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

Study Overview
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Brief Summary
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Testing an mHealth mobile interventionist texting program on illness management.

Detailed Description
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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).

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

Conditions
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Schizoaffective Disorder, Schizophrenia, Bipolar Disorder, Major Depressive Disorder

Intervention / Treatment
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* Other: Mobile Interventionist


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Chart diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or major depressive disorder; 18 years or older; A rating of 3 or higher on one of three Patient Activation items; 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); Receiving community based treatment services. Exclusion Criteria: Hearing, vision, or motor impairment that make it impossible to operate a mobile phone (determined using the individual's device for screening); English reading level below 4th grade (determined using the reading section from the Wide Range Achievement Test - 4th Edition (WRAT-4).

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Treatment as Usual<br>Treatment as usual for 3 months. | |
| Experimental: Mobile Interventionist<br>Participants will exchange text messages with a mobile interventionist throughout the day for 3 months. | Other: Mobile Interventionist<br>* A mobile interventionist is a trained clinician who provides supportive messaging through text messages via mobile devices (i.e. basic / smartphones)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | 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. | Change from baseline to 3 months and 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | Change from baseline to 3 months and 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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mhealth, texting intervention, mobile health, mobile mental health