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Phase 3 N=403 Randomized Treatment

Homeless Care Management App

Substance Use Disorders · Mental Health Impairment · Health Behavior · Adherence, Patient

Enrolled (actual)
403
Serious AEs
0.0%
Results posted
Dec 2024
Primary outcome: Primary: Number of Case Management Sessions Completed — 9.39; 7.69; 8.46 number of sessions

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
In-Person Case Management at Homeless Recovery Program (Behavioral); Unlimited Smartphone (Behavioral); Smartphone Based Case Management (SPCM) app (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Oklahoma
Primary completion
Nov 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Case Management Sessions Completed
9.39; 7.69; 8.46
SECONDARY
Number of Homeless Nights
161.48; 167.12; 159.00
SECONDARY
Number of Re-arrests
0.55; 0.64; 0.61
SECONDARY
Alcohol Use
14.26; 20.70; 26.57
SECONDARY
Drug Use
6.33; 22.34; 17.61

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).

Eligibility Criteria

Inclusion Criteria

  • 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.

Exclusion Criteria

  • Cannot read English
  • Under the age of 18
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03399500). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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