m-Health to Increase Service Utilization in Recently Incarcerated Homeless Adults
Trial Snapshot
- Phase
- Phase 3
- Status
- Completed
- Sponsor
- University of Oklahoma
- Enrollment
- 403
- Locations
- 4
- Primary Endpoint
- Number of Case Management Sessions Completed
Study Overview
Brief Summary
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
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
Secondary Outcomes
- Number of Homeless Nights(6 months)
- Number of Re-arrests(12 months)
- Alcohol Use(6 months)
- Drug Use(6 months)