{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:25:58Z","timestamp":1792805158242,"version":"4.5.0"},"reference-count":79,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Queen Elizabeth II Foundation"},{"name":"Mental Health Foundation"},{"name":"Royal Alexandra Hospital Foundation","id":[{"id":"https:\/\/ror.org\/004c03e53","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Calgary Health Trust","id":[{"id":"https:\/\/ror.org\/05fgtjh66","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Alberta Children\u2019s Hospital Foundation","id":[{"id":"https:\/\/ror.org\/0296ss903","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Alberta Cancer Foundation","id":[{"id":"https:\/\/ror.org\/01k1b2g25","id-type":"ROR","asserted-by":"crossref"}]},{"name":"University Hospital Foundation","id":[{"id":"https:\/\/ror.org\/00h3kxy16","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Canadian Red Cross with support from the Global Psychological eHealth Foundation","id":[{"id":"https:\/\/ror.org\/01t0p7s78","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Department of Psychiatry at Dalhousie University","id":[{"id":"https:\/\/ror.org\/01e6qks80","id-type":"ROR","asserted-by":"crossref"}]},{"name":"University of Alberta","id":[{"id":"https:\/\/ror.org\/0160cpw27","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: In 2023, wildfires led to widespread destruction of property and displacement of residents in Alberta and Nova Scotia, Canada. Previous research suggests that wildfires increase the psychological burden of impacted communities, necessitating population-level interventions. Cognitive Behavioural Therapy (CBT)-based text message interventions, Text4HopeAB and Text4HopeNS, were launched in Alberta and Nova Scotia, respectively, during the 2023 wildfire season to support the mental health of impacted individuals. Objectives: The study examines the effectiveness of Text4HopeNS and Text4HopeAB in alleviating psychological symptoms and improving wellbeing among subscribers. Methods: The study involved longitudinal and naturalistic controlled trial designs. The longitudinal study comprised subscribers who completed program surveys at baseline and six weeks post-enrolment, while the naturalistic controlled study compared psychological symptoms in subscribers who had received daily supportive text messages for six weeks (intervention group) and new subscribers who had enrolled in the program during the same period but had not yet received any text messages (control group). The severity of low resilience, poor mental wellbeing, likely Major Depressive Disorder (MDD), likely Generalized Anxiety Disorder (GAD), likely Post-Traumatic Stress Disorder (PTSD), and suicidal ideation were measured on the Brief Resilience Scale (BRS), the World Health Organization-5 Wellbeing Index (WHO-5), Patient Health Questionnaire 9 (PHQ-9), Generalized Anxiety Disorder 7 (GAD-7) scale, PTSD Checklist\u2013Civilian Version (PCL-C), and the ninth question on the PHQ-9, respectively. The paired and independent sample t-tests were employed in data analysis. Results: The results from the longitudinal study indicated a significant reduction in the mean scores on the PHQ-9 (\u221212.3%), GAD-7 (\u221214.8%), and the PCL-C (\u22125.8%), and an increase in the mean score on the WHO-5, but not on the BRS, from baseline to six weeks. In the naturalistic controlled study, the intervention group had a significantly lower mean score on the PHQ-9 (\u221230.1%), GAD-7 (\u221229.4%), PCL-C (\u221217.5%), and the ninth question on the PHQ-9 (\u221260.0%) which measures the intensity of suicidal ideation, and an increase in the mean score on the WHO-5 (+24.7%), but not on the BRS, from baseline to six weeks compared to the control group. Conclusions: The results of this study suggests that the Text4Hope program is an effective intervention for mitigating psychological symptoms in subscribers during wildfires. This CBT-based text messaging program can be adapted to provide effective support for individuals\u2019 mental health, especially in the context of traumatic events and adverse experiences such as those induced by climate change. Policymakers and mental health professionals should consider these findings when shaping strategies for future disaster response efforts, emphasizing the value of scalable and culturally sensitive mental health interventions.<\/jats:p>","DOI":"10.3390\/jcm13030865","type":"journal-article","created":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T09:43:22Z","timestamp":1706780602000},"page":"865","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Mitigating Psychological Problems Associated with the 2023 Wildfires in Alberta and Nova Scotia: Six-Week Outcomes from the Text4Hope Program"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5325-8054","authenticated-orcid":false,"given":"Gloria","family":"Obuobi-Donkor","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3717-6398","authenticated-orcid":false,"given":"Reham","family":"Shalaby","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2B7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7633-6529","authenticated-orcid":false,"given":"Belinda","family":"Agyapong","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2B7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6347-4620","authenticated-orcid":false,"given":"Raquel da Luz","family":"Dias","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2743-0372","authenticated-orcid":false,"given":"Vincent Israel Opoku","family":"Agyapong","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada"},{"name":"Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2B7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"To, P., Eboreime, E., and Agyapong, V.I.O. (2021). The Impact of Wildfires on Mental Health: A Scoping Review. Behav. Sci., 11.","DOI":"10.3390\/bs11090126"},{"key":"ref_2","unstructured":"Ibrahim, D. (2024, January 02). Canadians\u2019 Experiences with Emergencies and Disasters. Available online: https:\/\/www150.statcan.gc.ca\/n1\/pub\/85-002-x\/2016001\/article\/14469-eng.htm."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"6106","DOI":"10.1111\/gcb.16820","article-title":"Broadleaf tree phenology and springtime wildfire occurrence in boreal Canada","volume":"29","author":"Parisien","year":"2023","journal-title":"Glob. Chang. Biol."},{"key":"ref_4","unstructured":"Meilleur, D. (2023, August 11). Alberta Declares State of Emergency as Wildfires Rage. Available online: https:\/\/globalnews.ca\/news\/9679627\/alberta-premier-adresses-wildfire-state-of-emergency\/."},{"key":"ref_5","unstructured":"Press, A. (2023, August 11). Nova Scotia Wildfires Grow, Prompt Air Quality Warnings as Far South as Virginia. Available online: https:\/\/apnews.com\/article\/canada-wildfires-halifax-firefighters-us-south-africa-20f340036282d892aaa5528f1e48e618."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Eisenman, D.P., and Galway, L.P. (2022). The mental health and well-being effects of wildfire smoke: A scoping review. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-14662-z"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"676256","DOI":"10.3389\/fpsyt.2021.676256","article-title":"Mental Health Symptoms Unexpectedly Increased in Students Aged 11\u201319 Years During the 3.5 Years After the 2016 Fort McMurray Wildfire: Findings from 9376 Survey Responses","volume":"12","author":"Brown","year":"2021","journal-title":"Front. Psychiatry"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"623","DOI":"10.3389\/fpsyt.2019.00623","article-title":"Significant PTSD and Other Mental Health Effects Present 18 Months After the Fort Mcmurray Wildfire: Findings from 3,070 Grades 7\u201312 Students","volume":"10","author":"Brown","year":"2019","journal-title":"Front. Psychiatry"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"448","DOI":"10.3389\/fpsyt.2020.00448","article-title":"Long-Term Mental Health Effects of a Devastating Wildfire Are Amplified by Socio-Demographic and Clinical Antecedents in Elementary and High School Staff","volume":"11","author":"Agyapong","year":"2020","journal-title":"Front. Psychiatry"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1177\/0004867417714337","article-title":"Longitudinal study of changing psychological outcomes following the Victorian Black Saturday bushfires","volume":"52","author":"Bryant","year":"2018","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Agyapong, B., Eboreime, E., Shalaby, R., Pazderka, H., Obuobi-Donkor, G., Adu, M.K., Mao, W., Oluwasina, F., Owusu, E., and Greenshaw, A.J. (2021). Mental Health Impacts of Wildfire, Flooding and COVID-19 on Fort McMurray School Board Staff and Other Employees: A Comparative Study. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19010435"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"345","DOI":"10.3389\/fpsyt.2018.00345","article-title":"Prevalence Rates and Predictors of Generalized Anxiety Disorder Symptoms in Residents of Fort McMurray Six Months After a Wildfire","volume":"9","author":"Agyapong","year":"2018","journal-title":"Front. Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1001\/jama.2013.107799","article-title":"Mental health response to community disasters: A systematic review","volume":"310","author":"North","year":"2013","journal-title":"JAMA"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e40440","DOI":"10.2196\/40440","article-title":"Effects of Text4Hope-Addiction Support Program on Cravings and Mental Health Symptoms: Results of a Longitudinal Cross-sectional Study","volume":"7","author":"Shalaby","year":"2023","journal-title":"JMIR Form. Res."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Obuobi-Donkor, G., Shalaby, R., Eboreime, E., Agyapong, B., Phung, N., Eyben, S., Wells, K., Hilario, C., Dias, R.D.L., and Jones, C. (2023). Text4PTSI: A Promising Supportive Text Messaging Program to Mitigate Psychological Symptoms in Public Safety Personnel. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20054215"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e46431","DOI":"10.2196\/46431","article-title":"User Satisfaction with a Daily Supportive Text Message Program (Text4PTSI) for Public Safety Personnel: Longitudinal Cross-Sectional Study","volume":"7","author":"Eboreime","year":"2023","journal-title":"JMIR Form. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e22423","DOI":"10.2196\/22423","article-title":"Changes in Stress, Anxiety, and Depression Levels of Subscribers to a Daily Supportive Text Message Program (Text4Hope) During the COVID-19 Pandemic: Cross-Sectional Survey Study","volume":"7","author":"Agyapong","year":"2020","journal-title":"JMIR Ment. Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"844907","DOI":"10.3389\/fpsyt.2022.844907","article-title":"Prevalence and Determinants of Generalized Anxiety Disorder Symptoms in Residents of Fort McMurray 12 Months Following the 2020 Flooding","volume":"13","author":"Owusu","year":"2022","journal-title":"Front. Psychiatry"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1177\/0017896920959368","article-title":"Text messages to reduce depressive symptoms: Do they work and what makes them effective? A systematic review","volume":"80","author":"Cox","year":"2021","journal-title":"Health Educ. J."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.1017\/dmp.2020.114","article-title":"Coronavirus Disease 2019 Pandemic: Health System and Community Response to a Text Message (Text4Hope) Program Supporting Mental Health in Alberta","volume":"14","author":"Agyapong","year":"2020","journal-title":"Disaster Med. Public Health Prep."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e20240","DOI":"10.2196\/20240","article-title":"Closing the COVID-19 Psychological Treatment Gap for Cancer Patients in Alberta: Protocol for the Implementation and Evaluation of Text4Hope-Cancer Care","volume":"9","author":"Agyapong","year":"2020","journal-title":"JMIR Res. Protoc."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Hong, J.S., Hyun, S.Y., Lee, J.H., and Sim, M. (2022). Mental health effects of the Gangwon wildfires. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-13560-8"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Raeside, R., Spielman, K., Maguire, S., Mihrshahi, S., Steinbeck, K., Kang, M., Laranjo, L., Hyun, K., Redfern, J., and Partridge, S.R. (2022). A healthy lifestyle text message intervention for adolescents: Protocol for the Health4Me randomized controlled trial. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-14183-9"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Agyapong, B., Shalaby, R., Vuong, W., Gusnowski, A., Surood, S., Greenshaw, A.J., Wei, Y., and Agyapong, V.I.O. (2023). Text4Hope Effectiveness in Reducing Psychological Symptoms among Young Adults in Canada: Longitudinal and Naturalistic Controlled Program Evaluation. J. Clin. Med., 12.","DOI":"10.3390\/jcm12051942"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e22950","DOI":"10.2196\/22950","article-title":"Older Adult Peer Support Specialists\u2019 Age-Related Contributions to an Integrated Medical and Psychiatric Self-Management Intervention: Qualitative Study of Text Message Exchanges","volume":"5","author":"Mbao","year":"2021","journal-title":"JMIR Form. Res."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.jad.2012.02.040","article-title":"Supportive text messaging for depression and comorbid alcohol use disorder: Single-blind randomised trial","volume":"141","author":"Agyapong","year":"2012","journal-title":"J. Affect. Disord."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1177\/19322968211065067","article-title":"An Adaptive, Algorithm-based Text Message Intervention to Promote Health Behavior Adherence in Type 2 Diabetes: Treatment Development and Proof-of-Concept Trial","volume":"17","author":"Celano","year":"2023","journal-title":"J. Diabetes Sci. Technol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e26158","DOI":"10.2196\/26158","article-title":"Efficacy of an mHealth Intervention (BRAVE) to Promote Mental Wellness for American Indian and Alaska Native Teenagers and Young Adults: Randomized Controlled Trial","volume":"8","author":"Kelley","year":"2021","journal-title":"JMIR Ment. Health"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Statistics Canada (2022). Population and Dwelling Counts: Canada, Provinces and Territories, Statistics Canada.","DOI":"10.1787\/da8d2bac-en"},{"key":"ref_30","unstructured":"Authority, N.S.H. (2023, November 16). HopeNS. Available online: https:\/\/mha.nshealth.ca\/en\/services\/hopens."},{"key":"ref_31","unstructured":"Alberta, G.O. (2023). Wildfire Evacuee Information: Mental Health and Addiction Support."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014A metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J. Biomed. Inform."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J. Gen. Intern. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med. (1960)"},{"key":"ref_35","unstructured":"Weathers, F.W., Litz, B.T., Herman, D.S., Huska, J.A., and Keane, T.M. (1993). Annual Convention of the International Society for Traumatic Stress Studies, Available online: https:\/\/www.researchgate.net\/profile\/Frank-Weathers\/publication\/291448760_The_PTSD_Checklist_PCL_Reliability_validity_and_diagnostic_utility\/links\/57c7121208ae9d64047e9569\/The-PTSD-Checklist-PCL-Reliability-validity-and-diagnostic-utility."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1080\/10705500802222972","article-title":"The brief resilience scale: Assessing the ability to bounce back","volume":"15","author":"Smith","year":"2008","journal-title":"Int. J. Behav. Med."},{"key":"ref_37","unstructured":"World Health Organization (1998). Wellbeing Measures in Primary Health Care\/The DepCare Project: Report on a WHO Meeting: Stockholm, Sweden, 12\u201313 February 1998, World Health Organization, Regional Office for Europe."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Dhira, T.A., Rahman, M.A., Sarker, A.R., and Mehareen, J. (2021). Validity and reliability of the Generalized Anxiety Disorder-7 (GAD-7) among university students of Bangladesh. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0261590"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1037\/pas0000254","article-title":"Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in veterans","volume":"28","author":"Bovin","year":"2016","journal-title":"Psychol. Assess."},{"key":"ref_40","unstructured":"Smith, B.W., Epstein, E.M., Ortiz, J.A., Christopher, P.J., and Tooley, E.M. (2013). Resilience in Children, Adolescents, and Adults, Springer."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1159\/000376585","article-title":"The WHO-5 Well-Being Index: A systematic review of the literature","volume":"84","author":"Topp","year":"2015","journal-title":"Psychother. Psychosom."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Agyapong, V.I.O., Juh\u00e1s, M., Ohinmaa, A., Omeje, J., Mrklas, K., Suen, V.Y.M., Dursun, S.M., and Greenshaw, A.J. (2017). Randomized controlled pilot trial of supportive text messages for patients with depression. BMC Psychiatry, 17.","DOI":"10.1186\/s12888-017-1448-2"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jsat.2018.08.014","article-title":"Randomized controlled pilot trial of supportive text messaging for alcohol use disorder patients","volume":"94","author":"Agyapong","year":"2018","journal-title":"J. Subst. Abuse Treat."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1182267","DOI":"10.3389\/fgwh.2023.1182267","article-title":"The effectiveness of CBT-based daily supportive text messages in improving female mental health during COVID-19 pandemic: Results from the Text4Hope program","volume":"4","author":"Dias","year":"2023","journal-title":"Front. Glob. Women\u2019s Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1002288","DOI":"10.3389\/fpubh.2022.1002288","article-title":"Naturalistic randomized controlled trial demonstrating effectiveness of Text4Hope in supporting male population mental health during the COVID-19 pandemic","volume":"10","author":"Shalaby","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_46","unstructured":"Dhand, N., and Khatkar, M. (2023, November 21). Sample Size Calculator for Comparing Paired Differences. Available online: https:\/\/statulator.com\/SampleSize\/ss2PM.html."},{"key":"ref_47","unstructured":"Dhand, N., and Khatkar, M. (2023, November 21). Sample Size Calculator for Comparing Two Independent Means. Available online: https:\/\/statulator.com\/SampleSize\/ss2M.html."},{"key":"ref_48","unstructured":"IBM Corp (2021). Google Search, IBM Corp."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s13033-020-00356-9","article-title":"Prevention and early intervention in youth mental health: Is it time for a multidisciplinary and trans-diagnostic model for care?","volume":"14","author":"Colizzi","year":"2020","journal-title":"Int. J. Ment. Health Syst."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1151\/ascp074145","article-title":"Managing addiction as a chronic condition","volume":"4","author":"Dennis","year":"2007","journal-title":"Addict. Sci. Clin. Pract."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"150391","DOI":"10.1016\/j.scitotenv.2021.150391","article-title":"Understanding the concurrent risk of mental health and dangerous wildfire events in the COVID-19 pandemic","volume":"806","author":"Sugg","year":"2022","journal-title":"Sci. Total Environ."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1186\/s12888-016-1104-2","article-title":"Cross-sectional survey evaluating Text4Mood: Mobile health program to reduce psychological treatment gap in mental healthcare in Alberta through daily supportive text messages","volume":"16","author":"Agyapong","year":"2016","journal-title":"BMC Psychiatry"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"e24184","DOI":"10.2196\/24184","article-title":"Gender Differences in Satisfaction with a Text Messaging Program (Text4Hope) and Anticipated Receptivity to Technology-Based Health Support During the COVID-19 Pandemic: Cross-sectional Survey Study","volume":"9","author":"Shalaby","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref_54","first-page":"S139","article-title":"Mobile health program to reduce psychological treatment gap in mental healthcare in Alberta through daily supportive text messages\u2013Cross-sectional survey evaluating Text4Mood","volume":"41","author":"Agyapong","year":"2017","journal-title":"Eur. Psychiatry"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1080\/10810730.2011.649159","article-title":"Text2Quit: Results from a pilot test of a personalized, interactive mobile health smoking cessation program","volume":"17","author":"Abroms","year":"2012","journal-title":"J. Health Commun."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"925830","DOI":"10.3389\/fpsyt.2022.925830","article-title":"An Analysis of Young Clients\u2019 Communications About Their Suicidality on a Text Message Helpline: \u201cI\u2019m Scared of What I Might Do to Myself\u201d","volume":"13","author":"Gibson","year":"2022","journal-title":"Front. Psychiatry"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1177\/1357633X16657928","article-title":"Technology-enhanced suicide prevention interventions: A systematic review","volume":"23","author":"Kreuze","year":"2017","journal-title":"J. Telemed. Telecare"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1111\/sltb.12691","article-title":"Changes in suicide and non-suicidal self-injury ideation and the moderating role of specific emotions over the course of dialectical behavior therapy","volume":"51","author":"Rizvi","year":"2021","journal-title":"Suicide Life Threat. Behav."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"e17345","DOI":"10.2196\/17345","article-title":"Augmenting Safety Planning with Text Messaging Support for Adolescents at Elevated Suicide Risk: Development and Acceptability Study","volume":"7","author":"Czyz","year":"2020","journal-title":"JMIR Ment. Health"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1001\/jamapsychiatry.2018.4530","article-title":"Effect of Augmenting Standard Care for Military Personnel with Brief Caring Text Messages for Suicide Prevention: A Randomized Clinical Trial","volume":"76","author":"Comtois","year":"2019","journal-title":"JAMA Psychiatry"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"e8","DOI":"10.2196\/mhealth.7780","article-title":"Toward mHealth Brief Contact Interventions in Suicide Prevention: Case Series from the Suicide Intervention Assisted by Messages (SIAM) Randomized Controlled Trial","volume":"6","author":"Berrouiguet","year":"2018","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1111\/sjop.12872","article-title":"Relationships among insomnia, executive function, and suicidal ideation in depressed outpatients: A mediation analysis","volume":"64","author":"McCall","year":"2023","journal-title":"Scand. J. Psychol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1016\/j.jagp.2017.01.011","article-title":"Negative Emotions and Suicidal Ideation during Psychosocial Treatments in Older Adults with Major Depression and Cognitive Impairment","volume":"25","author":"Kiosses","year":"2017","journal-title":"Am. J. Geriatr. Psychiatry"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1002\/capr.12035","article-title":"Promoting recovery from suicidal ideation through the development of protective factors","volume":"15","author":"Surgenor","year":"2015","journal-title":"Couns. Psychother. Res."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1111\/sltb.12872","article-title":"Individuals who text crisis text line: Key characteristics and opportunities for suicide prevention","volume":"52","author":"Pisani","year":"2022","journal-title":"Suicide Life Threat. Behav."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1007\/s10597-021-00868-9","article-title":"Characteristics of Calls to a COVID-19 Mental Health Hotline in the First Wave of the Pandemic in New York","volume":"57","author":"Abdullah","year":"2021","journal-title":"Community Ment. Health J."},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Isaac, F., Toukhsati, S.R., Di Benedetto, M., and Kennedy, G.A. (2021). A Systematic Review of the Impact of Wildfires on Sleep Disturbances. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph181910152"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"683","DOI":"10.3389\/fpsyt.2019.00683","article-title":"Mental Health Effects in Primary Care Patients 18 Months After a Major Wildfire in Fort McMurray: Risk Increased by Social Demographic Issues, Clinical Antecedents, and Degree of Fire Exposure","volume":"10","author":"Moosavi","year":"2019","journal-title":"Front. Psychiatry"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1326","DOI":"10.1017\/dmp.2021.27","article-title":"Text4Hope: Receiving Daily Supportive Text Messages for 3 Months During the COVID-19 Pandemic Reduces Stress, Anxiety, and Depression","volume":"16","author":"Agyapong","year":"2021","journal-title":"Disaster Med. Public Health Prep."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1038\/s41398-020-00895-2","article-title":"Designing m-Health interventions for precision mental health support","volume":"10","author":"Bidargaddi","year":"2020","journal-title":"Transl. Psychiatry"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1037\/a0014061","article-title":"A randomized clinical trial of a computer based preventive intervention: Replication and extension of ePREP","volume":"23","author":"Braithwaite","year":"2009","journal-title":"J. Fam. Psychol."},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Brown, M.R.G., Agyapong, V., Greenshaw, A.J., Cribben, I., Brett-MacLean, P., Drolet, J., McDonald-Harker, C., Omeje, J., Mankowsi, M., and Noble, S. (2019). After the Fort McMurray wildfire there are significant increases in mental health symptoms in grade 7-12 students compared to controls. BMC Psychiatry, 19.","DOI":"10.1186\/s12888-018-2007-1"},{"key":"ref_73","first-page":"Cd003944","article-title":"Antidepressants for treating depression in dementia","volume":"8","author":"Dudas","year":"2018","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Duffy, L., Lewis, G., Ades, A., Araya, R., Bone, J., Brabyn, S., Button, K., Churchill, R., Croudace, T., and Derrick, C. (2019). Antidepressant Treatment with Sertraline for Adults with Depressive Symptoms in Primary Care: The PANDA Research Programme Including RCT, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park. NIHR Journals Library.","DOI":"10.3310\/pgfar07100"},{"key":"ref_75","first-page":"Cd006528","article-title":"Mirtazapine versus other antidepressive agents for depression","volume":"12","author":"Watanabe","year":"2011","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1037\/ser0000576","article-title":"Feasibility and preliminary efficacy of a public mobile app to reduce symptoms of postdisaster distress in adolescent wildfire survivors: Sonoma rises","volume":"19","author":"Heinz","year":"2021","journal-title":"Psychol. Serv."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"e16127","DOI":"10.2196\/16127","article-title":"One-Way and Two-Way Mobile Phone Text Messages for Treatment Adherence Among Patients with HIV: Protocol for a Randomized Controlled Trial","volume":"9","author":"Nsagha","year":"2020","journal-title":"JMIR Res. Protoc."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1017\/S0033291706008944","article-title":"Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis","volume":"37","author":"Spek","year":"2007","journal-title":"Psychol. Med."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1080\/16506073.2018.1533575","article-title":"Web-based CBT for the prevention of anxiety symptoms among medical and health science graduate students","volume":"48","author":"Howell","year":"2019","journal-title":"Cogn. Behav. Ther."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/3\/865\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:53:19Z","timestamp":1760104399000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/3\/865"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,1]]},"references-count":79,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["jcm13030865"],"URL":"https:\/\/doi.org\/10.3390\/jcm13030865","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,1]]}}}