Mental Health Services Clinical Trial
— SMART-WrapOfficial title:
A Mobile Text Approach to Measurement and Feedback for Wraparound Care Coordination
This SBIR Phase I study will test the acceptability and feasibility of a novel measurement and feedback system tailored to Wraparound service model (WSM) for emotional disorders to produce a feasible, cost-efficient, and scalable software system to meet the pressing public health need for Measurement-based Care in care coordination for youth behavioral health.
Status | Recruiting |
Enrollment | 95 |
Est. completion date | June 30, 2023 |
Est. primary completion date | June 30, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 14 Years and older |
Eligibility | Inclusion Criteria: - Wraparound Service Model Care teams (each consisting of 1 manager or administrator, 1 supervisor, and up to 3 care coordinators) must coordinate the care of one youth/young adult (ages 5-26). - Wraparound Service Model enrolled families can consist of either (a) a caregiver of a youth/young adult age 5-26 (participating without their child), (b) a caregiver of a youth/young adult age 14-26 (participating with their child - adult children sign separate consent to contact forms and enroll separately), or (c) a young adult age 18-26 participating without their caregiver. Exclusion Criteria: - youth/young adults known to providers to have expressed risk of harm to themselves or others within the 6 months prior to the recruitment period |
Country | Name | City | State |
---|---|---|---|
United States | 3C Institute | Durham | North Carolina |
Lead Sponsor | Collaborator |
---|---|
3-C Institute for Social Development | University of Washington |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Prototype Evaluation for Families | Caregivers, youth, and young adults will complete this 12-item measure, rating the extent to which they agree with statements about the usability, acceptability, and feasibility of the SMART-Wrap system. The measure includes 9 Likert items and 3 open-ended items. Responses to the Likert items range from 1 (Completely Disagree) to 5 (Completely Agree). Total scores are based on the Likert items are range from 0 to 45. Higher scores reflect more positive opinions. | 5-week follow-up post messaging protocol | |
Primary | Prototype Evaluation for Care Team Members | Care team members will complete this 34-item measure, rating the extent to which they agree with statements about the SMART-Wrap system. The measure includes 7 open-ended items, one yes/no item, and 26 Likert-scale items about the usability, acceptability, and feasibility of the system, and items about the system's interoperability with existing electronic record management systems, whether it is duplicative or complementary with existing systems, and its added value over existing methods of collecting feedback from families in Wraparound. Responses to the Likert items range from 1 (Completely Disagree) to 5 (Completely Agree). Total scores are based on the Likert items and range from 0 to 130. Higher scores reflect more positive opinions. | 5-week follow-up post messaging protocol | |
Primary | System Usability Survey | Caregivers, youth, young adults, and care team members will complete this 10-item measure, rating the extent to which they agree with statements about the usability of the SMART-Wrap system. Responses range from 1 (Completely Disagree) to 5 (Completely Agree). For items 1, 3, 5, 7, and 9, higher scores reflect more positive outcomes. For items 2, 4, 6, 8, and 10, higher scores reflect more negative outcomes. Items 2, 4, 6, 8, and 10 are reverse coded, and all survey items are rescaled from 0 to 4 and multiplied by 2.5 to calculate total scores, which range from 0 to 100. | 5-week follow-up post messaging protocol | |
Secondary | Results from Caregiver Text Message Items | Caregivers will complete this 16-item measure, rating the extent to which they agree with statements about therapeutic alliance with their Wraparound care team, their satisfaction with Wraparound, the care team's fidelity to the Wraparound care model, and their outcomes because of participating in Wraparound. Responses range from 0 (Not at All) to 4 (Absolutely). Total scores range from 0 to 64. Higher scores reflect greater satisfaction, therapeutic alliance, and fidelity and better outcomes. | 4-item sets of survey items administered weekly over a 4-week period | |
Secondary | Results from Youth Text Message Items | Youth and young adults will complete this 8-item measure, rating the extent to which they agree with statements about their satisfaction with Wraparound and their outcomes as a result of participating in Wraparound. Responses range from 0 (Not at All) to 4 (Absolutely). Total scores range from 0 to 32. Higher scores reflect greater satisfaction and better outcomes. | 2-item sets of surveys items administered weekly over a 4-week period | |
Secondary | Usage Metrics from the SMART-Wrap system for families | The SMART-Wrap software will track whether each text message is opened, the length of time between delivery and opening, and length of time between opening and submission of item response. These metrics are measured in seconds. In all cases, a shorter time span indicates more positive outcomes. | 4-week period | |
Secondary | Usage Metrics from the SMART-Wrap system for care team members | The SMART-Wrap software will track usage of the SMART-Wrap dashboard by the care team, including number of logins, amount of time spent (in seconds), and number/type of technical assistance requests. Number of logins and number of technical requests are measured as counts. Higher numbers of logins indicates a more positive outcome, higher time spent indicates a more positive outcome, and lower number of technical requests represents a more positive outcome. | the period in which any families served by the care team are interacting with the SMART-Wrap system, approximately 8-weeks | |
Secondary | Results from focus groups / interviews with families | 10 caregivers and 10 youth/young adults will participate in either focus groups or individual interviews. They will be asked about their experience with the SMART-Wrap system, strengths and weaknesses of SMART-Wrap, and challenges to using SMART-Wrap. Comments will be combined and grouped based on themes in a qualitative summary. | 45-minutes, completed after the test of the SMART-Wrap system | |
Secondary | Results from focus groups / interviews with care team members | 10 care team members will participate in either focus groups or individual interviews. They will be asked about strengths and weaknesses of SMART-Wrap, and challenges to using SMART-Wrap, and recommendations for revisions to SMART-Wrap. Comments will be combined and grouped based on themes in a qualitative summary. | 45-minutes, completed after the test of the SMART-Wrap system |
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