Economic and Clinical Outcomes of Attendance in Psychosis Services Using SMS.

NCT01793220 | Unknown

• 1 other identifier: ECOAPSS1
• Study Type: interventional
• Target: 600
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this research is to find out if mobile phone text message reminders of appointments can help to address missed appointments in Psychosis Community Services. Another aim is to examine if fewer missed appointments result in clinical benefits for service users and in lower costs for Psychosis Community Services over a period of 6 months. 600 users from 2 London Psychosis Community Services will take part in this research. Each participant will be put into one of two groups, as s/he joins the study: In the first (experimental) group, each participant will receive appointment reminders for 6 months (7 and 1 day/s before each appointment), starting with the first available opportunity upon joining the study. In the second (control) group, each participant will not receive appointment reminders for 6 months. The choice of group for each individual will be made at random by a computer. Clinical information will be collected for 6 months from the time each participant joins the study, using, with his or her consent, their anonymised electronic medical records. The following clinical information will be compared between the experimental and control groups: Attendance of appointments, number of inpatient admissions, number of days in inpatient care, number of inpatient admissions under the mental health treatment act, number of referrals to a home treatment team, number of times patient has changed medication, health and social functioning. Service use, service costs and the cost-effectiveness of the reminder system will also be examined. Towards the end of their participation, service users, as well as mental health professionals, will be invited to express their views, concerns and suggestions in relation to the reminder service by completing a brief anonymised (service users) or anonymous (staff) questionnaire

Conditions

Psychosis

Outcome Measures

Primary Outcomes (1)

• Outcome of appointment (attended, missed, cancelled by the participant, cancelled by the service)

  To assess differences in appointment attendance using online patient records in those who receive the SMS appointment reminders and those that do not

  From baseline to end of intervention (6 months)

Secondary Outcomes (8)

• Economic outcome: Use of Psychosis Services and impact on cost

  From baseline to end of intervention (6 months)

• Clinical outcome: Number of inpatient admissions

  From baseline to end of intervention (6 months)

• Clinical outcome: Number of days in inpatient care

  From baseline to end of intervention (6 months)

• Clinical outcome: Number of inpatient admissions under the mental health treatment act

  From baseline to end of intervention (6 months)

• Clinical outcome: Number of referrals to a home treatment team

  From baseline to end of intervention (6 months)

Other Outcomes (2)

• Views and suggestions of services users in relation to the SMS reminders

  6 months (end of study participation)

• Views and suggestions of mental health professionals in relation to the SMS reminders

  After the study has ended (1 year after 1st recruitment)

Study Arms (2)

SMS Reminder

EXPERIMENTAL

A text message reminder service will be sent 7 and 1 days(s) prior to the patients appointment at their Psychosis Community Service.

Other: SMS reminder

No SMS Reminders

NO INTERVENTION

The service user will not be sent text message reminders prior to each appointment at their Psychosis Community Service

Interventions

SMS reminder OTHER

A text message reminder service will be sent 7 and 1 days(s) prior to the patients appointment at their Psychosis Community Service.

SMS Reminder

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Be a user of Psychosis Community Services
• Manifest at least a basic level of comprehension of the study (including its nature, purpose, procedures and implications) prior to enrollment, and adequate capacity to consent, as assessed by the University of California, San Diego Brief Assessment of Capacity to Consent (UBACC) scale.
• Own a mobile phone.
• Be willing to receive SMS reminders of appointments with the Psychosis Community Service.
• Provide written informed consent to participate in the study.

You may not qualify if:

• Is not a user of Psychosis Community Services.
• Cannot manifest at least a basic level of comprehension of the study (including its nature, purpose, procedures and implications) prior to enrollment, and/or adequate capacity to consent, as assessed by the University of California, San Diego Brief Assessment of Capacity to Consent (UBACC) scale.
• Does not own a mobile phone.
• Is under 18 years of age.

Sponsors & Collaborators

• King's College London: lead

Study Sites (1)

South London and Maudsley NHS Foundation Trust

London, Greater London, BR3 3BX, United Kingdom

Location

MeSH Terms

Conditions

Psychotic Disorders

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders

Study Officials

• Daniel P Hayes, MSc

  King's College London

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Daniel P Hayes, MSc

CONTACT

+44 (0) 207 848 0357; daniel.1.hayes@kcl.ac.uk

Eugenia Kravariti, PhD

CONTACT

+44 (0) 207 848 0331; eugenia.kravariti@kcl.ac.uk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Mr

Study Record Dates

• First Submitted: February 14, 2013
• First Posted: February 15, 2013
• Study Start: March 1, 2013
• Primary Completion: March 1, 2015
• Study Completion: March 1, 2015
• Last Updated: February 15, 2013

Record last verified: 2013-02

Locations

GB (1)