Effectiveness of a Mobile Texting Intervention for People With Serious Mental Illness

University of Washington49 enrolled

Overview

Testing an mHealth mobile interventionist texting program on illness management.

The ultimate objective is to evaluate a validated mHealth intervention that can be realistically integrated into community mental health settings to increase the availability, reach, and broad impact of illness management approaches for people with serious mental illness (SMI).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Schizoaffective Disorder Schizophrenia Bipolar Disorder Major Depressive Disorder

Interventions

Mobile InterventionistOTHER

A mobile interventionist is a trained clinician who provides supportive messaging through text messages via mobile devices (i.e. basic / smartphones)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 99 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Chart diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or major depressive disorder; 2. 18 years or older; 3. A rating of "3" or higher on one of three Patient Activation items; 4. Ownership of a mobile phone with call/text plan (research staff will offer assistance in accessing the Federal Lifeline Assistance Program to people who do not have a mobile phone and/or call/text plan if they are otherwise eligible); 5. Receiving community based treatment services. Exclusion Criteria: 1. Hearing, vision, or motor impairment that make it impossible to operate a mobile phone (determined using the individual's device for screening); 2. English reading level below 4th grade (determined using the reading section from the Wide Range Achievement Test - 4th Edition (WRAT-4).

Locations (2)

Thresholds

Chicago, Illinois, United States

Frontier Behavioral Health

Spokane, Washington, United States

Outcomes

Primary Outcomes

Psychiatric Symptoms

Assessed with the Psychotic Symptom Rating Scales (PSYRATS). The PSYRATS inquires about the specific dimensions of hallucinations and delusions. There are 17 items and each item is rated from 0 (absent) to 4 (severe). The PSYRATS has 2 subscales: the auditory hallucinations subscale (AHS) consisting of 11 items, and the delusions subscale (DS) consisting of 6 items. These subscale scores are added to create a total score ranging from 0-68. Higher scores indicate worse symptoms.

Time frame: Change from baseline to 3 months and 6 months

Psychiatric Symptoms

Assessed with the Beck Depression Inventory (BDI). The Beck Depression Inventory is a psychometric test for measuring the severity of depression. There are 21 items, each rated from 0-3, and total scores range from 0-63. Higher scores indicate more severe depressive symptoms.

Time frame: Change from baseline to 3 months and 6 months

Secondary Outcomes

Recovery

Assessed with the Recovery Assessment Scale (RAS). This scale measures mental health recovery. There are 24 items, each rated from 1 (disagree) to 5 (agree), and total scores range from 24-120. Higher scores indicate better recovery.

Time frame: Change from baseline to 3 months and 6 months

Data from ClinicalTrials.gov

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