Evidence map›Paper›PMID 31267980›Full record

ArticleJMIR mHealth and uHealth2019

A Mobile Phone-Based Intervention to Improve Mental Health Among Homeless Young Adults: Pilot Feasibility Trial.

Stephen M Schueller, Angela C Glover, Anne K Rufa, Claire L Dowdle, Gregory D Gross, Niranjan S Karnik, Alyson K Zalta

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03620682 (Using Smartphone Technology to Provide Mental Health Interventions for Homeless Youth), which is not on this map. Cited by 43 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 6 pooled it
16.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03620682 nacompletednot on this map

Using Smartphone Technology to Provide Mental Health Interventions for Homeless Youth

TypeinterventionalSponsorRush University Medical CenterRan2016 to 2018Enrolled35ConditionsMental HealthArmsCoaching sessions, Mobile applications
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 6 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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  5. Use of Technology to Promote Health and Wellbeing of People Who Are Homeless: A Systematic Review.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Stephen M SchuellerDepartment of Psychological Science, University of California Irvine, Irvine, CA, United States.ORCID 0000-0002-1003-0399
Angela C GloverDepartment of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States.ORCID 0000-0002-4514-0379
Anne K RufaDepartment of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States.ORCID 0000-0003-0337-8263
Claire L DowdleStepwell Mental Health and Wellness, Boulder, CO, United States.ORCID 0000-0003-2731-3616
Gregory D GrossThe Night Ministry, Chicago, IL, United States.ORCID 0000-0002-8383-4697
Niranjan S KarnikDepartment of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States.ORCID 0000-0001-7650-3008
Alyson K ZaltaDepartment of Psychological Science, University of California Irvine, Irvine, CA, United States.ORCID 0000-0002-5159-8431
Rush University Medical Center · USNorthwestern University · USUS Night Vision (United States) · US

Funding

The Institute for Translational MedicineUL1TR002389 · NCATS · UNIVERSITY OF CHICAGO · PI Joshua J Jacobs, DAVID O MELTZER · 2017 to 2026
$71.6M
Quantifying How Cocaine Users Respond to Fentanyl Contamination in CocaineUG1DA049467 · NIDA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI Niranjan Subhash Karnik, ANTONIO A MORGAN-LOPEZ · 2019 to 2026
$11.2M
Employing eSBI in a Community-based HIV Testing Environment for At-risk YouthR01DA041071 · NIDA · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI GAROFALO, ROBERT, KARNIK, NIRANJAN SUBHASH · 2015 to 2019
$3.2M
Repurposing misoprostol to prevent recurrence of Clostridium difficile infectionU01TR002398 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DOSTER, RYAN S, DUBBERKE, ERIK R · 2018 to 2019
$3.1M
Using CBT to Probe Psychobiobehavioral Resilience to Post-trauma PsychopathologyK23MH103394 · NIMH · RUSH UNIVERSITY MEDICAL CENTER · PI ZALTA, ALYSON KAY · 2014 to 2018
$769k
Connecting Patients and Therapists Using a Tech-Based Treatment Support SystemK08MH102336 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCHUELLER, STEPHEN · 2014 to 2017
$678k
NCATS NIH HHS U01 TR002398NCATS NIH HHS UL1 TR002389NIDA NIH HHS R01 DA041071NIDA NIH HHS UG1 DA049467NIMH NIH HHS K08 MH102336NIMH NIH HHS K23 MH103394
6 · The paper itself

Abstract

backgroundYouth homelessness is a substantial issue, and many youths experiencing homelessness have mental health issues as both a cause and consequence of homelessness. These youths face many barriers to receiving traditional mental health services, and as a result, only a few youths experiencing homelessness receive any form of mental health care.

objectiveThis project aimed to develop and determine the feasibility and acceptability of engaging young adults (ie, individuals aged 18-24 years) experiencing homelessness in a remotely delivered mental health intervention. This intervention provided brief emotional support and coping skills, drawing from cognitive behavioral principles as an introduction into psychosocial support. The intervention was piloted in a homeless shelter network.

methodsA total of 35 young adults experiencing homelessness participated in a single-arm feasibility pilot trial. Participants received a mobile phone, a service and data plan, and 1 month of support from a coach consisting of up to 3 brief phone sessions, text messaging, and mobile mental health apps. We evaluated feasibility by looking at completion of sessions as well as the overall program and acceptability with satisfaction ratings. We also collected clinical symptoms at baseline and the end of the 1-month support period. We used validity items to identify participants who might be responding inappropriately and thus only report satisfaction ratings and clinical outcomes from valid responses.

resultsMost participants (20/35, 57%) completed all 3 of their phone sessions, with an average of 2.09 sessions (SD 1.22) completed by each participant. Participants sent an average of 15.06 text messages (SD 12.62) and received an average of 19.34 messages (SD 12.70). We found higher rates of satisfaction among the participants with valid responses, with 100% (23/23) of such participants indicating that they would recommend participation to someone else and 52% (12/23) reporting that they were very or extremely satisfied with their participation. We found very little change from pre- to posttreatment on measures of depression (d=0.27), post-traumatic stress disorder (d=0.17), and emotion regulation (d=0.10).

conclusionsThis study demonstrated that it was feasible to engage homeless young adults in mental health services in this technology-based intervention with high rates of satisfaction. We did not find changes in clinical outcomes; however, we had a small sample size and a brief intervention. Technology might be an important avenue to reach young adults experiencing homelessness, but additional work could explore proper interventions to deliver with such a platform.

trial registrationClinicalTrials.gov NCT03620682; https://clinicaltrials.gov/ct2/show/NCT03620682.

Indexed as

Adaptation, PsychologicalAdolescentChicagoFeasibility StudiesFemaleHomeless YouthHumansMaleMental Health ServicesMobile ApplicationsPilot ProjectsPsychometricsSurveys and QuestionnairesText MessagingYoung Adulthomelessnessmental healthtelemedicinetreatment

Identifiers

PMID31267980
PMCPMC6632101
OpenAlexW2946506703

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.