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We used a text messaging platform Healthy SMS, previously developed by Dr Aguilera and Audacious Software, to integrate with the DIAMANTE app and send text messages by intervention arm. The DIAMANTE app only needed to be installed once and then remain open consistently. The app was designed in English and Spanish versions and was freely available as a download from the Apple App Store and Android Google Play App.
Figure 1 shows the different intervention groups during the trial period.
J Med Internet Res 2024;26:e60834
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Some d Health SMS text message interventions were designed as stand-alone supports (eg, those in the works of Aguilera et al [40] and Bendsten et al [41]; Mac Dougall et al [42] conducted a scoping review of SMS text message–delivered adolescent mental health interventions); however, there may be unique benefits to SMS text message interventions designed to supplement EBIs and enhance treatment engagement.
JMIR Ment Health 2024;11:e49317
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Furthermore, Aguilera and Berridge [31] found differences in how Spanish- and English-speaking participants perceived a texting intervention. Qualitative data indicated that Spanish-speaking participants described the most helpful aspect of the intervention as feeling cared for and supported, whereas English-speaking participants described the most helpful aspect as increased self-awareness of mood.
J Med Internet Res 2023;25:e45409
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