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Text Message Exchanges between Older Adults With Serious Mental Illness and Older Certified Peer Specialists in a Smartphone-Supported Self-Management Intervention
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July 16 2018
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Source: Psychiatr Rehabil J. 42(1):57-63
[PDF-122.00 KB]
Details:
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Alternative Title:Psychiatr Rehabil J
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Personal Author:
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Description:Objective:
To identify the strategies peer specialists use to provide illness self-management support for older adults with serious mental illness (SMI) through text messaging.
Methods:
Transcripts of text message exchanges were analyzed between eight older adult participants with SMI who completed the PeerTECH intervention and three older adult certified peer specialists who delivered the 12-week program. Text message analyses explored themes relevant to peer support and health behavior change. Quantitative data comprised frequency of text messages by either the peer or consumer.
Results:
Consumers (N=8) had a mean age of 68.8 years (SD=4.9) and were mainly women (88%), White (100%), and married (75%). Certified peer specialists (N=3) were all aged 55 years or older, 100% were female, and 66% identified as White and 33% identified as African-American. Overall, peers sent 215 text messages while consumers sent 141 text messages. We identified four themes in the peer specialist-consumer text message exchanges on different aspects of illness self-management, including health behavior change, self-management therapeutic techniques, engagement in health technology, and peer support.
Conclusions and Implications for Practice:
This exploratory qualitative study offers preliminary support that peers are able to use text messages to support the delivery of a peer-delivered home-based medical and psychiatric self-management intervention. Certified peer specialists can potentially provide a range of illness self-management support to older adults with SMI via text messaging. These findings will inform the development of standardized peer text messaging services to augment evidence-based illness self-management interventions for older adults with SMI.
Impact:
This study offers preliminary support that certified peer specialists’ services can potentially be advanced with the use of text messaging to provide illness self-management support to older adults with SMI.
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Source:
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Pubmed ID:30010355
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Pubmed Central ID:PMC6335192
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Funding:
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Volume:42
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Issue:1
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