Using Telehealth to Improve Psychiatric Symptom Management
NCT ID: NCT02710344
Last Updated: 2020-11-24
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
303 participants
INTERVENTIONAL
2015-09-30
2020-08-31
Brief Summary
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Detailed Description
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This study will evaluate the effectiveness of an automated, algorithmically-driven, customizable telehealth platform that provides education, teaches illness self-management, prompts users to enact coping strategies, and monitors symptoms on a daily basis to remotely detect early warning signs among people with SMI, moving beyond the existing telehealth approaches (mainly educational websites and videoconferencing) for assessing and providing education and therapy to people with SMI.
This study has two specific aims. Aim 1 is to compare the effectiveness of telehealth with Health Home Usual Care by measuring improvements at 6 and 12 months in illness self-management, psychiatric symptoms, and health self-efficacy. Aim 2 is to compare the effectiveness of telehealth with Health Home Usual Care by comparing total cost of emergency room visits and hospital days during the 12 months prior to baseline to total costs of emergency room visits and hospital days during the 12 months after baseline.
This study will evaluate a widely used automated telehealth program that has been modified and upgraded by the research team to incorporate curriculum drawn from illness self-management interventions for SMI developed by the investigators (i.e., Integrated Illness Management and Recovery (I-IMR) and HOPES). Unlike other telehealth devices, it does not require an internet connection and is an efficient and innovative way to provide illness self-monitoring and self-management education. Responses are entered by the user and forwarded to a secure server via cellular signal. The telehealth specialist will access the server daily through a secure website using a username and password.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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Usual Care
Usual care at community mental health care provider
No interventions assigned to this group
Telehealth
Usual care at community mental health care provider PLUS psychiatric telehealth program with remote monitoring.
Telehealth Program
Psychiatric telehealth program, content assigned based on diagnosis, entry to study requires psychiatric instability defined as use of emergency/high cost psychiatric services.
Interventions
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Telehealth Program
Psychiatric telehealth program, content assigned based on diagnosis, entry to study requires psychiatric instability defined as use of emergency/high cost psychiatric services.
Eligibility Criteria
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Inclusion Criteria
* Chart DSM-V Axis I diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, post-traumatic stress disorder, or major depression and meet criteria for serious mental illness;
* Enrolled in treatment at site for at least 3 months;
* Psychiatric instability as indicated by 2 or more emergency room visits or hospitalizations in the past year, or multiple calls to the psychiatric crisis line within 3 months (10 or more);
* Expressed willingness to participate in a telehealth program;
* Must be able to read English.
Exclusion Criteria
* Terminal physical illness which is expected to result in death within one year;
* Primary diagnosis of dementia, co-morbid diagnosis of dementia, or significant cognitive impairment as indicated by a Mini Mental State Examination (MMSE) score \<24.
18 Years
ALL
No
Sponsors
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National Institute of Mental Health (NIMH)
NIH
Dartmouth-Hitchcock Medical Center
OTHER
Responsible Party
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Sarah Pratt
Assistant Professor in Psychiatry
Locations
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Greater Nashua Mental Health Center
Nashua, New Hampshire, United States
The Providence Center
Providence, Rhode Island, United States
Countries
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Other Identifiers
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28105
Identifier Type: -
Identifier Source: org_study_id