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Homeless Care Management App

NCT ID: NCT03399500

Last Updated: 2024-12-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

403 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-27

Study Completion Date

2023-11-14

Brief Summary

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There is a significant revolving door of incarceration among homeless adults, a population with substantial health disparities. Homeless adults who receive the professional coordination of individualized care (i.e., case management) during the period following their release from jail experience fewer mental health and substance use problems, are more likely to obtain stable housing, and are less likely to be re-incarcerated. The proposed study will use mobile technology to address these barriers and fill gaps in the understanding of the causes of the revolving door of homeless incarceration. This research represents a step toward integrated service connection and healthcare service provision for one of the most underserved, high need, and understudied populations in the United States. Smart phone apps that increase the use of available healthcare services and identify predictors of key outcomes (e.g., homelessness, re-arrest, medication compliance) could be used to reach hard to reach populations with histories of significant and persistent health disparities (e.g., homeless adults).

Detailed Description

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Conditions

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Substance Use Disorders Mental Health Impairment Health Behavior Adherence, Patient

Keywords

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Case Management Homelessness Smartphone Health Related Quality of Life Mental Health Substance Use Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Usual Case Management (UCM)

Group receives standard case management at the shelter

Group Type ACTIVE_COMPARATOR

In-Person Case Management at Homeless Recovery Program

Intervention Type BEHAVIORAL

In-Person Case Management at Homeless Recovery Program

UCM + Smartphone

Group receives standard case management and an unlimited smartphone

Group Type EXPERIMENTAL

In-Person Case Management at Homeless Recovery Program

Intervention Type BEHAVIORAL

In-Person Case Management at Homeless Recovery Program

Unlimited Smartphone

Intervention Type BEHAVIORAL

Smartphone with unlimited calls, texts, and data plan

Smartphone Based Case Management (SPCM)

Group receives standard case management and an unlimited smartphone with the SPCM app

Group Type EXPERIMENTAL

In-Person Case Management at Homeless Recovery Program

Intervention Type BEHAVIORAL

In-Person Case Management at Homeless Recovery Program

Unlimited Smartphone

Intervention Type BEHAVIORAL

Smartphone with unlimited calls, texts, and data plan

Smartphone Based Case Management (SPCM) app

Intervention Type BEHAVIORAL

Smartphone Based Case Management app

Interventions

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In-Person Case Management at Homeless Recovery Program

In-Person Case Management at Homeless Recovery Program

Intervention Type BEHAVIORAL

Unlimited Smartphone

Smartphone with unlimited calls, texts, and data plan

Intervention Type BEHAVIORAL

Smartphone Based Case Management (SPCM) app

Smartphone Based Case Management app

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* released from Dallas County Jail in the past month
* plan to reside in the Dallas area for the next year
* enrolled in The Bridge Homeless Recovery Program
* willing and able to attend the baseline visit, randomization visit, and the 1, 3, and 6-month follow-up visits
* score ≥ 4 on the REALM-SF indicating \> 6th grade English literacy level
* score \>24 on the Mini-Mental State Exam indicating no substantial cognitive impairment.

Exclusion Criteria

* Cannot read English
* Under the age of 18
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The University of Texas Health Science Center, Houston

OTHER

Sponsor Role collaborator

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

National Institute on Minority Health and Health Disparities (NIMHD)

NIH

Sponsor Role collaborator

University of Oklahoma

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael S Businelle, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Oklahoma

Jennifer M Reingle, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

UTHealth School of Public Health

Locations

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University of Oklahoma Health Sciences Center - OTRC

Oklahoma City, Oklahoma, United States

Site Status

UTHealth School of Public Health

Dallas, Texas, United States

Site Status

Countries

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United States

References

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Reingle Gonzalez JM, Businelle MS, Kendzor D, Staton M, North CS, Swartz M. Using mHealth to Increase Treatment Utilization Among Recently Incarcerated Homeless Adults (Link2Care): Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2018 Jun 5;7(6):e151. doi: 10.2196/resprot.9868.

Reference Type DERIVED
PMID: 29871852 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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HSC-SPH-15-0632

Identifier Type: OTHER

Identifier Source: secondary_id

1R01MD010733-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

8525

Identifier Type: -

Identifier Source: org_study_id