MedPath

EMA of Substance Use in Homeless Youth

Not Applicable
Completed
Conditions
Substance Use
Interventions
Behavioral: Ecological Momentary Assessment (EMA; Metricwire) Prompts 3x/day
Behavioral: Ecological Momentary Assessment (EMA; Metricwire) Prompts 6x/day
Behavioral: Incentive Structure - fixed
Behavioral: Incentive Structure - prize based
Registration Number
NCT04884087
Lead Sponsor
Nationwide Children's Hospital
Brief Summary

The proposed study will provide critical information on Ecological Momentary Assessment (EMA) design characteristics that promote retention in a vulnerable and under-represented population in research-youth experiencing homelessness. The study will use an EMA app to collect substance use, mood, craving, social surroundings, and trauma measures over a 14-day period in youth age 18-24 (n=40) recruited from Star House, a homeless youth drop-in center. Youth will be randomized in 2x2 factorial design (fixed incentive model vs. prize-based model; random assessment 3x vs. 6x per day).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • currently homeless, defined as lacking a fixed, regular, and adequate nighttime residence.
  • report any of the following past-month frequencies of substance use (NIDA ASSIST screen) used in prior EMA studies: a) heavy episodic or "binge" drinking (≥4 drinks per day for women/≥5 drinks for men) ≥2 days per month ; b) marijuana use ≥2 days per week; or c) any illicit drug use.
Exclusion Criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
EMA, 3x/day, fixed incentiveIncentive Structure - fixedEcological Momentary Assessment (EMA; Metricwire). Participants randomized to this group will be sent prompts through the EMA app to complete brief EMA survey at 3 random times per day. Participants randomized to this group will earn a fixed bonus/incentive based on completion of the EMA surveys (50-74%=$3; 75-89%=$5; ≥90%=$10) each week.
EMA, 3x/day, fixed incentiveEcological Momentary Assessment (EMA; Metricwire) Prompts 3x/dayEcological Momentary Assessment (EMA; Metricwire). Participants randomized to this group will be sent prompts through the EMA app to complete brief EMA survey at 3 random times per day. Participants randomized to this group will earn a fixed bonus/incentive based on completion of the EMA surveys (50-74%=$3; 75-89%=$5; ≥90%=$10) each week.
EMA, 6x/day, fixed incentiveEcological Momentary Assessment (EMA; Metricwire) Prompts 6x/dayEcological Momentary Assessment (EMA; Metricwire). Participants randomized to this group will be sent prompts through the EMA app to complete brief EMA survey at 6 random times per day. Participants randomized to this group will earn a fixed bonus/incentive based on completion of the EMA surveys (50-74%=$3; 75-89%=$5; ≥90%=$10) each week.
EMA, 3x/day, prize-based incentiveEcological Momentary Assessment (EMA; Metricwire) Prompts 3x/dayEcological Momentary Assessment (EMA; Metricwire). Participants randomized to this group will be sent prompts through the EMA app to complete brief EMA survey at 3 random times per day. Participants randomized to this group will be rewarded for high survey completion with increasing numbers of "draws" for prizes depending on their level of response each week (50-74%=1 draw, 75-89%=2 draws, ≥90%=3 draws).
EMA, 3x/day, prize-based incentiveIncentive Structure - prize basedEcological Momentary Assessment (EMA; Metricwire). Participants randomized to this group will be sent prompts through the EMA app to complete brief EMA survey at 3 random times per day. Participants randomized to this group will be rewarded for high survey completion with increasing numbers of "draws" for prizes depending on their level of response each week (50-74%=1 draw, 75-89%=2 draws, ≥90%=3 draws).
EMA, 6x/day, prized-based incentiveEcological Momentary Assessment (EMA; Metricwire) Prompts 6x/dayEcological Momentary Assessment (EMA; Metricwire). Participants randomized to this group will be sent prompts through the EMA app to complete brief EMA survey at 6 random times per day. Participants randomized to this group will be rewarded for high survey completion with increasing numbers of "draws" for prizes depending on their level of response each week (50-74%=1 draw, 75-89%=2 draws, ≥90%=3 draws).
EMA, 6x/day, prized-based incentiveIncentive Structure - prize basedEcological Momentary Assessment (EMA; Metricwire). Participants randomized to this group will be sent prompts through the EMA app to complete brief EMA survey at 6 random times per day. Participants randomized to this group will be rewarded for high survey completion with increasing numbers of "draws" for prizes depending on their level of response each week (50-74%=1 draw, 75-89%=2 draws, ≥90%=3 draws).
EMA, 6x/day, fixed incentiveIncentive Structure - fixedEcological Momentary Assessment (EMA; Metricwire). Participants randomized to this group will be sent prompts through the EMA app to complete brief EMA survey at 6 random times per day. Participants randomized to this group will earn a fixed bonus/incentive based on completion of the EMA surveys (50-74%=$3; 75-89%=$5; ≥90%=$10) each week.
Primary Outcome Measures
NameTimeMethod
Length of TimeBaseline to end of trial (day 14)

Total length of time in days using EMA (range: 1-14 days). Higher values represent greater length of time EMA was used.

Percent CompletionBaseline to end of trial (day 14)

Percent of EMA surveys completed (0-100%). Higher values represent a larger percentage of EMA surveys completed.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Nationwide Children's Hospital

🇺🇸

Columbus, Ohio, United States

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