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OpenTrials
Terminated

NCT Number: NCT05523843

Pilot Study on the Clinical Utility of the Tulsa Life Chart

The proposed study aims to examine the usability, utility, and feasibility of the Tulsa Life Chart (TLC) in a sample of patients seeking mental health treatment and their healthcare providers. The TLC is an interactive, web-based application used to create a graphical interface for visualizing a patient's life history.

Why the study stopped: Funding was no longer available to support the project.
Terminated

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Key information

Conditions

Mental Health Issue Assessment, Self Mental Disorders Mental Health Disorder

Age range

15 year–65 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Laureate Institute for Brain Research

Tulsa, Oklahoma, 74008, United States

About this study

Understanding the longitudinal course of mental health is critical for case conceptualization. One approach for capturing the complexity of an individual's illness course is to depict it graphically. The first attempt for this method was the National Institute of Mental Health Life Chart for Bipolar Disorder. Subsequent research indicated Life Charts are useful clinically and time- and cost-effective. Despite clinical utility and time and cost efficiency, this approach has not been widely adopted in the mental health field. Possible explanations are the prior focus on bipolar disorder, time required to collect information, and prior versions have not had automatic translation of the patient information into an image.

The Tulsa Life Chart (TLC) was developed by researchers at the Laureate Institute for Brain Research (LIBR). The TLC was developed to address weaknesses of previous life chart methods and help patients and healthcare professionals (HCPs) quickly identify patterns of mental health symptoms across diagnostic categories. To date only one formal exploration of the TLC has been conducted in a sample of individuals with mood, anxiety, eating disorders, and substance use disorders, which suggested that participants felt the TLC was helpful in understanding their mental health symptoms and was pleasant to complete. Unpublished focus groups with HCPs suggest HCPs believe the TLC could help to improve patient encounters by increasing understanding of patients and facilitating conversations. Based on these findings the goal of the proposed study is to examine clinical usability, utility, and feasibility in a pragmatic pilot trial.

The current trial will recruit individuals seeking treatment within the Laureate Psychiatric Clinic and Hospital and healthcare professionals involved with their care. Treatment-seeking patients who are invited to participate will be asked to complete the TLC soon after establishing care in a health system setting. Subsequently, the patient's HCP will review the chart during the intake process and complete several measures related to the chart and their experience (baseline assessment point). Patients and HCPs will engage in treatment as usual in between the TLC and assessment time points. Prior to or shortly following discharge/termination of treatment (approximately 4 to 12 weeks depending on the clinic), patients and HCPs will be asked to again complete questions to determine the TLC's usefulness during treatment. The overarching aim of the current study is to examine the usefulness of the Tulsa Life Chart for treatment-seeking individuals and healthcare professionals.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Treatment Seekers Inclusion Criteria:

  • Actively seeking mental health treatment at Laureate Psychiatric Clinic and Hospital
  • Provision of informed consent or if <18 assent and parental consent
  • Age 15 to 65 years
  • Necessary resources to engage in a technology-based intervention
  • English proficiency
  • Willingness to grant access to medical records

HCPs Inclusion Criteria:

  • Employed at Laureate Psychiatric Clinic and Hospital in a patient care role
  • Informed consent
  • English proficiency
  • Access to resources to engage in technology-based intervention

Exclusion criteria

Treatment Seekers Exclusion Criteria:

  • Active suicidal ideation with plan or intent
  • No access to resources to participate in a technology-based intervention
  • Completed more than 2 sessions of therapy with their current provider prior to enrollment in the study
  • Not proficient in English

HCPs Exclusion Criteria:

  • No access to resources to participate in a technology-based intervention
  • Not proficient in English

Treatment and study plan

Tulsa Life Chart (TLC)

Other

The TLC is a self-administered, interactive assessment of patient history. Participants are asked to provide information from birth to their current age in developmental epochs (i.e., ages 0 to 5; 6 to 10; 11 to 14; 15 to 18; 19 to 25; 26 to 35; and so on in 10-year increments). Participants are first asked to rate their average mood during the epoch. They are then asked about locations lived, schools attended, people they were close to, hobbies, medical conditions, medications, hospitalizations, direct and indirect substance use exposure, mental health symptoms, mental health treatment, and important life events. The information is then displayed in an interactive, graphic of the individual's life that is reviewable by the patient and the healthcare providers enrolled in the study that the patient consents to having access.

Primary outcomes

  1. mHealth App Usability Questionnaire (MAUQ) Total Usability Score (Patient)

    Time frame: Baseline assessment

    Validated self-report survey in which participants indicate how usable the assessment tool was, with scores ranging from 18 to 126. Higher scores indicate greater usability.

  2. mHealth App Usability Questionnaire (MAUQ) Total Usability Score (Healthcare Professional)

    Time frame: Baseline assessment

    Validated self-report survey in which healthcare professional participants indicate how usable the assessment tool was, with scores ranging from 18 to 126. Higher scores indicate greater usability.

Secondary outcomes

  1. mHealth App Usability Questionnaire (MAUQ) - Ease of Use Subscale (Patient)

    Time frame: Baseline assessment

    Subscale of a validated self-report survey in which patient participants report how easy the assessment tool was to use. Ease of use scores range from 5 to 35 with higher scores indicating greater ease of use.

  2. mHealth App Usability Questionnaire (MAUQ) - Ease of Use Subscale (Healthcare Professional)

    Time frame: Baseline assessment

    Subscale of a validated self-report survey in which healthcare professional participants report how easy the assessment tool was to use. Ease of use scores range from 5 to 35 with higher scores indicating greater ease of use.

  3. mHealth App Usability Questionnaire (MAUQ) - Interface and Satisfaction Subscale (Patient)

    Time frame: Baseline assessment

    Subscale of a validated self-report survey in which patients rate their satisfaction with the assessment tool and the interface of the tool. Interface and satisfaction scores range from 7 to 49 with higher scores indicating greater satisfaction.

  4. mHealth App Usability Questionnaire (MAUQ) - Interface and Satisfaction Subscale (Healthcare Professional)

    Time frame: Baseline assessment

    Subscale of a validated self-report survey in which healthcare professionals rate their satisfaction with the assessment tool and the interface of the tool. Interface and satisfaction scores range from 7 to 49 with higher scores indicating greater satisfaction.

  5. mHealth App Usability Questionnaire (MAUQ) - Usefulness Subscale (Patient)

    Time frame: Baseline assessment

    Subscale of a validated self-report survey in which patients rate the usefulness of the assessment tool. Usefulness scores range from 6 to 42 with higher scores indicating greater usefulness.

  6. mHealth App Usability Questionnaire (MAUQ) - Usefulness Subscale (Healthcare Professional)

    Time frame: Baseline assessment

    Subscale of a validated self-report survey in which healthcare professionals rate the usefulness of the assessment tool. Usefulness scores range from 6 to 42 with higher scores indicating greater usefulness.

  7. Time spent to complete the Tulsa Life Chart (Patient)

    Time frame: Baseline assessment

    Treatment seekers self-report of time to complete the TLC and embedded time count from the TLC application.

  8. Time spent to reviewing the Tulsa Life Chart (Healthcare Professional)

    Time frame: Baseline assessment

    Healthcare professionals' self-report of time spent reviewing the TLC and embedded time count from the TLC application.

Other outcomes

  1. mHealth App Usability Questionnaire (MAUQ) Total Usability Score (Patient)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    Validated self-report survey in which participants indicate how usable the assessment tool was, with scores ranging from 18 to 126. Higher scores indicate greater usability.

  2. Change in perception of usefulness

    Time frame: Change from baseline to the post-treatment timepoint, approximately 4 - 12 weeks after baseline

    Change in mHealth App Usability Questionnaire (MAUQ) score from first assessment time point to second assessment time point. Scores on the MAUQ range from 18 to 126. Higher scores indicate greater usability.

  3. mHealth App Usability Questionnaire (MAUQ) - Ease of Use Subscale (Patient)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    Subscale of a validated self-report survey in which patient participants report how easy the assessment tool was to use. Ease of use scores range from 5 to 35 with higher scores indicating greater ease of use.

  4. mHealth App Usability Questionnaire (MAUQ) - Ease of Use Subscale (Healthcare Professional)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    Subscale of a validated self-report survey in which healthcare professional participants report how easy the assessment tool was to use. Ease of use scores range from 5 to 35 with higher scores indicating greater ease of use.

  5. mHealth App Usability Questionnaire (MAUQ) - Interface and Satisfaction Subscale (Patient)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    Subscale of a validated self-report survey in which patients rate their satisfaction with the assessment tool and the interface of the tool. Interface and satisfaction scores range from 7 to 49 with higher scores indicating greater satisfaction.

  6. mHealth App Usability Questionnaire (MAUQ) - Interface and Satisfaction Subscale (Healthcare Professional)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    Subscale of a validated self-report survey in which healthcare professionals rate their satisfaction with the assessment tool and the interface of the tool. Interface and satisfaction scores range from 7 to 49 with higher scores indicating greater satisfaction.

  7. mHealth App Usability Questionnaire (MAUQ) - Usefulness Subscale (Patient)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    Subscale of a validated self-report survey in which patients rate the usefulness of the assessment tool. Usefulness scores range from 6 to 42 with higher scores indicating greater usefulness.

  8. mHealth App mHealth App Usability Questionnaire (MAUQ) - Usefulness Subscale (Healthcare Professional)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    Subscale of a validated self-report survey in which healthcare professionals rate the usefulness of the assessment tool. Usefulness scores range from 6 to 42 with higher scores indicating greater usefulness.

  9. Utility Questionnaire (Patient)

    Time frame: Baseline assessment

    This measure was created for the purpose of the current study to measure how useful the assessment tool was in multiple domains. This measure asks treatment seekers questions pertaining to their experience using the Tulsa Life Chart including: ease of understanding and impact of completing the Tulsa Life Chart on remembering life events, understanding of mental health patterns, communication with their provider, and motivation for treatment engagement. Scores range from 6 to 28 with higher scores indicating greater utility for patients.

  10. Utility Questionnaire (Healthcare Professional)

    Time frame: Baseline assessment

    This measure was created for the purpose of the current study to measure how useful the assessment tool was in multiple domains. This measure asks healthcare professionals questions pertaining to their experience viewing their patient's Tulsa Life Chart. Domains include ease of understanding the chart; usefulness in diagnosing their patient; and impact on understanding patient's psychosocial history, understanding patterns in their patient's mental health, and facilitating conversations. Scores range from 7 to 35 with higher scores indicating greater utility for healthcare professionals.

  11. Utility Questionnaire (Patient)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    This measure was created for the purpose of the current study to measure how useful the assessment tool was in multiple domains. This measure asks treatment seekers questions pertaining to their experience using the Tulsa Life Chart including: ease of understanding and impact of completing the Tulsa Life Chart on remembering life events, understanding of mental health patterns, communication with their provider, and motivation for treatment engagement. Scores range from 5 to 23 with higher scores indicating greater utility for patients.

  12. Utility Questionnaire (Healthcare Professional)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    This measure was created for the purpose of the current study to measure how useful the assessment tool was in multiple domains. This measure asks healthcare professionals questions pertaining to their experience viewing their patient's Tulsa Life Chart. Domains include impact on therapy; ease of understanding the chart; usefulness in diagnosing their patient; and impact on understanding patient's psychosocial history, understanding patterns in their patient's mental health, and facilitating conversations. Scores range from 8 to 35 with higher scores indicating greater utility for healthcare professionals.

  13. Likelihood of recommending the Tulsa Life Chart to other patients (Patient)

    Time frame: Baseline assessment

    One question will be used to assess the patient's likelihood of recommending the Tulsa Life Chart. "How likely are you to recommend the Tulsa Life Chart to someone else who may be experiencing mental health symptoms?" Scores range from 1 to 5, with higher scores indicating greater likelihood of recommending to the chart.

  14. Likelihood of recommending the Tulsa Life Chart to other healthcare professionals (Healthcare Professional)

    Time frame: Baseline assessment

    One question will be used to assess the patient's likelihood of recommending the Tulsa Life Chart to other healthcare professionals. "Based on this experience, how likely are you to recommend the Tulsa Life Chart to other providers?" Scores range from 1 to 5, with higher scores indicating greater likelihood of recommending to the chart.

  15. Likelihood of recommending the Tulsa Life Chart to other patients (Patient)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    One question will be used to assess the patient's likelihood of recommending the Tulsa Life Chart. "How likely are you to recommend the Tulsa Life Chart to someone else who may be experiencing mental health symptoms?" Scores range from 1 to 5, with higher scores indicating greater likelihood of recommending to the chart.

  16. Likelihood of recommending (Healthcare Professional)

    Time frame: Assessment two - on average 4 to 12 weeks after baseline assessment

    One question will be used to assess the patient's likelihood of recommending the Tulsa Life Chart to other healthcare professionals. "Based on this experience, how likely are you to recommend the Tulsa Life Chart to other providers?" Scores range from 1 to 5, with higher scores indicating greater likelihood of recommending to the chart.

Sponsors and collaborators

Lead sponsor

Laureate Institute for Brain Research, Inc.

Other

Registry information

Official study title

Pilot Study on the Clinical Utility of the Tulsa Life Chart: A Graphical Representation of Patient Life History

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Aug 31, 2022
Registry last updated
Aug 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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