Phase 3
N=403
Homeless Care Management App
Substance Use Disorders · Mental Health Impairment · Health Behavior · Adherence, Patient
Bottom Line
View on ClinicalTrials.gov: NCT03399500 ↗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
| Outcome | Result | p-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
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.