Participatory Messaging in the UCLA Psychiatry Partial Hospitalization and Intensive Outpatient Programs

November 3, 2023 updated by: University of California, Los Angeles
This research project aims to evaluate the feasibility and effectiveness of a new approach to tailored mobile applications using the Chorus Participatory Mobile Framework. PHP and IOP program participants-patients and therapists--will be consented and enrolled by study staff. Study participants will be invited to workgroups specific to their program to discuss the usability of Chorus and be asked to complete surveys on demographics, satisfaction, self-efficacy, and involvement with Chorus and usability of the tool.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) in the Neuropsychatric Hospital at UCLA provide psychiatric services for adults and children with acute mental illness. These include voluntary programs that support individuals in their recovery with the goal to assist patients in achieving the highest level of independence. Most programs operate Monday through Friday between four to eight hours a day. Recently, the PHP and IOP programs have decided to start including mobile messaging as a part of care, helping patients to feel supported even after they have left the hospital for the day.

The purpose of this study is to evaluate the feasibility and effectiveness of their ongoing use of the Chorus Participatory Mobile Framework to support clinical care. Chorus is a framework and web application that allows users to rapidly create a broad range of automated text messaging (SMS), interactive voice (IVR), or mobile web applications using a simple and accessible visual interface without requiring any server programming. There will be two broad populations using Chorus: (1) programs (e.g. OCD Intensive Treatment Program) in which all participants will receive participatory mobile messaging and (2) programs (e.g. Adult Acute PHP) in which patients will be randomized to receive either participatory mobile messaging or no mobile messaging. Across all programs, Kandace Whiting and Armen Arevian will train PHP and IOP therapists starting with creating simple, basic, useful messaging content in Chorus to support patients in achieving program goals. Examples of messages include Cognitive Behavioral Therapy (CBT), symptom management, and stress management cues to patients in the Obsessive Compulsive Disorder Clinic, patients in the Adult Eating Disorder Clinic, and parents from The Achievement, Behavior, Cognition (ABC) Child Programs.

All participating patients receiving participatory mobile messaging will work with program staff one-on-one to tailor SMS and IVR content and design based on their own preferences. By being able to personalize the messaging, the Chorus Participatory Mobile Framework meets the capacities and preferences of the users rather than a "one-size" approach requiring adaptation of the users to the technology. Both therapists and patients will be invited to up to bi-weekly, in-person workshops specific to their program to provide feedback and input. The goal of these workshops is to further develop and refine the novel mobile interventions based on stakeholder input. The Chorus Participatory Framework will be used during the workshops to develop and test the application in real-time. Workshops will be audio and/or video recorded to document the process.

Study Type

Interventional

Enrollment (Actual)

150

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • California
      • Los Angeles, California, United States, 90095
        • UCLA Partial Hospitalization and Intensive Outpatient Programs

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Patients (over the age of 18) or parents of patients who are minors (between the ages of 6 and 17)
  • Enrolled in PHP or IOP programs at Resnick Neuropsychiatric Hospital
  • Agree to participate (minors will be required to have parental consent)
  • Patient participants will need to be English speaking because text and IVR messages and workshops will be conducted in English.
  • Patient must have cellular phone that can receive text messages
  • All PHP and IOP staff are eligible and will be invited to participate in workshops and complete surveys.

Exclusion Criteria:

  • Declines consent or is unwilling to participate in the study
  • Does not speak English. Language other than English is an exclusion given resources and capacity of the study
  • Patients without a cellular phone that can receive text messages
  • Not receiving texts or IVR messages from their program is an exclusion given that it is the intervention we are evaluating
  • Patients under the age of 6.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Usual care
Control arm - these patients will get usual care as part of the PHP and IOP programs at UCLA. They will not receive mobile support messages.
Other: Usual Care
Usual care as part of the UCLA PHP and IOP programs
Active Comparator: Participatory technology development
Intervention - Patients will have access to a website that allows them to co-create mobile support messages with their therapist to support their care as part of the PHP and IOP programs at UCLA.
Other: Participatory technology development
Creating mobile support tools by patients and their therapists

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in homework completion rate
Time Frame: Collected on each program attendance day (up to daily), through discharge from program, an average of 12 weeks
the change in the degree to which patients complete tasks assigned to them by their provider as part of their treatment
Collected on each program attendance day (up to daily), through discharge from program, an average of 12 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
length of stay
Time Frame: At discharge from program, an average of 12 weeks
length of stay (in terms of days and hours/day of program attendance)
At discharge from program, an average of 12 weeks
time to discharge
Time Frame: From admission to program until discharge from program, assessed up to 20 weeks
time to step down from partial hospitalization program to intensive outpatient program and time to discharge from program
From admission to program until discharge from program, assessed up to 20 weeks
Number of patient visits to health care organizations outside of clinic
Time Frame: at patient disenrollment from study, approximately 3 months after discharge from program, up to 40 weeks
the number of services that patients utilize outside of the clinic, including ED visits and inpatient hospitalizations.
at patient disenrollment from study, approximately 3 months after discharge from program, up to 40 weeks
Types of health care services patients utilize outside of clinic
Time Frame: at patient disenrollment from study, approximately 3 months after discharge from program, up to 40 weeks
the types of services that patients utilize outside of the clinic, including ED visits and inpatient hospitalizations.
at patient disenrollment from study, approximately 3 months after discharge from program, up to 40 weeks
change in depression symptoms
Time Frame: Upon admission to program, at mid-point of stay in program, at discharge from program (may also be up to weekly during stay), an average of 12 weeks; and 3 months after discharge from programa
PHQ-9 to measure changes in depression symptoms
Upon admission to program, at mid-point of stay in program, at discharge from program (may also be up to weekly during stay), an average of 12 weeks; and 3 months after discharge from programa
Change in Patient Treatment Self-Efficacy
Time Frame: weekly during stay in program, through discharge from program, an average of 12 weeks
change patient treatment self-efficacy from week-to-week during program
weekly during stay in program, through discharge from program, an average of 12 weeks
Difference in Patient Satisfaction with Program between Intervention vs Control groups
Time Frame: at discharge from program, an average of 12 weeks
comparing patient satisfaction with services and support between the intervention and control groups
at discharge from program, an average of 12 weeks
Messaging Application Usability
Time Frame: weekly during stay in program, through discharge from program, an average of 12 weeks
Weekly survey of patients in the intervention arm and all providers to assess the usability of the messaging application
weekly during stay in program, through discharge from program, an average of 12 weeks
Patient Involvement in Message Development
Time Frame: weekly during stay in program, through discharge from program, an average of 12 weeks
Completed by patients in the intervention arm and by provider for each patient in intervention arm to assess the extent of patient involvement in the development of message content and schedule, and use of messaging application
weekly during stay in program, through discharge from program, an average of 12 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of California, Los Angeles

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 1, 2016

Primary Completion (Actual)

September 1, 2016

Study Completion (Actual)

December 1, 2016

Study Registration Dates

First Submitted

February 4, 2016

First Submitted That Met QC Criteria

March 9, 2016

First Posted (Estimated)

March 15, 2016

Study Record Updates

Last Update Posted (Actual)

November 7, 2023

Last Update Submitted That Met QC Criteria

November 3, 2023

Last Verified

November 1, 2023

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IRB#14-001879

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

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.

Subscribe