ Fluent in English Current engaged with a psychologist Own a smartphone

Exclusion criteria

Cognitive impairment or current psychosis

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026