Homeless Care Management App

Health Behavior Clinical Trial

— Link2Care  

Official title:

m-Health to Increase Service Utilization in Recently Incarcerated Homeless Adults

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03399500
• Other study ID #: 8525
• Secondary ID: HSC-SPH-15-06321
• Status: Completed
• Phase: Phase 3
• Start date: April 27, 2018
• Est. completion date: November 14, 2023

Study information

• Verified date: January 2024
• Source: University of Oklahoma
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 406
• Est. completion date: November 14, 2023
• Est. primary completion date: November 14, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Adherence, Patient
• Health Behavior
• Mental Health Impairment
• Substance Use Disorders
• Substance-Related Disorders

Intervention

Behavioral:
• In-Person Case Management at Homeless Recovery Program
In-Person Case Management at Homeless Recovery Program
• Unlimited Smartphone
Smartphone with unlimited calls, texts, and data plan
• Smartphone Based Case Management (SPCM) app
Smartphone Based Case Management app

Locations

Country	Name	City	State
United States	UTHealth School of Public Health	Dallas	Texas
United States	University of Oklahoma Health Sciences Center - OTRC	Oklahoma City	Oklahoma

Sponsors (4)

Lead Sponsor	Collaborator
University of Oklahoma	National Institute on Minority Health and Health Disparities (NIMHD), National Institutes of Health (NIH), The University of Texas Health Science Center, Houston

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of case management sessions completed	Total number of sessions completed between the randomization visit and 6-month follow-up	6-month follow-up
Secondary	Number of homeless nights	Total number of self-reported homeless nights (via Timeline Follow Back Procedures)	6 months
Secondary	Number of arrests	Total number of times each participant is booked into Dallas County Jail (using jail arrest records)	12 months
Secondary	Alcohol use	Number of days of alcohol use (via Timeline Follow Back procedures)	6 months
Secondary	Drug use	Number of days of drug use (via Timeline Follow Back procedures)	6 months