Mobile After-Care Support App: Pilot RCT (MACS-RCT)

Butler Hospital

Status: Completed

Conditions: Psychotic Disorder

Treatments: Behavioral: Mobile app attention control; Behavioral: Mobile After-Care Support (MACS) app

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03955250

1905-001

R34MH115144 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The overall aim of this program of research is to refine and test the feasibility and acceptability of a newly developed mobile device-delivered app, called Mobile After-Care Support (MACS), to improve patients' coping and treatment adherence following a hospitalization related to their psychotic-spectrum disorder. The purpose of the proposed project is to establish the feasibility, acceptability, and preliminary effects of the app. To achieve the specific aims, the investigators will conduct a pilot randomized clinical trial (n = 60), with two treatment arms: MACS vs. a mobile app attention control condition.

Enrollment: 42 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• recently hospitalized
• DSM-5 criteria for psychotic-spectrum disorder based on structured clinical interview
• 18 years or older
• prescribed antipsychotic medication upon discharge
• ability to speak and read English

Exclusion criteria

• substance use disorders at severe level
• planned discharge to supervised living setting or participation in formal outpatient adherence programs
• pregnancy or other medical condition contraindicating use of antipsychotic medications

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Mobile After-Care Support (MACS) app

Experimental group

Description:

All participants download the app to their mobile phone. The app runs through a third-party software platform. It is designed to provide ecological momentary assessment and intervention.

Treatment:

Behavioral: Mobile After-Care Support (MACS) app

Mobile app attention control

Active Comparator group

Description:

All participants download the app to their mobile phone. The app runs through a third-party software platform. It is designed to provide ecological momentary assessment and psychoeducation about illness.

Treatment:

Behavioral: Mobile app attention control