- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02421965
Comparing Mobile Health (mHealth) and Clinic-Based Self-Management Interventions for Serious Mental Illness
Comparing Mobile Health (mHealth) and Clinic-Based Self-Management Interventions for Serious Mental Illness: Patient Engagement, Satisfaction, and Outcomes
Study Overview
Status
Intervention / Treatment
Detailed Description
The objective of the study is to compare two illness self-management interventions for SMI: a clinic-based group protocol (Wellness Recovery Action Planning or WRAP) and an mHealth smartphone intervention (FOCUS). The study is structured as a randomized controlled trial, and data will be collected using a comprehensive mixed-methods quantitative /qualitative approach. This study will evaluate patients willingness to enroll in one of the two illness-self management interventions, patient satisfaction, engagement, symptoms, recovery and quality of life.
The specific aims of the study are to: 1) Evaluate and compare the willingness and ability of individuals with SMI to enroll in the two illness self-management interventions; 2) Examine and compare participant engagement and satisfaction with both treatments; and 3) Examine and compare patient outcomes following participation in the interventions.
Participants will be randomized to receive 12-weeks of WRAP or FOCUS. Participants allocated to the WRAP group will be provided all other materials (i.e. WRAP binder, handouts) in their first session and will meet weekly in groups with trained facilitators. Participants in the FOCUS group will be given a study smartphone device with FOCUS application and trained by the mHealth support specialist on how to use the functions of the smartphone (i.e. using a touchscreen, call, text) and different features of the FOCUS intervention.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Illinois
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Chicago, Illinois, United States, 60613
- Thresholds Psychiatric Rehabilitation Centers
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Chart diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or major depressive disorder;
- 18 years or older; and
- A rating of "3" or lower on one of the three items which comprise the Domination by Symptoms factor from the Recovery Assessment Scale.
Exclusion Criteria:
- Hearing, vision, or motor impairment that make it impossible to operate a smartphone (determined using demonstration smartphone for screening);
- English reading level below 6th grade (determined using the Wide Range Achievement Test - 4th Edition); and
- Received the FOCUS or WRAP intervention in the past 3 years.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: FOCUS (Smartphone Application)
FOCUS is a smartphone application system designed to improve illness self-management and facilitate recovery in individuals with serious mental illness.
It delivers both system initiated (i.e.
pre-programmed) and patient initiated (i.e. on demand) real-time assessment to individuals in their own environment.
|
Participants in the FOCUS group will be given a study smartphone device with FOCUS application and trained by the mHealth support specialist on how to use the functions of the smartphone (i.e. using a touchscreen, call, text) and different features of the FOCUS intervention.
|
Active Comparator: WRAP (Wellness Recovery Action Planning)
WRAP is a clinic-based intervention designed to improve illness self-management and facilitate recovery in individuals with serious mental illness.
It is conducted in group sessions that are delivered by trained facilitators with lived experience, using lecture, group discussion, and exercises.
|
Participants allocated to the WRAP group will be provided all other materials (i.e.
WRAP binder, handouts) in their first session and will meet weekly in groups with trained facilitators.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient willingness to enroll / initiate the intervention (WRAP / FOCUS)
Time Frame: 1st day of - attendance of WRAP session OR usage of FOCUS application
|
Patient willingness to enroll will be measured by proportion of individuals in each arm who commence the intervention after allocation.
It is an important indicator of whether patients find the intervention appealing.
Data will be obtained from electronic tracking records / FOCUS software.
|
1st day of - attendance of WRAP session OR usage of FOCUS application
|
Patient Engagement
Time Frame: 3 months
|
Patient engagement will be measured by weeks of WRAP sessions attended / weeks FOCUS was used, during the 12-week intervention period.
Data for WRAP sessions will be obtained from Thresholds electronic tracking record.
Data for FOCUS usage will be captured automatically on FOCUS software.
|
3 months
|
Patient Satisfaction
Time Frame: 3 months
|
Patient satisfaction will be assessed by a 5-item questionnaire on a 7-point scale.
|
3 months
|
Change in the Severity of Symptoms
Time Frame: Baseline, 3 months (post-treatment), 6 months (follow-up)
|
Change in the Severity of Symptoms will measured using Symptom Checklist-9 scale, Beck Depression Inventory-2 (BDI-2) scale and Psychotic Symptom Rating Scale (PSYRATS).
Symptom Checklist-9 (SCL-9) is a nine-item questionnaire to assess psychiatric functioning.
BDI-2 is a widely used 21-item self-report scale to measure depressive symptom severity.
PSYRATS is a fine-grained measure of psychotic symptoms that consists of 17 self-report items that evaluate dimensional symptom severity.
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Baseline, 3 months (post-treatment), 6 months (follow-up)
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Recovery
Time Frame: Baseline, 3 months (post-treatment), 6 months (follow-up)
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Recovery of patient will be measured using the Recovery Assessment Scale (RAS).
RAS has 24 items that assess 5 factors related to recovery including Hope, Goal Directedness, and Domination by Symptoms.
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Baseline, 3 months (post-treatment), 6 months (follow-up)
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Change in the Quality of Life
Time Frame: Baseline, 3 months (post-treatment), 6 months (follow-up)
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Quality of Life will be assessed using a 6-item Quality of Life scale of general wellbeing, interpersonal relations, participation in activities, and role functioning.
Patients respond on a 7-point scale.
|
Baseline, 3 months (post-treatment), 6 months (follow-up)
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Dror Ben-Zeev, PhD, Dartmouth Psychiatric Research Center
Publications and helpful links
General Publications
- Ben-Zeev D, Buck B, Chu PV, Razzano L, Pashka N, Hallgren KA. Transdiagnostic Mobile Health: Smartphone Intervention Reduces Depressive Symptoms in People With Mood and Psychotic Disorders. JMIR Ment Health. 2019 Apr 12;6(4):e13202. doi: 10.2196/13202.
- Ben-Zeev D, Brian RM, Jonathan G, Razzano L, Pashka N, Carpenter-Song E, Drake RE, Scherer EA. Mobile Health (mHealth) Versus Clinic-Based Group Intervention for People With Serious Mental Illness: A Randomized Controlled Trial. Psychiatr Serv. 2018 Sep 1;69(9):978-985. doi: 10.1176/appi.ps.201800063. Epub 2018 May 25.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- STUDY00028548
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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