Using Short Message Service as a Means of Clinical Engagement in Early Psychosis
- Conditions
- Psychotic Disorders
- Interventions
- Behavioral: SMS text messaging - interactive check-inBehavioral: SMS text messaging - inactive control
- Registration Number
- NCT04379349
- Lead Sponsor
- Centre for Addiction and Mental Health
- Brief Summary
Engagement with clinical services for youth with early psychosis represents a significant challenge, with up to 40% of patients dropping out of treatment in the first year. This has been linked to worse illness outcomes and represents a significant barrier to recovery for these patients. This study aims to evaluate the efficacy of short message service (SMS) as a means of improving clinical engagement in early-episode psychosis populations by bridging contact between appointments with weekly check-ins/reminders. These weekly check-ins during the first year of treatment will serve as an additional opportunity to reach out to patients and give them a chance to do the same with their care teams, with patient responses triggering clinician follow-up if necessary.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 61
- between the ages of 16-29
- a diagnosis of an affective or non-affective psychotic disorder (i.e., Bipolar or Major Depressive Disorders with Psychotic Features, Schizophrenia Spectrum Disorders, Other Specified Psychotic Disorders, Substance Induced Psychosis and Attenuated Psychotic Syndrome)
- eligible for follow-up within the Slaight Family Centre for Youth in Transition early intervention service
- within the first 6 months of treatment
- involved in another intervention study
- do not have a personal cell phone number
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Active SMS SMS text messaging - interactive check-in Weekly interactive SMS text messaging check-ins. Sham SMS SMS text messaging - inactive control Weekly minimally interactive SMS text messages.
- Primary Outcome Measures
Name Time Method Appointment Attendance 9 months Percentage of attended clinic appointments
Service Engagement Scale (SES) 9 months Clinician-rated treatment engagement and adherence (minimum score = 0, maximum score = 42, higher score indicates worse service engagement)
- Secondary Outcome Measures
Name Time Method Social Functioning Scale (SFS) 9 months Self-report measure of social functioning (minimum score = 0, maximum score = 247, higher score indicates better functioning)
Clinical Global Impression (CGI) 9 months Interview-based global rating of illness severity (minimum score = 1, maximum score = 7, higher score indicates worse illness severity)
Personal and Social Performance Scale (PSP) 9 months Interview-rated measure of global functioning (minimum score = 1, maximum score = 100, higher score indicates better functioning)
Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LESQ-18) 9 months Self-reported measure of subjective quality of life (minimum score = 1, maximum score = 5, higher score indicates better quality of life)
Scale for the Assessment of Negative Symptoms (SANS) 9 months Interview-based measure of the severity of negative symptoms (minimum score = 0, maximum score = 110, higher score indicates higher severity of symptoms)
Brief Psychiatric Rating Scale (BPRS) 9 months Interview-based measure of the severity of psychiatric symptoms (minimum score = 24, maximum score = 168, higher score indicates higher severity of symptoms)
Apathy Evaluation Scale (AES) 9 months Interview-rated measure of the severity of motivation deficits (minimum score = 18, maximum score = 72, higher score indicates worse motivation deficits)
Brief Cognitive Assessment Tool for Schizophrenia (B-CATS) 9 months Rater-administered measure of cognitive functioning (scores indicate standardized Z-scores with no pre-defined minimum or maximum score, higher score indicates better cognitive functioning)
Drug Attitude Inventory (DAI-10) 9 months Self-reported measure of medication adherence (minimum score = -10, maximum score = + 10, higher score indicates better adherence)
Scale To Assess Therapeutic Relationships - Patient Version (STAR-P) 9 months Self-reported measure of the clinician-patient therapeutic relationship (minimum score = 0, maximum score = 48, higher score indicates better therapeutic relationship)
Hospitalizations 9 months Number of hospitalizations
Emergency Department Visits 9 months Number of emergency department visits
Trial Locations
- Locations (1)
Centre for Addiction and Mental Health
🇨🇦Toronto, Ontario, Canada