Evidence map›Paper›PMID 41108215›Full record

Trial reportJMIR mental health2025

Effectiveness of Text Messages and Text Messages Plus Peer Support on Psychiatric Readmission and Length of Stay: Outcomes From a Quantitative Stepped-Wedge Cluster Randomized Trial.

Vincent Israel Opoku Agyapong, Reham Shalaby, Belinda Agyapong, Wanying Mao, Ernest Owusu, Hossam Eldin Elgendy, Ejemai Eboreime, Peter H Silverstone, Pierre Chue, Xin-Min Li and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05133726 (Reducing Inpatient Readmission Rates for Patients Discharged From Acute Psychiatric Care in Alberta Using Peer and Text Message Support), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05133726 naactive not recruitingnot on this map

Reducing Inpatient Readmission Rates for Patients Discharged From Acute Psychiatric Care in Alberta Using Peer and Text Message Support: Protocol for an Innovative Supportive Program

TypeinterventionalSponsorUniversity of AlbertaRan2022 to 2026Enrolled1,132ConditionsPsychiatric IllnessArmsText4Support, Peer support
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Vincent Israel Opoku AgyapongDepartment of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-2743-0372
Reham ShalabyDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-3717-6398
Belinda AgyapongDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0001-7633-6529
Wanying MaoDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0003-0690-0766
Ernest OwusuDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0003-1231-4501
Hossam Eldin ElgendyDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID 0009-0008-3989-7915
Ejemai EboreimeDepartment of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0001-8277-2570
Peter H SilverstoneDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0001-5176-7074
Pierre ChueDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-7916-415X
Xin-Min LiDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0001-8546-8590
Wesley VuongAddiction and Mental Health Services, Alberta Health Services, Edmonton, AB, Canada.ORCID 0000-0001-8990-4804
Arto OhinmaaSchool of Public Health, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-7094-1573
Frank MacMasterDepartment of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-7159-7583
Andrew J GreenshawDepartment of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-9097-900X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health recovery typically continues after patients leave the hospital. However, hospital readmission in the 12 months after discharge is common and costly.

objectiveThis study aimed to examine the effectiveness of supportive text messaging (hereinafter "SMS") and SMS with or without peer support service on hospital readmission and length of stay after discharge from inpatient psychiatric care.

methodsA stepped-wedge cluster randomized trial was used to examine differences in the changes in the mean number of admissions and the mean duration of total length of stay in days, for patients discharged from psychiatric inpatient care, at 6 and 12 months pre- and post index admissions, for 2 intervention periods compared to a control period of treatment as usual.

resultsOverall, 1070 participants were assigned to 1 of 3 study arms: SMS (n=302), SMS with or without peer support service (n=342), or treatment as usual (n=426). Compared to treatment as usual, SMS with or without peer support service reduced hospital readmissions 6 months pre- and post index admission by an average of 0.26 admissions, and SMS alone reduced inpatient length of stays 6 months pre- and post index admission by an average of 7.28 days.

conclusionsOur results demonstrate that simple, low-cost digital tools-either by themselves or paired with peer support-can help close gaps in postdischarge care. We anticipate that these findings may inform future service delivery models and policy development aimed at enhancing postdischarge mental health support. By supporting smoother transitions and reducing future hospital use, such approaches may offer a scalable way to build more sustainable and person-centered mental health systems.

trial registrationClinicalTrials.gov NCT05133726; https://clinicaltrials.gov/study/NCT05133726.

Indexed as

Length of StayMental DisordersPatient ReadmissionPeer GroupSocial SupportText MessagingAdultFemaleHumansMaleMiddle AgedPatient Dischargein-patientlength of staypeer supportpsychiatricre-admissiontext messaging

Identifiers

PMID41108215
PMCPMC12673307

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.