Mobile Phone and Smartphone Use by People With Serious Mental Illness.
Alexander S Young, Amy N Cohen, Noosha Niv...
https://pubmed.ncbi.nlm.nih.gov/31744429Actively Recruiting
Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID06138054
Improving Community Integration in Homeless Veterans With Serious Mental Illness: A Pilot Study of MI-CBT Enhanced With Mobile Technology
Led by VA Office of Research and Development · Updated on 2025-11-10
50
Participants Needed
1
Research Sites
13 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to evaluate a brief behavioral intervention combining Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT) to improve community integration in Veterans with serious mental illness (SMI) who have experienced homelessness. The study addresses challenges faced by Veterans transitioning from temporary to permanent housing, including maintaining mental healthcare and daily functioning. It compares this intervention with a time- and format-matched control that includes remote mindfulness training. Participants will be randomized into two groups: one receiving the MI-CBTech intervention and the other receiving supportive therapy with mindfulness training. Both treatments last 8 weeks and include three initial in-person sessions followed by six weeks of mobile phone application use. Remote check-ins by phone occur during weeks 2, 4, and 6 to support application use and address any issues. The interventions leverage participants' own smartphones, with devices provided if needed. Veterans will undergo a baseline in-person assessment including interviews and cognitive tests before randomization. Outcome measures include completion rates of baseline, end of treatment, and follow-up assessments, as well as treatment adherence and satisfaction ratings. Follow-up assessments occur 16 weeks after baseline and can be done in person or remotely. Total assessment time is approximately 4 hours at baseline and 2 hours for subsequent visits. This study will help guide future larger trials to improve care during critical housing transitions.
CONDITIONS
Brief Title
MI-CBTech: A Mobile Intervention for Community Integration in Homeless-Experienced Veterans With SMI
Who Can Participate
Age: 18Years - 65Years
All Genders
Eligibility Criteria
You may qualify if you...
- Veterans currently residing at the VA Greater Los Angeles Mental Health Residential Rehabilitation Treatment Program (Domiciliary)
- Age 18 to 65 years
- Diagnosis of non-affective or affective psychotic illness confirmed by chart review
- History of homelessness
- Sufficiently fluent in English to consent, understand procedures, and complete assessments and intervention
- Medically and clinically stable to participate and complete assessments and intervention
You will not qualify if you...
- History of clinically significant neurological disorder such as epilepsy
- History of serious head injury including loss of consciousness over 1 hour or cognitive rehabilitation post injury
- Evidence of IQ below 70 or developmental disability
- Moderate or severe substance use disorder in the past month based on chart review
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Enrollment and Baseline Assessment
Duration - 1 day
Participants complete baseline assessments including symptom ratings, community functioning interviews, and cognitive ability tests before randomization.
1 baseline visit (in-person)
Treatment
Duration - 8 weeks
Participants receive an 8-week intervention consisting of three in-person sessions during the first 2 weeks followed by 6 weeks of mobile application use. Phone check-ins occur during weeks 2, 4, and 6 to support application use and troubleshoot any issues.
3 in-person sessions and 3 phone check-ins
End of Treatment Assessment
Duration - 1 day
Participants complete symptom ratings and community functioning assessments to evaluate treatment effects. Assessments may be completed in-person or remotely by phone or videoconference.
1 visit (in-person or remote)
Follow-up Assessment
Duration - 1 day
Participants complete final symptom ratings, community functioning assessments, and an exit interview approximately 16 weeks after baseline to evaluate longer-term outcomes.
1 visit (in-person or remote)
Trial Site Locations
Total: 1 location
1
VA Greater Los Angeles Healthcare System, West Los Angeles, CA
West Los Angeles, California, United States, 90073-1003
Actively Recruiting
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Research Team
A
Amy M Jimenez, PhD
M
Michael F Green, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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