SMARTwrap for Mental Health Services
(SMARTwrap Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new system called SMART-Wrap to improve mental health services for young people with serious emotional disorders (SED). The goal is to determine if using SMS (text messages) to regularly collect data can enhance the existing Wraparound care model, which supports youth behavioral health. Participants will receive either standard care or enhanced care with text message support to measure its effectiveness. The trial seeks youth with SED who have access to a mobile device and speak English or Spanish. As an unphased trial, this study offers a unique opportunity to contribute to innovative mental health solutions for youth.
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications.
What prior data suggests that the SMARTwrap system is safe for youth with serious emotional disorders?
Research has shown that the SMARTwrap system aims to improve mental health services for young people with serious emotional issues by using text messages to enhance treatment involvement and outcomes. Although specific safety data from clinical trials is unavailable, the system primarily functions as a software tool that enhances existing care methods, rather than introducing a new drug or invasive procedure. This suggests a low risk of side effects.
The SMARTwrap program is based on the proven Wraparound service model, which has been effective in communities. By sending text messages to regularly check in with users and gather their feedback, the system seeks to make care more consistent without adding extra stress. This method is considered safe because it focuses on better communication and support rather than altering physical health directly.12345Why are researchers excited about this trial?
Researchers are excited about the SMARTwrap treatment because it enhances the traditional Wraparound service model for youth with serious emotional disturbances (SED) by integrating SMS-based communication. This SMS augmentation is a game-changer because it boosts treatment adherence and engagement, which are often challenges in mental health care. Unlike standard care, which may suffer from inconsistent data collection, SMARTwrap ensures regular and reliable self-report assessments, providing more accurate data to tailor care and improve outcomes for participants.
What evidence suggests that SMARTwrap is effective for improving care quality and family outcomes in youth with serious emotional disorders?
Studies have shown that the Wraparound service model (WSM) works well for young people with serious emotional disorders (SED). A recent review of 17 studies highlighted WSM's positive effects on mental health and its role in reducing the need for out-of-home placements. In this trial, participants in the SMARTwrap arm will receive an enhanced version of WSM that uses text messages to help them stick to their treatment and stay engaged. This system regularly collects information through self-reports, providing better insights to improve care. Overall, the added text message feature aims to make the traditional Wraparound model more consistent and effective. Participants in the Service-As-Usual (SAU) arm will receive standard Wraparound care without the SMS augmentation.12678
Who Is on the Research Team?
Eric Bruns, PhD
Principal Investigator
University of Washington
Melissa DeRosier, PhD
Principal Investigator
3C Institute
Are You a Good Fit for This Trial?
This trial is for families with youth aged 8-17 who have serious emotional disorders (SED). Participants must be caregivers of these youths or the youths themselves, able to speak English or Spanish, and have access to a mobile device.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Enrollment
Family participants are enrolled and agree to use the SMART-Wrap prototype as part of their Wraparound Service Model (WSM) over an 8-month test period.
Intervention
Care teams use the SMART-Wrap system to improve care coordination and outcomes for youth with serious emotional disorders (SED).
Follow-up
Participants are monitored for service and youth outcomes, including caregiver and family outcomes, at baseline and at 4 months.
What Are the Treatments Tested in This Trial?
Interventions
- SMARTwrap
Trial Overview
The trial is testing SMART-Wrap, a new software system designed for Wraparound service model (WSM) in mental health services. It aims to improve care quality and outcomes for families by providing measurement-based feedback through text messages.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
In the treatment of youth with SED, integrated, multi-model treatment as well as the Wraparound service model (WSM) have been cited as effective community treatments. WSM, like other evidence-based practices, relies on consistently measured data to not only inform care, but also ensure positive outcomes of care. However, research on WSM suggests that the measurement and use of data from participants is inconsistent at best. This intervention, SMS-based augmentation, seeks to improve the impact and approach of the Wraparound service model by utilizing SMS, which has been shown to increase treatment adherence and sustained engagement. This intervention will facilitate regular, repeated evaluation of intermediate outcomes through self-report assessments. This will provide more consistently gathered data to inform care, improving therapeutic outcomes for participants with SED.
Participants assigned to the Services-As-Usual Arm (SAU) will receive Wraparound care as set forth in their clinical organization only. They will not receive the SMS messages that the experimental group is receiving.
Find a Clinic Near You
Who Is Running the Clinical Trial?
3-C Institute for Social Development
Lead Sponsor
University of Washington
Collaborator
National Institute of Mental Health (NIMH)
Collaborator
Citations
Study Details | NCT07300930 | A Mobile Text Approach to ...
SMART-Wrap will be a feasible, cost-efficient, and scalable software system to meet the pressing public health need for measurement-based care ...
2.
smartcenter.uw.edu
smartcenter.uw.edu/research/projects/short-message-assisted-responsive-treatment-for-wraparound-smartwrap/Short Message Assisted Responsive Treatment for ...
A recent meta-analysis of 17 controlled studies found significant positive effects of WSM on mental health (MH) symptoms, out of home placement rates, and ...
RePORT RePORTER - National Institutes of Health (NIH) |
Care teams will be randomized to deliver SMART-Wrap or “Services-as-Usual” to families over a 4-month period to assess WSM fidelity, use of MBC strategies, and ...
SMARTwrap for Mental Health Services (SMARTwrap Trial)
Care teams use the SMART-Wrap system to improve care coordination and outcomes for youth with serious emotional disorders (SED). 8 months.
Award | SBIR
SMART-Wrap will facilitate MBC with an SMS system and thus inform and improve both service and clinical outcomes. In Phase I, we will accomplish four specific ...
short-message-assisted-treatment-for-wraparound-smart- ...
SMART-Wrap aims to be an efficient, low-burden assessment of Wraparound quality, fidelity, satisfaction, and outcomes. The system sends caregivers and older ...
Evaluating wraparound services for seriously emotionally ...
Evaluating wraparound services for seriously emotionally disturbed youth: pilot study outcomes in Georgia. Adolescence. 2007 Winter;42(168):723-32. Authors.
Wraparound Blog Archives
Short-Message Assisted Responsive Treatment for Wraparound (SMART-Wrap) is a tool that sends quick (4 items, 30 seconds to complete) and ...
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