Clinical trial NCT03399500: Homeless Care Management App
Official title: m-Health to Increase Service Utilization in Recently Incarcerated Homeless Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE3
Conditions: Substance Use Disorders
Mental Health Impairment
Health Behavior
Adherence, Patient
Keywords: Case Management
Homelessness
Smartphone
Health Related Quality of Life
Mental Health
Substance Use Disorders
Lead sponsor: University of Oklahoma
Sponsor class: OTHER
Collaborators: name: The University of Texas Health Science Center, Houston
name: National Institutes of Health (NIH)
name: National Institute on Minority Health and Health Disparities (NIMHD)
First posted: 2018-01-16
Enrollment: 403
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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).


Eligibility criteria: 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

Primary outcomes:
measure: Number of Case Management Sessions Completed
timeFrame: 6-month follow-up
Secondary outcomes:
measure: Number of Homeless Nights
timeFrame: 6 months
measure: Number of Re-arrests
timeFrame: 12 months
measure: Alcohol Use
timeFrame: 6 months
measure: Drug Use
timeFrame: 6 months
Other outcomes:
Locations:
city: Oklahoma City
country: United States
facility: University of Oklahoma Health Sciences Center - OTRC
state: Oklahoma
city: Dallas
country: United States
facility: UTHealth School of Public Health
state: Texas
Study officials:
affiliation: University of Oklahoma
name: Michael S Businelle, Ph.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: UTHealth School of Public Health
name: Jennifer M Reingle, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.