CLINICAL TRIAL

Text4Support for Psychiatric Illness

Recruiting · 18+ · All Sexes · Edmonton, Canada

Peer and Text Message Support to Reduce Readmission Rates for Patients Discharged From Acute Psychiatric Care

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About the trial for Psychiatric Illness

Eligible Conditions
Psychiatric Illness · Mental Disorders

Treatment Groups

This trial involves 2 different treatments. Text4Support is the primary treatment being studied. Participants will be divided into 2 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Experimental Group 1
Text4Support
OTHER
Experimental Group 2
Text4Support
OTHER
+
Peer support
OTHER

Eligibility

This trial is for patients born any sex aged 18 and older. You must have received 1 prior treatment for Psychiatric Illness or the other condition listed above. There are 3 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
Patients who are 18 or 65 years of age
The patient is mentally healthy and capable of giving written consent, and is ready for discharge. show original
When you are hospitalized, it is important to have a mobile device that can receive text messages show original
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Odds of Eligibility
Unknown<50%
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial

Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: baseline, 24 weeks, 52 weeks
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: baseline, 24 weeks, 52 weeks.
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Text4Support will improve 1 primary outcome, 10 secondary outcomes, and 4 other outcomes in patients with Psychiatric Illness. Measurement will happen over the course of 52 weeks.

Acceptability of the intervention
52 WEEKS
Using satisfaction surveys, we will evaluate the proportion of participants who found the intervention acceptable
Sustainability of the intervention
52 WEEKS
We will evaluate the proportion of implementation sites who continue implementing the intervention after the active phase of the project
Change in CORE-10 scores
BASELINE, 24 WEEKS, 52 WEEKS
The Clinical Outcomes in Routine Evaluation 10 (CORE-10) is a short 10 item easy-to-use assessment measure for common presentations of psychological distress, designed to be used for screening as well as over the course of treatment to track progress. The measure is a shortened version of the 34 item CORE-OM, both of which ask respondents to self-report symptoms over the past week.
Change in the fidelity of the intervention
BASELINE, 24 WEEKS, 52 WEEKS
We will monitor and evaluate changes in the adherence of peer support workers to the implementation guidelines/protocols
Change in Clinical Outcomes in Routine Evaluation 10 (CORE-10) scores
BASELINE, 24 WEEKS, 52 WEEKS
The CORE-10 is a short 10 item easy-to-use assessment measure for common presentations of psychological distress, designed to be used for screening as well as over the course of treatment to track progress. The measure is a shortened version of the 34 item CORE Outcome Measure tool, both of which ask respondents to self-report symptoms over the past week.
Change in Recovery Assessment Scale (RAS)scores
BASELINE, 24 WEEKS, 52 WEEKS
The RAS is a 20-item measure developed as an outcome measure for program evaluations. Based on a process model of recovery, the RAS attempts to assess aspects of recovery with a special focus on hope and self-determination.
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Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are common treatments for psychiatric illness?

The treatments for psychiatric illnesses and mental disorders commonly used are grouped according to whether the treatment can be done in the general health clinic, at a psychiatric community hospital, or in an inpatient setting.

Anonymous Patient Answer

How many people get psychiatric illness a year in the United States?

The Centers for Disease Control and Prevention has estimated there will be 25,000 new mental disorders reported in 2006 due to diagnostic expansion as well as increased awareness of mental health problems in the general population. This report suggests that over a 4-year period the number of new cases of mental illnesses in the United States will be increasing with the highest prevalence in the age range 20–39 years.

Anonymous Patient Answer

What causes psychiatric illness?

Psychiatric illness is caused by a range of factors, including genetic inheritance, neurological dysfunction, and environmental and cognitive factors. The diagnosis and treatment of psychiatric illness will depend on identifying and treating its underlying causes.

Anonymous Patient Answer

What is psychiatric illness?

Psychiatric illness is a group of mental disorders characterized by abnormality of thinking, feeling or behaving. It is usually caused by a persistent change in thoughts or feelings and by lasting personal disruption in functioning. It is distinguished from normal moods through the presence of impairment of thinking, feeling or functioning to such a degree that adjustment is difficult. Psychiatric illness is commonly experienced by people in all cultures.

Anonymous Patient Answer

Can psychiatric illness be cured?

There is no cure for psychological illness. However, people who live with a mental illness often lead a relatively healthy life and a good quality of life. Therefore, not all psychiatric illness has to be considered incurable. Nevertheless, the severity and course of illness can influence treatment and prognosis.

Anonymous Patient Answer

What are the signs of psychiatric illness?

Mental illness may include the following: psychomotor retardation (slowing of thought and speech, lack of motivation and social withdrawal), delusions, hallucinations, disordered perception, inappropriate behavior, lack of responsibility (in children), lack of social support, and lack of motivation for activities (in adults).\n

Anonymous Patient Answer

What does text4support usually treat?

A variety of common mental health problems can receive support. The clinical experiences of many users are very complementary, and a small number of common problems are often addressed in several ways, depending on the client's needs at the end of their treatment encounter.

Anonymous Patient Answer

What is the average age someone gets psychiatric illness?

Recent findings the mean psychiatric diagnoses for people aged 18 and older were similar to rates found in other areas. The lifetime prevalence of psychiatric illness in youth is much lower than previously reported. More research is needed to elucidate why this may be the case. Recent findings add to the growing body of evidence indicating a need for early detection, intervention, and treatment of psychiatric problems, and could imply that earlier screening for psychiatric problems in adolescents may be feasible.

Anonymous Patient Answer

How serious can psychiatric illness be?

Psychiatric illness shows a complex, highly variable set of signs and symptoms. Even when patients appear asymptomatic or may not meet diagnostic criteria, they are at higher risk of experiencing the adverse consequences of untreated mental illness than the general population.

Anonymous Patient Answer

Have there been other clinical trials involving text4support?

A retrospective analysis of published trials found text4support trials to be of good quality, but of relatively low cost in terms of staffing, administration and trial costs compared to trials of antidepressant or anxiolytic treatment of other mental health disorders.

Anonymous Patient Answer

Who should consider clinical trials for psychiatric illness?

The study's results show that most patients with psychiatric illness were not interested, motivated, or empowered to take the role of participating in medical research. Physicians, clinicians, and educators should consider the role and responsibilities of the potential participant when considering the ethics of clinical study participation.

Anonymous Patient Answer

How does text4support work?

We found the text4support app is useful to help those experiencing a psychiatric illness, such as depression and anxiety. Text4support is better than accessing information only, with little change in the use of health resources for both depressed and anxiety sufferers. Further investigation is warranted in establishing if the use of text4support on a larger scale may help reduce the number of emergency admissions for depression and anxiety, or improve more long-term outcomes. This type of app is becoming increasingly available in clinics, GP consultations and other sources around the world; however, it is not part of the NHS England Clinical Standards Data Package.

Anonymous Patient Answer
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