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Homeless Care Management App
Phase 3 trial testing In-Person Case Management at Homeless Recovery Program in Substance Use Disorders in 403 participants. Completed in 14 November 2023.
| Lead sponsor | University of Oklahoma |
|---|---|
| Phase | Phase 3 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 403 |
| Start date | 27 April 2018 |
| Primary completion | 14 November 2023 |
| Estimated completion | 14 November 2023 |
| Sites | 2 locations across United States |
University of Oklahoma
18 and older, any sex, with Substance Use Disorders or Mental Health Impairment. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Total number of sessions completed between the randomization visit and 6-month follow-up
| Group | Value | 95% CI |
|---|---|---|
| Usual Case Management (UCM) | 9.39 | ± 11.40 |
| UCM + Smartphone | 7.69 | ± 10.79 |
| Smartphone Based Case Management (SPCM) | 8.46 | ± 11.17 |
Total number of self-reported homeless nights over the 6 month study period (via Timeline Follow Back Procedures). Participants with any missing are excluded.
| Group | Value | 95% CI |
|---|---|---|
| Usual Case Management (UCM) | 161.48 | ± 41.64 |
| UCM + Smartphone | 167.12 | ± 31.19 |
| Smartphone Based Case Management (SPCM) | 159.00 | ± 39.09 |
Total number of times each participant is booked into Dallas County Jail (using jail arrest records)
| Group | Value | 95% CI |
|---|---|---|
| Usual Case Management (UCM) | 0.55 | ± 0.82 |
| UCM + Smartphone | 0.64 | ± 1.01 |
| Smartphone Based Case Management (SPCM) | 0.61 | ± 1.06 |
Number of days of alcohol use (via Timeline Follow Back procedures). Any participant that missed any of the follow-ups are missing.
| Group | Value | 95% CI |
|---|---|---|
| Usual Case Management (UCM) | 14.26 | ± 31.93 |
| UCM + Smartphone | 20.70 | ± 39.09 |
| Smartphone Based Case Management (SPCM) | 26.57 | ± 41.37 |
Number of days of drug use (via Timeline Follow Back procedures). Any participant that missed any of the 3 follow-ups are missing.
| Group | Value | 95% CI |
|---|---|---|
| Usual Case Management (UCM) | 6.33 | ± 16.75 |
| UCM + Smartphone | 22.34 | ± 48.32 |
| Smartphone Based Case Management (SPCM) | 17.61 | ± 32.64 |
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).
1 peer-reviewed publication reference this trial (live from Europe PMC):
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