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OpenTrials
Completed

NCT Number: NCT03399500

Homeless Care Management App

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).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

University of Oklahoma Health Sciences Center - OTRC, Oklahoma City, Oklahoma, United States

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • released from Dallas County Jail in the past month
  • plan to reside in the Dallas area for the next year
  • enrolled in The Bridge Homeless Recovery Program
  • willing and able to attend the baseline visit, randomization visit, and the 1, 3, and 6-month follow-up visits
  • score ≥ 4 on the REALM-SF indicating > 6th grade English literacy level
  • score >24 on the Mini-Mental State Exam indicating no substantial cognitive impairment.

Exclusion criteria

  • Cannot read English
  • Under the age of 18

Treatment and study plan

In-Person Case Management at Homeless Recovery Program

Behavioral

In-Person Case Management at Homeless Recovery Program

Unlimited Smartphone

Behavioral

Smartphone with unlimited calls, texts, and data plan

Smartphone Based Case Management (SPCM) app

Behavioral

Smartphone Based Case Management app

Primary outcomes

  1. Number of Case Management Sessions Completed

    Time frame: 6-month follow-up

    Total number of sessions completed between the randomization visit and 6-month follow-up

Secondary outcomes

  1. Number of Homeless Nights

    Time frame: 6 months

    Total number of self-reported homeless nights over the 6 month study period (via Timeline Follow Back Procedures). Participants with any missing are excluded.

  2. Number of Re-arrests

    Time frame: 12 months

    Total number of times each participant is booked into Dallas County Jail (using jail arrest records)

  3. Alcohol Use

    Time frame: 6 months

    Number of days of alcohol use (via Timeline Follow Back procedures). Any participant that missed any of the follow-ups are missing.

  4. Drug Use

    Time frame: 6 months

    Number of days of drug use (via Timeline Follow Back procedures). Any participant that missed any of the 3 follow-ups are missing.

Sponsors and collaborators

Lead sponsor

University of Oklahoma

Other

Collaborators

  • National Institute on Minority Health and Health Disparities (NIMHD)
  • National Institutes of Health (NIH)
  • The University of Texas Health Science Center, Houston

Registry information

Official study title

m-Health to Increase Service Utilization in Recently Incarcerated Homeless Adults

Acronym: Link2Care

Important dates

Study start
2018
Primary completion
2023
Study completion
2023
First posted
Jan 16, 2018
Registry last updated
Dec 19, 2024

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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