Technology-Assisted Implementation of a Mobile Health Program for Serious Mental Illness

NCT ID: NCT05725785

Last Updated: 2024-12-06

Study Results

Results pending

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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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2025-10-31

Brief Summary

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The goal of this clinical trial is to learn about how a digital training platform can enhance implementation and effectiveness of a validated mHealth system, called FOCUS, in people with serious mental illness. The main question this research aims to answer is whether patients obtain similar outcomes to previous FOCUS studies when using FOCUS with clinicians trained on a newly developed digital training platform.

Participants will be asked to use the FOCUS smartphone application and receive mobile health coaching from clinicians who have been trained using the digital training platform.

Detailed Description

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Widely available technologies can help overcome the capacity constraints of brick-and mortar community mental health centers (CMHCs), expand the reach of evidence-based mental healthcare, and provide much needed illness management skills and resources for people with serious mental illness (SMI). With funding from the NIMH, PCORI, and CMMI, the investigators developed and tested FOCUS--a multi-modal smartphone illness self-management system that is shown to be feasible, usable, highly engaging, and effective among people with SMI.

The current project facilitates translation of FOCUS into routine care at CMHCs using implementation strategies of practice facilitation, implementation resource teams, and the development of accessible training materials. The investigators are proposing a technology-assisted training and implementation model designed to address system needs that have emerged since the COVID-19 pandemic and enhance sustainability of FOCUS at CMHCs. The new tools and strategies used in the project will facilitate improved training and implementation in new treatment settings, reaching a far larger number of patients who otherwise would not receive FOCUS and improving the sustainability of this tool, even in high turnover settings.

This trial is a prospective multi-site site single arm implementation study in three community mental health centers located in New Hampshire and Missouri. The investigators will develop and evaluate a digital training platform to aid in the implementation of FOCUS and utilize the platform to improve the availability, reach, impact, and sustainability of the FOCUS intervention in CMHCs. Patient participants will utilize FOCUS for a 12-week period at CMHCs where clinicians have been trained using the digital training platform. Investigators will compare patient outcomes to results of previous trials where clinicians were trained using more traditional, in-person training and support methods.

Conditions

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Schizophrenia Bipolar Disorder Major Depressive Disorder Schizo Affective Disorder

Keywords

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serious mental illness mHealth digital health schizophrenia implementation smartphone SMI

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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FOCUS participants

FOCUS is a smartphone application system designed to improve illness self-management and facilitate recovery in individuals with serious mental illness. It delivers both system initiated (i.e. pre-programmed) and patient initiated (i.e. on demand) real-time assessment to individuals in their own environment.

Group Type OTHER

FOCUS participants

Intervention Type BEHAVIORAL

Participants using FOCUS will be given access to the FOCUS application and trained by the mHealth support specialist on how to use the functions of the smartphone (i.e. using a touchscreen, call, text) and different features of the FOCUS intervention.

Interventions

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FOCUS participants

Participants using FOCUS will be given access to the FOCUS application and trained by the mHealth support specialist on how to use the functions of the smartphone (i.e. using a touchscreen, call, text) and different features of the FOCUS intervention.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Chart diagnosis of a serious mental illness (i.e., schizophrenia, schizoaffective disorder, bipolar disorder, major depressive disorder)
* 18 years of age or older
* English-speaking
* Have access to a smartphone that can support FOCUS

Exclusion Criteria

• Plan to move or discontinue services at the participating community mental health center in the next three months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Patient-Centered Outcomes Research Institute

OTHER

Sponsor Role collaborator

University of Washington

OTHER

Sponsor Role lead

Responsible Party

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Dror Ben-Zeev

Professor, School of Medicine: Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dror Ben Zeev, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Locations

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Places for People

St Louis, Missouri, United States

Site Status RECRUITING

Community Partners

Dover, New Hampshire, United States

Site Status RECRUITING

The Mental Health Center of Greater Manchester

Manchester, New Hampshire, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Arya Kadakia, BS

Role: CONTACT

Phone: 603-667-8460

Email: [email protected]

Justin Tauscher, PhD

Role: CONTACT

Phone: 8022335242

Email: [email protected]

Facility Contacts

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Charvonne Long

Role: primary

Michael Andrick

Role: primary

Sue Guarino

Role: primary

Other Identifiers

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DI-2021C3-24542

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

STUDY00016266

Identifier Type: -

Identifier Source: org_study_id