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Cope Notes is a subscription-based EMI that uses Short Message Service (SMS) technology to deliver daily text messages that promote hope, reduce stigma, and encourage coping and the use of positive psychology strategies. We aimed to evaluate the preliminary effectiveness of Cope Notes, a brief ecological momentary intervention (EMI). We conducted a longitudinal study where participants ( N  = 64) completed measures of depression, anxiety, perceived stress, coping, emotional intelligence, label avoidance, attitudes towards treatment-seeking, and readiness for change before the intervention, 1 month post-intervention, and 2 months post-intervention. This study includes mixed repeated measures ANOVAs to analyze over time. Findings show that participants with severe depression experienced a significant decrease in anxiety and depressive symptoms, and perceived stress ( p  &lt; .001) and showed a significant increase in emotional intelligence at 1 month post-intervention. Participants with mild to moderate depression experienced a significant increase in overall coping and problem-focused coping. While further investigation of Cope Notes’ feasibility and acceptability is warranted, these findings support that the Cope Notes EMI holds promise as a low-cost, impactful mental health solution for populations with limited access to care and those experiencing self-stigma preventing help-seeking.

Preliminary effectiveness study of the Cope Notes digital mental Health program