Effectiveness of a Multi-component mHealth Intervention to Improve Post-hospital Transitions of Care for Patients With SMI
Trial Snapshot
- Phase
- Not Applicable
- Status
- Enrolling By Invitation
- Sponsor
- Butler Hospital
- Enrollment
- 180
- Locations
- 1
- Primary Endpoint
- Brief Psychiatric Rating Scale (BPRS)
Study Overview
Brief Summary
The overall aim of this program of research is to improve the continuity of care for patients with serious mental illness (SMI) by supporting a safer and more efficient bridge from hospital to outpatient care using a mobile device-delivered app called Transition-FOCUS (tFOCUS), which has previously been tested in community samples. The purpose of the proposed project is to establish the effectiveness of our empirically-supported, multi-component mHealth intervention.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •psychiatric inpatient/partial hospitalization
- •diagnosis of schizophrenia-spectrum disorder or major mood disorder
- •planned ongoing mental health treatment post-discharge in the community
- •18 years or older
- •ability to speak and read English
Exclusion Criteria
- •lack of smartphone
- •homelessness or housing instability that would prevent reliable follow-up
- •discharge to a long-term restricted living setting
Arms & Interventions
Transition-FOCUS mHealth Intervention
All participants will download the tFOCUS app to their mobile phone. tFOCUS uses EMA to assess variables identified as being salient to treatment engagement and illness self-management. The application delivers algorithm-driven micro interventions to address reported problem(s). Data is transmitted to a clinician "dashboard," which can be used for remote monitoring.
Intervention: Transition-FOCUS mHealth Intervention (Behavioral)
Check-In
Control participants will receive the currently recommended best practices of post-discharge care, including follow-up appointments, instructions, referrals and a follow-up check in.
Intervention: Check-In (Behavioral)
Outcomes
Primary Outcomes
Brief Psychiatric Rating Scale (BPRS)
Time Frame: 24 weeks
The interviewer-rated Brief Psychiatric Rating Scale is a measure of psychiatric symptom severity. The total score (sum of items) will be used to assess overall severity with scores ranging from 18 to 126 and higher scores indicating greater severity.
Secondary Outcomes
No secondary outcomes reported