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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.

Method: Transcripts of text message exchanges between 8 older adult participants with SMI who completed the PeerTECH intervention and 3 older adult certified peer specialists who delivered the 12-week program were analyzed. 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 55 or older; 100% were female, 66% identified as White, and 33% identified as African American. Overall, peers sent 215 text messages whereas consumers sent 141 text messages. In the peer specialist-consumer text message exchanges, we identified 4 themes 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. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Titel:	Text message exchanges between older adults with serious mental illness and older certified peer specialists in a smartphone-supported self-management intervention.
Autor/in / Beteiligte Person:	Fortuna, KL ; Naslund, JA ; Aschbrenner, KA ; Lohman, MC ; Storm, M ; Batsis, JA ; Bartels, SJ
Zeitschrift:	Psychiatric rehabilitation journal, Jg. 42 (2019-03-01), Heft 1, S. 57-63
Veröffentlichung:	Sept. 2012- : Washington, DC : American Psychological Association ; <i>Original Publication</i>: Boston, Mass. : Copublished by IAPSRS and the Dept. of Rehabilitation Counseling, Sargent College of Allied Health Professions, Boston University, c1995-, 2019
Medientyp:	academicJournal
ISSN:	1559-3126 (electronic)
DOI:	10.1037/prj0000305
Schlagwort:	Aged Female Humans Male Middle Aged Qualitative Research Smartphone Allied Health Personnel Mental Disorders rehabilitation Peer Group Professional-Patient Relations Psychiatric Rehabilitation methods Self-Management methods Text Messaging
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Psychiatr Rehabil J] 2019 Mar; Vol. 42 (1), pp. 57-63. <i>Date of Electronic Publication: </i>2018 Jul 16. MeSH Terms: Allied Health Personnel* ; Peer Group* ; Professional-Patient Relations* ; Text Messaging* ; Mental Disorders / rehabilitation ; Psychiatric Rehabilitation / methods ; Self-Management / *methods ; Aged ; Female ; Humans ; Male ; Middle Aged ; Qualitative Research ; Smartphone References: Psychiatr Rehabil J. 2016 Dec;39(4):364-367. (PMID: 27845533) ; World Psychiatry. 2011 Feb;10(1):52-77. (PMID: 21379357) ; Telemed J E Health. 2015 Mar;21(3):213-6. (PMID: 25536190) ; Psychiatry Res. 2012 Dec 30;200(2-3):89-95. (PMID: 22901437) ; Am J Geriatr Psychiatry. 2017 Aug;25(8):819-828. (PMID: 28169129) ; Psychiatr Serv. 2012 Feb 1;63(2):161-8. (PMID: 22302334) ; Prev Chronic Dis. 2006 Apr;3(2):A42. (PMID: 16539783) ; Schizophr Res. 2008 Jan;98(1-3):312-7. (PMID: 17920245) ; Psychiatr Rehabil J. 2004 Spring;27(4):392-401. (PMID: 15222150) ; Adm Policy Ment Health. 2013 Jul;40(4):340-3. (PMID: 22648635) ; J Med Internet Res. 2016 Jun 10;18(6):e135. (PMID: 27287668) ; Psychiatr Serv. 2014 Mar 1;65(3):330-7. (PMID: 24292559) ; Psychiatr Serv. 2016 Nov 1;67(11):1213-1225. (PMID: 27301767) ; JAMA Psychiatry. 2015 Apr;72(4):334-41. (PMID: 25671328) ; Br J Clin Psychol. 2010 Jun;49(Pt 2):259-74. (PMID: 19735607) ; Psychiatr Serv. 2017 Apr 1;68(4):420. (PMID: 28366124) ; J Dual Diagn. 2016;12(1):63-71. (PMID: 26829356) ; J Ment Health. 2015;24(5):321-32. (PMID: 26017625) ; Psychiatr Serv. 2014 Apr 1;65(4):429-41. (PMID: 24549400) ; Psychiatr Q. 2018 Jun;89(2):293-305. (PMID: 28948424) ; J Med Internet Res. 2005 Mar 31;7(1):e11. (PMID: 15829473) ; J Med Internet Res. 2011 Mar 10;13(1):e30. (PMID: 21393123) ; Issues Ment Health Nurs. 2014 May;35(5):323-9. (PMID: 24766166) Grant Information: National Institutes of Health; National Center for Advancing Translational Sciences (NCTAS); T32 MH073553 United States MH NIMH NIH HHS; U48 DP005018 United States DP NCCDPHP CDC HHS; K23 AG051681 United States AG NIA NIH HHS; United States CC CDC HHS; U48DP005018 United States ACL ACL HHS; National Institutes of Health; National Institute on Aging; R01 MH104555 United States MH NIMH NIH HHS; Norwegian Research Council Entry Date(s): Date Created: 20180717 Date Completed: 20190328 Latest Revision: 20240611 Update Code: 20240611 PubMed Central ID: PMC6335192

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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.