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| Name | Class |
|---|---|
| Illinois Department of Human Services | UNKNOWN |
| Sparrow Mobile | UNKNOWN |
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Housing instability is both a cause and consequence of mental health problems. As such youth experiencing housing instability (e.g., homeless or marginally housed) have higher rates of mental health problems.Because of their circumstances, these youth also face significant barriers to mental health care and are therefore less likely to receive the treatment that they need. Mobile technology may offer a novel platform for increasing access to mental health care in this population. The primary goals of this pilot study are to (1) establish the feasibility and acceptability of delivering automated mental health interventions via smartphone technology, (2) examine the extent to which automated mental health interventions delivered via mobile technology improve mental health in homeless, marginally-housed, and exiting foster youth.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mobile self-help intervention | Experimental | This study uses automated self-help interventions designed as a kit of smartphone tools. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mobile self-help intervention | Behavioral | Participants receive several apps on their phone including IntelliCare apps, which are based on principles of cognitive-behavioral therapy. Participants also receive the Pocket Helper app, which has been designed for this study. The tools within the Pocket Helper app include a crisis text line that is available 24/7, the Illinois Warm Line which is available Monday through Friday from 8am to 5pm, directions to call 911 in the case of an emergency, the Koko web app that provides crowdsourced emotional support, brief cognitive-behavioral interventions, daily tips, and daily surveys. Phones will also include the StreetLight Chicago app, which provides homeless individuals with up-to-date information on shelters, health clinics, emergency contacts, mental health services, and more. |
| Measure | Description | Time Frame |
|---|---|---|
| Program adherence | Program adherence will be assessed based on usage data determining how often participants utilized the study applications, and how often they completed daily surveys and rated daily tips. | Baseline to Endpoint (6 months) |
| Program satisfaction | Program satisfaction will be assessed using a self-report questionnaire that participants will be asked to complete at the midpoint and endpoint of the study. Participants will be asked to report the extent to which they benefited from the study, how helpful the mobile applications were, and if they would recommend the study to others. These responses are recorded on 5-point likert type scales with higher ratings indicating higher satisfaction. | Midpoint (3 months) and Endpoint (6 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety symptoms | Anxiety symptoms will be assessed using the adaptive PROMIS Bank v1.0 for anxiety. | Baseline (0 months), Midpoint (3 months), Endpoint (6 months) |
| Depression symptoms | Depression symptoms will be assessed using the adaptive PROMIS Bank v1.0 for depression. |
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Inclusion Criteria:
16-25 years
English-speaking
Youth must meet one of the following risk criteria
Experiencing housing instability as defined by:
Imminently leaving the foster care system
Willingness and ability to comply with requirements of the study protocol
Exclusion Criteria:
* Inability to understand study procedures and participate in the informed consent process.
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| Name | Affiliation | Role |
|---|---|---|
| Alyson K Zalta, PhD | University of California, Irvine | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rush University Medical Center | Chicago | Illinois | 60612 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35460583 | Derived | Straka K, Blacketer AR, Martinez RL, Glover A, Winiarski DA, Karnik NS, Schueller SM, Zalta AK. Rates and correlates of well-being among youth experiencing homelessness. J Community Psychol. 2022 Sep;50(8):3746-3759. doi: 10.1002/jcop.22869. Epub 2022 Apr 23. | |
| 31605516 | Derived | Glover AC, Schueller SM, Winiarski DA, Smith DL, Karnik NS, Zalta AK. Automated Mobile Phone-Based Mental Health Resource for Homeless Youth: Pilot Study Assessing Feasibility and Acceptability. JMIR Ment Health. 2019 Oct 11;6(10):e15144. doi: 10.2196/15144. |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Nov 5, 2018 | Nov 6, 2018 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D011618 | Psychotic Disorders |
| D010554 | Personality Disorders |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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|
| Baseline (0 months), Midpoint (3 months), Endpoint (6 months) |
| Alcohol use | Alcohol use will be assessed using the Alcohol Use Disorders Identification Test (AUDIT-C). | Baseline (0 months), Midpoint (3 months), Endpoint (6 months) |
| Cannabis use | Cannabis use will be assessed using the Cannabis Use Disorder Identification Test - Revised (CUDIT-R). | Baseline (0 months), Midpoint (3 months), Endpoint (6 months) |
| Risky sexual behavior | Risky sexual behaviors will be assessed using the sexual behavior items from the Centers for Disease Control and Prevention's Youth Risk Behavior Survey (2011). | Baseline (0 months), Midpoint (3 months), Endpoint (6 months) |
| PTSD symptoms | PTSD symptoms will be assessed using the The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5). | Baseline (0 months), Midpoint (3 months), Endpoint (6 months) |
| Satisfaction with life: Satisfaction with Life Scale (SWLS) | General satisfaction with life will be assessed using the Satisfaction with Life Scale (SWLS). This measure is 5 items, with each item rated on a scale from 1-7. All 5 items are summed to achieve a total score of 5-35. Higher scores indicate higher satisfaction with one's life circumstances. | Baseline (0 months), Midpoint (3 months), Endpoint (6 months) |
| Psychosocial flourishing | Psychological resources and strengths will be assessed using the Flourishing Scale (FS). This measure is 8 items, with each item rated on a scale from 1-7. All 8 items are summed to achieve a total score of 8-56. Higher scores indicate that an individual has more psychological resources and strengths. | Baseline (0 months), Midpoint (3 months), Endpoint (6 months) |
| D064419 | Chemically-Induced Disorders |