Mobile Enhancement of Motivation in Schizophrenia
- Conditions
- SchizophreniaSchizo Affective DisorderPsychosis
- Registration Number
- NCT03059771
- Lead Sponsor
- Indiana University
- Brief Summary
Motivation deficits are a strong determinant of poor functional outcomes in people with schizophrenia. Mobile interventions are a promising approach to improving these deficits, as they can provide frequent cues and reinforcements that support goal-directed behavior. The primary aims of this study are to conduct a pilot study using a randomized design to 1) Test the feasibility and acceptability of a personalized mobile text message intervention, Mobile Enhancement of Motivation in Schizophrenia (MEMS) and to 2) Test the preliminary effectiveness of MEMS compared to a control condition.
- Detailed Description
Objectives: Motivation deficits are one of the strongest determinants of poor functional outcomes in people with schizophrenia. Mobile interventions are a promising approach to improving these deficits, as they can provide frequent cues and reinforcements that support goal-directed behavior. The objective of this study is to conduct a pilot study using a randomized design to 1) Test the feasibility and acceptability of a personalized mobile text message intervention, Mobile Enhancement of Motivation in Schizophrenia (MEMS) and to 2) Test the preliminary effectiveness of MEMS compared to a control condition. Methods: Up to forty outpatients with a schizophrenia-spectrum disorder will be recruited. All participants will set individualized recovery goals to complete over an eight-week period; those randomized to receive MEMS will also receive three sets of personalized, interactive text messages each weekday to reinforce and cue goal completion. Before and after the eight-week period, participants in both groups will complete validated measures of motivation. Both groups will also report their goal attainment after eight weeks. Results: It is anticipated that those in the MEMS group will demonstrate greater goal attainment and improvements in motivation compared to the control group. Discussion: This project will test the initial feasibility, acceptability, and effectiveness of a novel intervention for improving one of the most debilitating aspects of schizophrenia.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 59
- Schizophrenia-spectrum diagnosis
- Have a text-message enabled cell-phone
- Are a current client at a participating community mental health center
- Are in a non-acute phase of illness or have no medication changes or hospitalizations in the prior 30 days
- Demonstrate a minimum of moderate motivation impairments according to the Clinical Assessment Interview for Negative Symptoms (CAINS; Kring et al., 2013)
- Have an English reading level at or above the fourth grade according to the Graded Word List (Pray & Ross, 1969)
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Goal completion follow-up (8 weeks) The percentage of baseline goals participants completed over the eight-week period will be assessed at the follow-up assessment.
- Secondary Outcome Measures
Name Time Method Motivation and Pleasure Scale-Self-Report (MAP-SR) baseline and follow-up (8 weeks) The MAP-SR is a self-report measure 15-item self-report measure that assesses participant's level of motivation and pleasure in several domains, including work and recreational activities. It has been found to be valid and reliable in a schizophrenia-spectrum sample (Llerena, et al., 2013).
Intrinsic Motivation Index baseline and follow-up (8 weeks) The 3-item Intrinsic Motivation Index (Nakagami et al., 2008) from the clinician-rated Quality of Life Scale (Heinrichs et al., 1984) will be used to assess trait-like intrinsic motivation.
Trial Locations
- Locations (1)
Midtown Community Mental Health Center
🇺🇸Indianapolis, Indiana, United States
Midtown Community Mental Health Center🇺🇸Indianapolis, Indiana, United States