Effectiveness of a Multi-component mHealth Intervention to Improve Post-hospital Transitions of Care for Patients With SMI
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 180
- 试验地点
- 1
- 主要终点
- Brief Psychiatric Rating Scale (BPRS)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •lack of smartphone
- •homelessness or housing instability that would prevent reliable follow-up
- •discharge to a long-term restricted living setting
研究组 & 干预措施
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.
干预措施: 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.
干预措施: Check-In (Behavioral)
结局指标
主要结局
Brief Psychiatric Rating Scale (BPRS)
时间窗: 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.
次要结局
未报告次要终点