Homeless Care Management App (Link2Care)

December 17, 2024 updated by: University of Oklahoma

m-Health to Increase Service Utilization in Recently Incarcerated Homeless Adults

There is a significant revolving door of incarceration among homeless adults, a population with substantial health disparities. Homeless adults who receive the professional coordination of individualized care (i.e., case management) during the period following their release from jail experience fewer mental health and substance use problems, are more likely to obtain stable housing, and are less likely to be re-incarcerated. The proposed study will use mobile technology to address these barriers and fill gaps in the understanding of the causes of the revolving door of homeless incarceration. This research represents a step toward integrated service connection and healthcare service provision for one of the most underserved, high need, and understudied populations in the United States. Smart phone apps that increase the use of available healthcare services and identify predictors of key outcomes (e.g., homelessness, re-arrest, medication compliance) could be used to reach hard to reach populations with histories of significant and persistent health disparities (e.g., homeless adults).

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

403

Phase

  • Phase 3

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
    • Oklahoma
      • Oklahoma City, Oklahoma, United States, 73104
        • University of Oklahoma Health Sciences Center - OTRC
    • Texas
      • Dallas, Texas, United States, 75390
        • UTHealth School of Public Health

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

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • released from Dallas County Jail in the past month
  • plan to reside in the Dallas area for the next year
  • enrolled in The Bridge Homeless Recovery Program
  • willing and able to attend the baseline visit, randomization visit, and the 1, 3, and 6-month follow-up visits
  • score ≥ 4 on the REALM-SF indicating > 6th grade English literacy level
  • score >24 on the Mini-Mental State Exam indicating no substantial cognitive impairment.

Exclusion Criteria

  • Cannot read English
  • Under the age of 18

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 Case Management (UCM)
Group receives standard case management at the shelter
Behavioral: In-Person Case Management at Homeless Recovery Program
In-Person Case Management at Homeless Recovery Program
Experimental: UCM + Smartphone
Group receives standard case management and an unlimited smartphone
Behavioral: In-Person Case Management at Homeless Recovery Program
In-Person Case Management at Homeless Recovery Program
Behavioral: Unlimited Smartphone
Smartphone with unlimited calls, texts, and data plan
Experimental: Smartphone Based Case Management (SPCM)
Group receives standard case management and an unlimited smartphone with the SPCM app
Behavioral: In-Person Case Management at Homeless Recovery Program
In-Person Case Management at Homeless Recovery Program
Behavioral: Unlimited Smartphone
Smartphone with unlimited calls, texts, and data plan
Behavioral: Smartphone Based Case Management (SPCM) app
Smartphone Based Case Management app

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Case Management Sessions Completed
Time Frame: 6-month follow-up
Total number of sessions completed between the randomization visit and 6-month follow-up
6-month follow-up

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Homeless Nights
Time Frame: 6 months
Total number of self-reported homeless nights over the 6 month study period (via Timeline Follow Back Procedures). Participants with any missing are excluded.
6 months
Number of Re-arrests
Time Frame: 12 months
Total number of times each participant is booked into Dallas County Jail (using jail arrest records)
12 months
Alcohol Use
Time Frame: 6 months
Number of days of alcohol use (via Timeline Follow Back procedures). Any participant that missed any of the follow-ups are missing.
6 months
Drug Use
Time Frame: 6 months
Number of days of drug use (via Timeline Follow Back procedures). Any participant that missed any of the 3 follow-ups are missing.
6 months

Collaborators and Investigators

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

Sponsor

University of Oklahoma

Collaborators

The University of Texas Health Science Center, Houston
National Institute on Minority Health and Health Disparities (NIMHD)
National Institutes of Health (NIH)

Investigators

  • Principal Investigator: Michael S Businelle, Ph.D., University of Oklahoma
  • Principal Investigator: Jennifer M Reingle, Ph.D., UTHealth School of Public Health

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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)

April 27, 2018

Primary Completion (Actual)

November 14, 2023

Study Completion (Actual)

November 14, 2023

Study Registration Dates

First Submitted

December 22, 2017

First Submitted That Met QC Criteria

January 8, 2018

First Posted (Actual)

January 16, 2018

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

December 17, 2024

Last Verified

December 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 8525
  • HSC-SPH-15-0632 (Other Identifier: UTHealth IRB)
  • 1R01MD010733-01A1 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

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.

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