Pilot Test of a Mobile Text Approach to Measurement and Feedback for Wraparound Care Coordination

NCT05743712 | Completed

• 1 other identifier: 3CG079Pilot
• Study Type: interventional
• Target: 59
• Locations: 1 country
• Sites: 1

Brief Summary

This SBIR Phase I study will test the acceptability and feasibility of a novel measurement and feedback system tailored to Wraparound service model (WSM) for emotional disorders to produce a feasible, cost-efficient, and scalable software system to meet the pressing public health need for Measurement-based Care in care coordination for youth behavioral health.

Conditions

Mental Health Services

Outcome Measures

Primary Outcomes (3)

• Prototype Evaluation for Families

  Caregivers, youth, and young adults will complete this 12-item measure, rating the extent to which they agree with statements about the usability, acceptability, and feasibility of the SMART-Wrap system. The measure includes 9 Likert items and 3 open-ended items. Responses to the Likert items range from 1 (Completely Disagree) to 5 (Completely Agree). Total scores are based on the Likert items are range from 0 to 45. Higher scores reflect more positive opinions.

  5-week follow-up post messaging protocol

• Prototype Evaluation for Care Team Members

  Care team members will complete this 34-item measure, rating the extent to which they agree with statements about the SMART-Wrap system. The measure includes 7 open-ended items, one yes/no item, and 26 Likert-scale items about the usability, acceptability, and feasibility of the system, and items about the system's interoperability with existing electronic record management systems, whether it is duplicative or complementary with existing systems, and its added value over existing methods of collecting feedback from families in Wraparound. Responses to the Likert items range from 1 (Completely Disagree) to 5 (Completely Agree). Total scores are based on the Likert items and range from 0 to 130. Higher scores reflect more positive opinions.

  5-week follow-up post messaging protocol

• System Usability Survey

  Caregivers, youth, young adults, and care team members will complete this 10-item measure, rating the extent to which they agree with statements about the usability of the SMART-Wrap system. Responses range from 1 (Completely Disagree) to 5 (Completely Agree). For items 1, 3, 5, 7, and 9, higher scores reflect more positive outcomes. For items 2, 4, 6, 8, and 10, higher scores reflect more negative outcomes. Items 2, 4, 6, 8, and 10 are reverse coded, and all survey items are rescaled from 0 to 4 and multiplied by 2.5 to calculate total scores, which range from 0 to 100.

  5-week follow-up post messaging protocol

Secondary Outcomes (6)

• Results from Caregiver Text Message Items

  4-item sets of survey items administered weekly over a 4-week period

• Results from Youth Text Message Items

  2-item sets of surveys items administered weekly over a 4-week period

• Usage Metrics from the SMART-Wrap system for families

  4-week period

• Usage Metrics from the SMART-Wrap system for care team members

  the period in which any families served by the care team are interacting with the SMART-Wrap system, approximately 8-weeks

• Results from focus groups / interviews with families

  45-minutes, completed after the test of the SMART-Wrap system

Study Arms (1)

SMART-Wrap

EXPERIMENTAL

SMART-Wrap is a prototype measurement and feedback software system tailored to Wraparound service model (WSM) for emotional disorders to provide measurement-based care in care coordination for youth behavioral health.

Other: SMART-Wrap

Interventions

SMART-Wrap OTHER

This intervention, SMS (short message system)-based augmentation, seeks to improve the impact and approach of the Wraparound service model by utilizing SMS, which has been shown to increase treatment adherence and sustained engagement. This intervention will facilitate regular, repeated evaluation of intermediate outcomes through self-report assessments.

SMART-Wrap

Eligibility Criteria

• Age: 14 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Wraparound Service Model Care teams (each consisting of 1 manager or administrator, 1 supervisor, and up to 3 care coordinators) must coordinate the care of one youth/young adult (ages 5-26).
• Wraparound Service Model enrolled families can consist of either (a) a caregiver of a youth/young adult age 5-26 (participating without their child), (b) a caregiver of a youth/young adult age 14-26 (participating with their child - adult children sign separate consent to contact forms and enroll separately), or (c) a young adult age 18-26 participating without their caregiver.

You may not qualify if:

• youth/young adults known to providers to have expressed risk of harm to themselves or others within the 6 months prior to the recruitment period

Sponsors & Collaborators

• 3-C Institute for Social Development: lead
• University of Washington: collaborator

Study Sites (1)

3C Institute

Durham, North Carolina, 27713, United States

Location

Study Officials

• Melissa DeRosier, PhD

  3C Institute

  PRINCIPAL INVESTIGATOR

• Eric Bruns, PhD

  University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 7, 2023
• First Posted: February 24, 2023
• Study Start: February 1, 2023
• Primary Completion: November 20, 2023
• Study Completion: January 31, 2024
• Last Updated: December 9, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)