Mobile Enhancement of Motivation in Schizophrenia: A Pilot Trial of a Personalized Text Message Intervention for Motivation Deficits
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Schizophrenia
- Sponsor
- Indiana University
- Enrollment
- 59
- Locations
- 1
- Primary Endpoint
- Goal completion
- Status
- Completed
- Last Updated
- 7 years ago
Overview
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.
Investigators
Michelle Salyers
Professor and Director of Clinical Psychology
Indiana University
Eligibility Criteria
Inclusion Criteria
- •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)
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Goal completion
Time Frame: 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 Outcomes
- Motivation and Pleasure Scale-Self-Report (MAP-SR)(baseline and follow-up (8 weeks))
- Intrinsic Motivation Index(baseline and follow-up (8 weeks))