Homeless Care Management App

NCT03399500 | Completed Phase 3 Results

• 3 other identifiers: 8525HSC-SPH-15-06321R01MD010733-01A1
• Study Type: interventional
• Target: 403
• Locations: 1 country
• Sites: 2

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).

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

Outcome Measures

Primary Outcomes (1)

• Number of Case Management Sessions Completed

  Total number of sessions completed between the randomization visit and 6-month follow-up

  6-month follow-up

Secondary Outcomes (4)

• Number of Homeless Nights

  6 months

• Number of Re-arrests

  12 months

• Alcohol Use

  6 months

• Drug Use

  6 months

Study Arms (3)

Usual Case Management (UCM)

ACTIVE COMPARATOR

Group receives standard case management at the shelter

Behavioral: In-Person Case Management at Homeless Recovery Program

UCM + Smartphone

EXPERIMENTAL

Group receives standard case management and an unlimited smartphone

Behavioral: In-Person Case Management at Homeless Recovery Program; Behavioral: Unlimited Smartphone

Smartphone Based Case Management (SPCM)

EXPERIMENTAL

Group receives standard case management and an unlimited smartphone with the SPCM app

Behavioral: In-Person Case Management at Homeless Recovery Program; Behavioral: Unlimited Smartphone; Behavioral: Smartphone Based Case Management (SPCM) app

Interventions

In-Person Case Management at Homeless Recovery Program BEHAVIORAL

In-Person Case Management at Homeless Recovery Program

Smartphone Based Case Management (SPCM); UCM + Smartphone; Usual Case Management (UCM)

Unlimited Smartphone BEHAVIORAL

Smartphone with unlimited calls, texts, and data plan

Smartphone Based Case Management (SPCM); UCM + Smartphone

Smartphone Based Case Management (SPCM) app BEHAVIORAL

Smartphone Based Case Management app

Smartphone Based Case Management (SPCM)

Eligibility Criteria

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

You may qualify if:

• 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.

You may not qualify if:

• Cannot read English
• Under the age of 18

Sponsors & Collaborators

• University of Oklahoma: lead
• The University of Texas Health Science Center, Houston: collaborator
• National Institutes of Health (NIH): collaborator
• National Institute on Minority Health and Health Disparities (NIMHD): collaborator

Study Sites (2)

University of Oklahoma Health Sciences Center - OTRC

Oklahoma City, Oklahoma, 73104, United States

Location

UTHealth School of Public Health

Dallas, Texas, 75390, United States

Location

Related Publications (1)

• 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.

  PMID: 29871852 DERIVED

MeSH Terms

Conditions

Substance-Related Disorders; Health Behavior; Patient Compliance; Psychological Well-Being

Interventions

Amyloid

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Behavior; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Personal Satisfaction

Intervention Hierarchy (Ancestors)

Multiprotein Complexes; Macromolecular Substances; Proteins; Amino Acids, Peptides, and Proteins

Limitations and Caveats

There are no limitations or caveats to report.

Results Point of Contact

• Title: Michael Businelle
• Organization: University of Oklahoma Health Sciences

michael-businelle@ouhsc.edu

405-271-8001

Study Officials

• Michael S Businelle, Ph.D.

  University of Oklahoma

  PRINCIPAL INVESTIGATOR

• Jennifer M Reingle, Ph.D.

  UTHealth School of Public Health

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 22, 2017
• First Posted: January 16, 2018
• Study Start: April 27, 2018
• Primary Completion: November 14, 2023
• Study Completion: November 14, 2023
• Last Updated: December 19, 2024
• Results First Posted: December 19, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)