Table 3.

Examples of message improvements as a result of content advisory team feedback

Symptoms	Draft program message	Feedback from content advisory team	Revised message
Sleep disturbance	People who have TVs in their bedroom do not sleep as well. Try moving your TV to another room if you are having trouble sleeping.	A patient pointed out some people need sound to fall asleep.	People who have TVs in their bedroom usually do not sleep as well. If you need sound to fall asleep, try a sound machine or download night sounds to your phone.
Depressed mood	When we are depressed, sometimes we get stuck in our heads. Get out of your thoughts by offering to help someone with something. It will help both them and you!	This message was noted to over-promise by a provider.	When we are depressed, sometimes we get stuck in our heads. Get out of your thoughts by offering to help someone with something. It may help both them and you!
Depressed mood	Singing can help us feel happier, so turn up the radio and sing it out (doing a little dance makes it even better!)	One patient was worried that someone might turn the music up too loud. Another said they were not a singer.	Singing may not be for everyone but it really can help. Maybe turn up the radio (not too loud!) and sing it out (doing a little dance makes it even better!)
Poor concentration	Having trouble concentrating? Maybe it is because you have too much creative energy! Drawing, painting, and coloring are great ways to bring your thoughts back into focus.	One patient thought the beginning was a bit aggressive.	Sometimes, I have trouble concentrating when I have too much creative energy! If this is you, drawing, painting, and coloring are great ways to calm your mind.
Feeling tense and nervous	Slowing your breathing will instantly help you feel less tense and nervous - I promise. Take a deep breathe in through your nose, hold it while you count 5 and then let it out slowly through your mouth.	A patient said he has a hard time calming down.	Having a hard time calming down? Try breathing slowly. Take a deep breathe in through your nose, hold it for 5; then let it out slowly through your mouth.
Feeling tense and nervous	Being creative is a great way to feel less tense or nervous. Find something to draw, paint, or color and see how everything just melts away.	One patient said that art may not be for everyone.	Being creative is a great way to feel less tense. Maybe it will work for you! Find something to draw, paint, or color and see how everything just melts away.
Restless	Get out your restless energy with exercise! Maybe it’s running around the block or walking to the store. Even doing a couple of push-ups can help. Do one thing for 5 minutes and see how you feel.	One patient was worried about getting hurt. Another said she could not do everything listed. A third patient was worried these ideas might not work for everyone.	Get out your restless energy with exercise! Try walking to the store or just around the block. Even stretching helps. Try it for 5 minutes & see how you feel
Restless	Having a hard time sitting still? Listening to music is a great way to calm your body and relax your mind. Try it!	A patient was worried that this might encourage someone to not do anything else for the rest of the day.	Having a hard time sitting still? Listening to music for an hour is a great way to calm your body and relax your mind. Try it!
Using alcohol, drugs, or smoking more	It is harder to say ‘no’ when everyone around you is saying ‘yes’. If you are craving alcohol, drugs, or cigarettes, make an effort to spend time with friends who are sober.	A patient said she has no friends.	It is harder to say ‘no’ when everyone around you is saying ‘yes’. If you are craving alcohol or drugs, make an effort to spend time with people who are sober.
Hearing voices	Wearing headphones can help quiet the voices. Give it a try and see for yourself!	A patient found this message to be confusing.	Sometimes, headphones can help quiet the voices you are hearing in your head. Maybe put some on and see how it works for you!
Hearing voices	Having someone that you can talk to during times like when you are hearing voices can be a great distraction. Call a friend or family member who supports you.	One person worried that this might be too distracting. Another said it might be hard. A third patient pointed out that it was important to find someone who understands what they are going through. A fourth patient said they don’t have friends or family.	When you are hearing voices, distraction can sometimes be helpful. Even if it’s hard, maybe call someone who supports and understands what you’re going through.
Feeling people are talking about me or looking at me	If you feel like people are talking about you or looking at you funny, put on some headphones and tune out to music. Who cares what they say? You have your favorite tune on!	A patient said this might be hard to do.	If you feel like people are talking about you or looking at you strangely, put on some headphones & ignore them. It might be hard, but it’s worth a try!
Adverse effect	Feeling slower because of your medication? Then get things going with a bit of exercise - a walk around the block with a friend is a great start. Stretching helps too.	The word “exercise” seemed to be a trigger for some patients who consistently responded that they could not do it, so it was deleted. We also deleted references to friends and family.	Feeling slower because of your medication? Try a nice walk around the block or some stretching. Anything that gets you moving is a good thing.