Reentry Assist (R-Assist)

NCT06980233 | Not Yet Recruiting

• 2 other identifiers: STUDY00001884R41DA061403
• Study Type: interventional
• Target: 38
• Locations: 0 countries
• Sites: N/A

Brief Summary

This project will aim to develop and pilot test, R-Assist, a mobile health application to support individuals with co-occurring substance use and mental health disorders (COD) in their recovery, who have recently released from a participating Massachusetts jail.

Conditions

Substance Use Disorder (SUD); Mental Health Disorder; Criminal Recidivism

Keywords

substance use disorder; mental health; criminal-legal involvement

Outcome Measures

Primary Outcomes (6)

• App usage

  Total time engaged in app will be tracked daily during open pilot period. Additionally, engagement and time with each feature will be tracked

  From enrollment for 1.5 months during the open pilot

• System Usability Scale (SUS)

  Overall score will be computed, indicating overall usability Score ranges from 0-100 (0-64=not acceptable, 65-84=acceptable, and 85, 100=excellent.

  From enrollment for 1.5 months during the open pilot

• Mobile Application Rating Scale (MARS)

  Overall score will be computed, indicating overall acceptability, as well as score for each of the four dimensions. The rating scale assesses app quality on four dimensions (1. Engagement, 2. Functionality, 3. Aesthetics, and 4. Information). All items are rated on 5-point scale from "1=inadequate" to "5=excellent"

  From enrollment for 1.5 months during the open pilot

• Composite International Diagnostic Instrument for DSM-IV: Social determinants of health (SDOH) linkages

  SDOH needs (e.g., housing instability, food insecurity, NA/AA/ other recovery linkages) will be assessed and the App will track all referrals and SDOH linkages made. Percent of linkages made to needed SDOH services will be examined.

  From enrollment for 1.5 months during the open pilot

• Composite International Diagnostic Instrument for DSM-IV: Substance Use Disorder

  Substance use disorder symptoms will be tracked daily during the open pilot period.

  From enrollment for 1.5 months during the open pilot

• Composite International Diagnostic Instrument for DSM-IV: Mental Health

  Mental health symptoms will be tracked daily during the open pilot period.

  From enrollment for 1.5 months during the open pilot

Study Arms (1)

R-Assist

EXPERIMENTAL

Participants who have recently released from jail will engage with the R-assist app for up to 1.5 months

Behavioral: reentry assistance mobile health app

Interventions

reentry assistance mobile health app BEHAVIORAL

R-Assist features will include: 1) daily self-reported symptom and medication management monitoring; 2) a 29-session MISSION-CJ self-help curriculum, with an accompanying library of recovery resources to support COD symptom management and promote prosocial thinking and behavior; 3) SDOH resource finder; and 4) a dashboard to track R-Assist engagement.

R-Assist

Eligibility Criteria

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

You may qualify if:

• Have been released from the participating jail within the past 150 days
• Own a smartphone (Android or iOS; 90% met this criterion in our prior studies)
• Have COD: any substance use disorder (we will allow poly-substance use disorders) and a co-occurring mental health disorder (depression, anxiety, trauma related disorders, bipolar, and/or schizophrenia)
• Consent to R-Assist app use observation and e-tracking
• Consent to audio recording during interviews and focus groups.

You may not qualify if:

• Acutely suicidal, homicidal, or psychotic
• Unable to provide informed consent
• Individuals released with monitoring devices or individuals involved in drug treatment courts

Sponsors & Collaborators

• Meaningful Measurement, Inc: lead
• National Institute on Drug Abuse (NIDA): collaborator
• University of Massachusetts, Worcester: collaborator

MeSH Terms

Conditions

Substance-Related Disorders; Mental Disorders; Recidivism; Psychological Well-Being

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Criminal Behavior; Behavior; Personal Satisfaction

Study Officials

• David Smelson, PsyD

  University of Massachusetts Chan Medical School

  PRINCIPAL INVESTIGATOR

• Donna Surges Tatum, PhD

  Meaningful Measurement, LLC

  PRINCIPAL INVESTIGATOR

Central Study Contacts

David Smelson, PsyD

CONTACT

508-713-5420; David.Smelson@umassmed.edu

Paige Shaffer, PhD

CONTACT

paige.shaffer@umassmed.edu

Study Design

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

Model Details: R-Assist features will include: 1) daily self-reported symptom and medication management monitoring; 2) a 29-session MISSION-CJ self-help curriculum, with an accompanying library of recovery resources to support COD symptom management and promote prosocial thinking and behavior; 3) SDOH resource finder; and 4) a dashboard to track R-Assist engagement.

Study Record Dates

• First Submitted: May 12, 2025
• First Posted: May 20, 2025
• Study Start: June 1, 2025
• Primary Completion: August 31, 2025
• Study Completion: September 29, 2025
• Last Updated: May 25, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share