Supportive Messages Research Articles

Text messages promoting healthy lifestyle and linked with activity monitors stimulate an immediate increase in physical activity among women after gestational diabetes

AimsTo evaluate the immediate effect of text messages promoting healthy lifestyle and supporting parenting on physical activity amongst women with recent gestational diabetes (GDM). MethodsAnalysis of data from a pilot randomised controlled trial of a healthy lifestyle program for women with recent GDM. Intervention subjects received text messages providing motivation, reminders, information and feedback as well as an activity monitor. This sub-study examined step count in the 4 h after receipt of a text message, compared to the same time of day on other days among intervention subjects. ResultsData from 7326 days where step counts were recorded, from 31 women were analysed. The median steps in the 4 h following a text message was 1237 (IQR 18–2240) and it was 1063 (IQR 0–2038) over the same time period on comparison days where there was no message (p < 0.001). The effect was similar whether the messages pertained to physical activity or not. There was no attenuation of the response over 36–38 weeks. ConclusionsWomen with recent GDM increase their step count in the hours following positive and supportive text messages. This suggests that text messaging programs can facilitate healthy lifestyle and diabetes prevention in this population.

Reducing Anxiety Through Workplace Communication During COVID-19: Who, What, When, and How

Organizational communication is particularly important during times of uncertainty and turmoil, such as the first few weeks of COVID-19 in the United States. This paper explores the who, what, when, and how of organizational communication during this time, looking at how these factors affected satisfaction with communication and anxiety among a sample of working adults. Through path analysis the paper suggests that having the direct manager communicate, communicating personal messages of support, communicating daily, and communicating via text media are related to higher levels of satisfaction with communication, and in turn with lower levels of anxiety. Individual traits of the employee are also discussed, including the need for affiliation as a moderator on the relationship between communication satisfaction and anxiety. Finally, suggestions are presented regarding how organizations can best leverage communication in novel and uncertain situations such as the COVID-19 pandemic.

Too Reluctant to Reach Out: Receiving Social Support Is More Positive Than Expressers Expect

Receiving social support is critical for well-being, but concerns about a recipient’s reaction could make people reluctant to express such support. Our studies indicate that people’s expectations about how their support will be received predict their likelihood of expressing it (Study 1, N = 100 online adults), but these expectations are systematically miscalibrated. Participants who sent messages of support to others they knew (Study 2, N = 120 students) or who expressed support to a new acquaintance in person (Study 3, N = 50 adult pairs) consistently underestimated how positively their recipients would respond. A systematic perspective gap between expressers and recipients may explain miscalibrated expectations: Expressers may focus on how competent their support seems, whereas recipients may focus on the warmth it conveys (Study 4, N = 300 adults). Miscalibrated concerns about how to express support most competently may make people overly reluctant to reach out to someone in need.

An ethnographic study of communication with HIV-infected children at Rumah Cemara

This study examines the ethnography studies of communication with HIV-infected children at Rumah Cemara Bandung by reviewing the elements of communication components. This research uses a qualitative approach with an ethnographic type of communication study. The research subjects were children infected with HIV in Bandung who was selected using the purposive method. Data were obtained through in-depth interviews, participatory observation, document analysis, and literature study. The results revealed that the genre in the communication component of children infected with HIV at Rumah Cemara was seen in the delivery of problems, namely the presence of viral infections in children. The setting that occurs in the communication component is carried out at the child's home/residence and Rumah Cemara as a community location and Klinik Teratai, Hasan Sadikin Hospital, Bandung. Children use Indonesian and Sundanese as their daily languages. All HIV-infected children are infected with the virus because it is transmitted from their parents, namely the mother, and the mother is infected with HIV from her husband. Conversations that are usually carried out by informants when meeting at Klinik Teratai, Rumah Cemara, and at home are usually related to conditions of health development, children's adherence to taking anti-retroviral drugs, and mental and social development of children with messages of mutual encouragement and support as well as instilling a sense of optimism. Psychologically among People With HIV/AIDS (ODHA). The non-verbal language that children do in the form of silence; smiles; a nod of the head; shaking of the head, and laughing out loud.

Applying Participatory Design Mixed-Methods Approaches to Refine Twitter-Based Social Support Interventions for African Americans and Hispanic Family Caregivers of Persons with Dementia.

We applied mixed-methods to refine our first version of the Twitter message library (English 400, translated into Spanish 400) for African Americans and Hispanic family caregivers for a person with dementia. We conducted a series of expert panels to collect quantitative and qualitative data using surveys and in-depth interviews. Using mixed methods to ensure unbiased results, the panelists first independently scored them (1 message/5 panelist) on a scale of 1 to 4 (1: lowest, 4: highest), followed by in-depth interviews and group discussions. Survey results showed that the average score was 3.47, indicating good to excellent (SD 0.35, ranges from 1.8 to 4). Quantitative surveys and qualitative interviews showed different results in emotional support messages.

Immunize the HPV Vaccine Rumors: Effects of Inoculation Messages and Tone of Voice on Parental Intention to Vaccinate Their Children.

The purpose of this study was to develop an effective health communication strategy to guide the decision-making process of parents considering getting their children HPV vaccines. Using inoculation theory and findings on tone of voice as theoretical frameworks, the present study conducted a 2 (message type: inoculation vs. supportive) × 2 (tone of voice: human voice vs. organizational voice) mixed experiment with a total of 231 U.S. parents (either mother or father of a child eligible for the HPV vaccine). The results revealed that HPV vaccination promotions based on the inoculation message were more likely to generate positive attitudes toward the vaccination, higher intention to vaccinate their children, and higher intention to spread positive word of mouth (WOM) about HPV vaccination. Also, HPV vaccination promotions in the human voice were likely to increase the WOM intention more than those in the organizational voice. In regard to an interaction effect, human voice turned out to be more effective than organizational voice to generate the WOM intention when it comes to supportive messages; inoculation-based messages were similarly effective across the human and the organizational voice condition.

Can a Chatbot Comfort Humans? Studying the Impact of a Supportive Chatbot on Users’ Self-Perceived Stress

This article is part of a project that explores the potential of chatbots for providing online emotional support to humans tailored to stressors. Based on a number of empirical studies, we have developed a socially interactive agent able to have simple dialogues with stressed humans seeking for emotional support. In the current article, we address the question to what extent this chatbot is effective in helping users cope with stressful situations. To this end, we present a study in which participants were asked to interact with our proposed chatbot for three days. Participants are distributed over the following three conditions—namely: 1) receiving support from the chatbot, knowing the support is computer-generated; 2) receiving support from the chatbot, while believing the support is human-generated; 3) not receiving any support. During the three days, participants’ self-reported stress levels are measured on a daily basis before and after each interaction. Results indicate that the best results are obtained in the ‘human’ condition, while the worst results are obtained in the “computer” condition. These findings lead us to conclude that the presumed sender of a stress support message (i.e., a human or a computer) might be more important than the content of the message.

English

Online social media platforms are an important tool for individuals who wish to exchange ideas, stories, feelings, information. Hospitals and public health organizations can use social media platforms, including Instagram, to engage, interact or communicate with patients, family members and anyone interested in health information or new discoveries. The purpose of this study is to understand the main characteristics of user-generated digital narratives on the Instagram pages of two Brazilian cancer hospitals. The study fills a gap in the literature on cancer communication by studying a language other than English in a Latin American context, and examining user-generated comments over a period of more than 6 years. The findings of the authors&rsquo; content analysis show a preponderance of positive and social support messages, even though cancer is a disease laden with negative stigma. Religiosity, which can strengthen supportive social ties and create a stronger sense of empowerment and control, was also a hallmark of these narratives. In the content analysis of Brazilian cancer hospitals&rsquo; Instagram accounts, the predominant characteristic of user comments was that of positivity, even though cancer is a disease laden with negative stigma. &nbsp; Key words: Social media, Instagram, digital narratives, cancer, content analysis.

Exploring the extent of mental health practice: content and cluster analysis of techniques used in HIV testing and counselling sessions in Uganda

ABSTRACT There is an urgent need for greater provision of mental health services to people living with HIV. HIV testing and counselling (HTC) sessions diagnose HIV and offer appropriate psychosocial support and behavioural messages to support people to link into HIV care. It is not known to what extent HTC currently addresses mental health. We examined transcriptions of 166 audio-recorded HTC sessions delivered in Uganda against a checklist of mental health techniques. Hierarchical cluster analysis explored co-occurrence of techniques. Core counselling skills were very commonly present, and co-occurred. Assessment techniques were not commonly seen. Specific therapy techniques to treat anxiety or depression were not present. HTC staff are a resource for delivering mental health care for people with HIV, owing to their strong fundamental counselling skills. However, training is needed in assessment and evidence-based therapies. Provision of fuller assessment and interventions may increase detection and signposting for mental health and alcohol use, both of which may affect linkage into care. HTC staff have fundamental skills that could also be developed to train and supervise other staff to provide much needed mental health support to people living with HIV. Future research should develop brief mental health interventions for delivery by HTC staff.

“I looked it up and you’ll probably be fine”: cancer survivors’ perceptions of helpful and unhelpful support messages and sources

ABSTRACT This study replicated and extended existing research on cancer survivors’ perceptions of helpful and unhelpful social support messages and sources. Forty-three participants with diverse cancer experiences were interviewed about their perceptions of helpful and unhelpful social support messages and sources. Participants recalled six categories of helpful (i.e., network, emotional, esteem, tangible, informational and unspecified) and five categories of unhelpful (i.e., network, emotional, esteem, tangible, informational) messages/sources received during and after cancer treatment. Helpful and unhelpful messages came from spouses, family members, friends, coworkers, healthcare providers and others. Patterns of meaningful message-source combinations are described. Participants recalled double the amount of helpful support messages than nonsupport messages, offering support for the positivity bias. Participants’ memories of helpful support messages and sources during treatment followed a consistent pattern; however, expectations and experiences of received social support after completion of cancer treatment were inconsistent and contradictory.

Sitting less and moving more for improved metabolic and brain health in type 2 diabetes: ‘OPTIMISE your health’ trial protocol

BackgroundClinical practice guidelines recommend that adults with type 2 diabetes (T2D) sit less and move more throughout the day. The 18-month OPTIMISE Your Health Clinical Trial was developed to support desk-based workers with T2D achieve these recommendations. The two-arm protocol consists of an intervention and control arms. The intervention arm receives 6 months health coaching, a sit-stand desktop workstation and an activity tracker, followed by 6 months of text message support, then 6 months maintenance. The control arm receives a delayed modified intervention after 12 months of usual care. This paper describes the methods of a randomised controlled trial (RCT) evaluating the effectiveness and cost-effectiveness of the intervention, compared to a delayed intervention control.MethodsThis is a two-arm RCT being conducted in Melbourne, Australia. Desk-based workers (≥0.8 full-time equivalent) aged 35–65 years, ambulatory, and with T2D and managed glycaemic control (6.5–10.0% HbA1c), are randomised to the multicomponent intervention (target n = 125) or delayed-intervention control (target n = 125) conditions. All intervention participants receive 6 months of tailored health coaching assisting them to “sit less” and “move more” at work and throughout the day, supported by a sit-stand desktop workstation and an activity tracker (Fitbit). Participants receive text message-based extended care for a further 6-months (6–12 months) followed by 6-months of non-contact (12–18 months: maintenance). Delayed intervention occurs at 12–18 months for the control arm. Assessments are undertaken at baseline, 3, 6, 12, 15 and 18-months. Primary outcomes are activPAL-measured sitting time (h/16 h day), glycosylated haemoglobin (HbA1c; %, mmol/mol) and, cognitive function measures (visual learning and new memory; Paired Associates Learning Total Errors [adjusted]). Secondary, exploratory, and process outcomes will also be collected throughout the trial.DiscussionThe OPTIMISE Your Health trial will provide unique insights into the benefits of an intervention aimed at sitting less and moving more in desk-bound office workers with T2D, with outcomes relevant to glycaemic control, and to cardiometabolic and brain health. Findings will contribute new insights to add to the evidence base on initiating and maintaining behaviour change with clinical populations and inform practice in diabetes management.Trial registrationANZCTRN12618001159246.

A Self-management SMS Text Messaging Intervention for People With Inflammatory Bowel Disease: Feasibility and Acceptability Study.

BackgroundMobile health technologies can be useful for providing disease self-management information and support to people with inflammatory bowel disease (IBD).ObjectiveThe aim of this study was to test a self-management SMS text messaging intervention for people with IBD. Our goal was to examine intervention feasibility, acceptability, and engagement and to preliminarily evaluate improvements in certain self-reported health outcomes among participants.MethodsWe developed an SMS text messaging program called Text4IBD. The program sent daily support messages and resources about disease self-management over the course of a 2-week, single-group, pretest-posttest intervention to participants (N=114) diagnosed with IBD. We examined intervention feasibility, acceptability, and engagement through Text4IBD message topic recall and use of resources (ie, visiting supplemental websites recommended by the Text4IBD program). We also assessed pretest-posttest measures of IBD-related distress, self-efficacy, perceived support, use of coping strategies, and medication adherence. Analyses examined participants’ evaluations of the intervention and compared pretest-posttest changes in secondary outcomes using paired-samples statistics.ResultsApproximately all participants who completed the intervention (n=105) were receptive to Text4IBD and viewed the program as feasible and acceptable. In addition, most participants (103/105, 98.1%) recalled at least one of the message topics sent by the program, and 79% (83/105) of them self-reported engaging with at least one of the external self-management resources recommended by the Text4IBD program. Pretest-posttest results showed reduced IBD-related distress (mean 3.33, SD 0.68 vs mean 2.86, SD 0.73; P<.001) and improvements in most other secondary outcomes.ConclusionsFindings from this study highlight the value of SMS text messaging as a useful digital medium for providing support to people with IBD, particularly to those who may struggle with disease-related distress. Text4IBD was highly feasible and acceptable and may help people self-manage their IBD. Future studies should aim to evaluate this program in a randomized controlled trial in clinical settings.

The Influence of Linguistic Agency and Causality Attribution in Support-seeking about Depression on Perceived Stigma and Support Messages

This experiment examined how two language features—linguistic agency and assignment of causality—of online support-seekers’ messages regarding depression influenced viewers’ perceived stigma and features of their support messages. Participants (N = 254) read and responded to an online support-seeking post about depression. Our results revealed that personal stigma toward a depressed individual was lower when the individual disclosed a biological cause for the depression and assigned agency to depression than agency to human. Additionally, when agency was assigned to depression with a biological rather than non-biological cause, more positive emotion words were utilized in participants’ response posts. Cognitive process words were used more often in response to messages with non-biological causality than biological causality.

A collaboration on teaching communication by text

BackgroundSince the start of the pandemic, text‐based communication with patients has become increasingly common. Leicester Medical School introduced experiential teaching in this field in 2014 but identified a need to develop teaching on the key skills required for effective consultations. Shout 85258 offers a text messaging support service for anyone who is struggling with their mental health. They have developed an evidence‐based training programme enabling volunteers to deliver quality crisis support via the medium of text messaging.ApproachLeicester Medical School and Shout 85258 collaborated, developing a small group teaching session for delivery to second‐year medical students. The training programme and framework developed by Shout 85258 was used as the basis for a 1.5‐hour session with didactic teaching and experiential role play. It was hoped that the collaboration would raise the profile of Shout 85258 in the student body.EvaluationThe students enjoyed the mixture of didactic teaching and role play. They saw the relevance of the topic and recognised the key difficulties of text‐based consultations such as in rapport building.Tutors valued the structure of the session and the framework provided.The session raised the profile of Shout 85258 amongst students and tutors. Further evaluation is needed to measure changes in the use of the service or volunteering by students following the session.ImplicationsText‐based consultation is an increasingly important area of communication in health care.Collaborating with a charitable organisation allowed sharing of established best practice in this area and raised the profile of the charity within the student body.

An E-Mental Health Solution to Prevent and Manage Posttraumatic Stress Injuries Among First Responders in Alberta: Protocol for the Implementation and Evaluation of Text Messaging Services (Text4PTSI and Text4Wellbeing).

BackgroundFirst responders are confronted with traumatic events in their work that has a substantial toll on their psychological health and may contribute to or result in posttraumatic stress injuries (PTSIs) for many responders. Persons with a PTSI usually seek management therapies. Evidence indicates that digital delivery of these therapies is an innovative, efficient, and effective way to improve PTSI symptoms as an adjunct to in-person delivery.ObjectiveThis project aims to implement and provide accessible, convenient, and economical SMS text messaging services, known as Text4PTSI and Text4Wellbeing, to first responders in Alberta, Canada; to prevent and improve the symptoms of PTSI among first responders; and to improve their overall quality of life. We will evaluate posttraumatic symptoms and the impact of Text4PTSI and Text4Wellbeing on stress, anxiety, and depression in relation to the correspondents’ demographic backgrounds.MethodsFirst responders who subscribe to Text4PTSI or Text4Wellbeing receive daily supportive and psychoeducational SMS text messages for 6 months. The SMS text messages are preprogrammed into an online software program that delivers messages to subscribers. Baseline and follow-up data are collected through online questionnaires using validated scales at enrollment, 6 weeks, 12 weeks, and 24 weeks (end point). In-depth interviews will be conducted to assess satisfaction with the text-based intervention.ResultsWe hypothesize that participants who enroll in this program will have improved PTSI symptoms; increased or improved quality of life; and significant reduction in associated stress, depression, and anxiety symptoms, among other psychological concerns. Improvement will be determined in comparison to established baseline parameters.ConclusionsThis research will be beneficial for practitioners and will inform policy-making and decision-making regarding psychological interventions for PTSI. Lessons from this study will inform the scale-up of the intervention, a cost-effective, zero contact therapeutic option to manage PTSI.International Registered Report Identifier (IRRID)PRR1-10.2196/30680

Applying Collective Intelligence in Health Recommender Systems for Smoking Cessation: A Comparison Trial

Background: Health recommender systems (HRSs) are intelligent systems that can be used to tailor digital health interventions. We compared two HRSs to assess their impact providing smoking cessation support messages. Methods: Smokers who downloaded a mobile app to support smoking abstinence were randomly assigned to two interventions. They received personalized, ratable motivational messages on the app. The first intervention had a knowledge-based HRS (n = 181): it selected random messages from a subset matching the users’ demographics and smoking habits. The second intervention had a hybrid HRS using collective intelligence (n = 190): it selected messages applying the knowledge-based filter first, and then chose the ones with higher ratings provided by other similar users in the system. Both interventions were compared on: (a) message appreciation, (b) engagement with the system, and (c) one’s own self-reported smoking cessation status, as indicated by the last seven-day point prevalence report in different time intervals during a period of six months. Results: Both interventions had similar message appreciation, number of rated messages, and abstinence results. The knowledge-based HRS achieved a significantly higher number of active days, number of abstinence reports, and better abstinence results. The hybrid algorithm led to more quitting attempts in participants who completed their user profiles.

The Danish RESPEKT Campaign: Impact of a National Mass Media Campaign Aiming to Increase Treatment Seeking for Alcohol Use Disorders

Background: A minority of all with alcohol use disorders seek treatment. In Denmark, a media campaign, “RESPEKT,” has been broadcast nationwide since 2015. The campaign is unique from an international perspective and aims to increase treatment-seeking. Similar interventions have, up until now, not been scientifically evaluated. Aim: To investigate campaign awareness, understanding, attitudes, and information-seeking pre- and post the campaign period. Also, associations to demographic factors and year of campaign will be investigated. Method: Study design: Repeated cross-sectional study Participants: Adults aged 30–70 years, in total n = 9169. Data: Pre- and post the campaign period between 2017 and 2020, an online questionnaire was administered by a market research company. The questionnaire covered demographic data, campaign awareness, understanding, attitudes, and information-seeking about treatment for alcohol use disorders. In addition, complete-case logistic regression was performed to model dichotomous outcomes, and odds ratios were calculated. Results: Campaign awareness varied between 8 and 40% over the different years. Understanding of the main message was high and received higher endorsements over the study period. A majority expressed positive attitudes toward the campaign and support for the main message regarding free treatment. However, very few self-reported seeking information about AUD treatment. Female sex was associated with higher awareness of the campaign, higher understanding and more positive attitudes toward the campaign. Conclusion: The campaign evoked positive attitudes and had an impact on increasing knowledge and changing attitudes. However, no effect on self-reported information seeking about treatment was found.

Evaluation of a Type 2 diabetes risk reduction online program for women with recent gestational diabetes: a randomised trial

BackgroundTo evaluate the preliminary efficacy, feasibility and acceptability of the 3-month Body Balance Beyond (BBB) online program among Australian women with overweight/obesity and recent gestational diabetes mellitus.MethodsWomen were randomised into either: 1) High Personalisation (HP) (access to ‘BBB’ website, video coaching sessions, text message support); 2) Medium Personalisation (MP) (website and text message support); or 3) Low Personalisation (LP) (website only). Generalised linear mixed models were used to evaluate preliminary efficacy, weight, diet quality, physical activity levels, self-efficacy and quality of life (QoL) at baseline and 3-months. Feasibility was assessed by recruitment and retention metrics and acceptability determined via online process evaluation survey at 3-months.ResultsEighty three women were randomised, with 76 completing the study. Self-efficacy scores showed significant improvements in confidence to resist eating in a variety of situations from baseline to 3-months in HP compared to MP and LP groups (P=.03). The difference in mean QoL scores favoured the HP compared to MP and LP groups (P=.03). Half of the women (HP n=17[81%], MP n=12[75%], LP n=9[56%]) lost weight at 3-months. No significant group-by-time effect were reported for other outcomes. Two-thirds of women in the HP group were satisfied with the program overall and 86% would recommend it to others, compared with 25% and 44% in the MP group, and 14% and 36% in the LP group, respectively.ConclusionsVideo coaching sessions were associated with improvements in QoL scores and self-efficacy, however further refinement of the BBB website and text messages support could improve program acceptability.Trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12619000162112, registered 5 February 2019.

Patients\u2019 and providers\u2019 perspectives on e-health applications designed for self-care in association with surgery \u2013 a scoping review

BackgroundBefore and after major surgery, access to information in a user-friendly way is a prerequisite for patients to feel confident in taking on the responsibility for their surgical preparation and recovery. Several e-health applications have been developed to support patients perioperatively. The aim of this review was to give an overview of e-health applications designed for self-care associated with surgery by providing a scoping overview of perspectives from providers and patients.MethodsWe searched the following data sources to identify peer-reviewed quantitative and qualitative studies published between 2015 and 2020: CINAHL, Google Scholar, MEDLINE, PsycInfo, Web of Science, and Scopus. After identifying 960 titles, we screened 638 abstracts, of which 72 were screened in full text. Protocol register: https://doi.org/10.17605/OSF.IO/R3QND.ResultsWe included 15 studies which met our inclusion criteria. Data from several surgical contexts revealed that the most common self-care actions in e-health applications were preoperative preparations and self-assessments of postoperative recovery. Motivational factors for self-care were information, combined with supportive reminders and messages, and chat features. Although there was great variance in research designs and technical solutions, a willingness to engage with and adhere to e-health seemed to increase patients’ self-care activities and thereby accelerate return to work and normal activities. In addition, the need for physical visits seemed to decrease. Even though age groups were not primarily studied, the included studies showed that adult patients of any age engaged in surgical self-care supported by e-health. The providers’ perspectives were not found.ConclusionsE-health applications supporting perioperative self-care indicated a positive impact on recovery. However, experiences of healthcare professionals delivering e-health associated with surgery are missing. Additionally, studies based on patients’ perspectives regarding willingness, adherence, and motivation for self-care supported by e-health are sparse. A need for studies examining the supporting role of e-health for self-care in the surgical context is therefore needed.

Clinical Outcomes in Routine Evaluation Measures for Patients Discharged from Acute Psychiatric Care: Four-Arm Peer and Text Messaging Support Controlled Observational Study.

Background: Peer support workers (PSW) and text messaging services (TxM) are supportive health services that are frequently examined in the field of mental health. Both interventions have positive outcomes, with TxM demonstrating clinical and economic effectiveness and PSW showing its utility within the recovery-oriented model. Objective: To evaluate the effectiveness of PSW and TxM in reducing psychological distress of recently discharged patients receiving psychiatric care. Methods: This is a prospective, rater-blinded, pilot-controlled observational study consisting of 181 patients discharged from acute psychiatric care. Patients were randomized into one of four conditions: daily supportive text messages only, peer support only, peer support plus daily text messages, or treatment as usual. Clinical Outcomes in Routine Evaluation—Outcome Measure (CORE-OM), a standardized measure of mental distress, was administered at four time points: baseline, six weeks, three months, and six months. MANCOVA was used to assess the impact of the interventions on participants’ scores on four CORE-OM subscales across the three follow-up time points. Recovery, clinical change, and reliable change in CORE-OM all-item analysis were examined across the four groups, and the prevalence of risk symptoms was measured. Results: A total of 63 patients completed assessments at each time point. The interaction between PSW and TxM was predictive of differences in scores on the CORE-OM functioning subscale with a medium effect size (F1,63 = 4.19; p = 0.045; ηp2 = 0.07). The PSW + TxM group consistently achieved higher rates of recovery and clinical and reliable improvement compared to the other study groups. Additionally, the text message group and the PSW + TxM group significantly reduced the prevalence of risk of self/other harm symptoms after six months of intervention, with 27.59% (χ2(1) = 4.42, p = 0.04) and 50% (χ2(1) = 9.03, p < 0.01) prevalence reduction, respectively. Conclusions: The combination of peer support and supportive text messaging is an impactful intervention with positive clinical outcomes for acute care patients. Adding the two interventions into routine psychiatric care for patients after discharge is highly recommended.