About this trial
This SBIR Phase II proposal will fully develop and test the acceptability, feasibility, and efficacy of a novel measurement and feedback system, SMART-Wrap, tailored to Wraparound service model (WSM) for youth with serious emotional disorders (SED). SMART-Wrap will be a feasible, cost-efficient, and scalable software system to meet the pressing public health need for measurement-based care in care coordination for youth behavioral health. Results from pilot testing will determine SMART-Wrap's feasibility, usability, and efficacy in improving care quality and family outcomes, in addition to preparing the product for commercialization.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
be youth with SED aged 8-17 or caregivers of youth with SED age 8-17
have access to a mobile device
be English or Spanish speaking
Disqualifiers
To reduce heterogeneity and increase interpretability however, youth (approximately 10%) in foster care served by Wraparound provider organizations will be excluded.
must agree to use SMART-Wrap over an 8-month period to participate
must include supervisors and care coordinators
Trial design
Parallel
Treatments tested in this trial
SMARTwrap
BehavioralAn SMS-based intervention to facilitate regular, repeated evaluation of intermediate outcomes through self-report assessments for youth under Wraparound service model (WSM) care.
Treatment groups
Trial outcomes
Primary outcomes
Short Message Service (SMS) Outreach - Caregiver
Caregiver Short Message Service (SMS) outreach includes 27 self-report Likert items (4 pt scale- 0= Not at all to 3= Absolutely) capturing feedback on six different themes (Therapeutic Alliance, Wraparound Fidelity, Satisfaction with Care, Making Progress, Caregiver and Family Outcomes, and Youth Outcomes). Caregivers will be asked to complete 4 items from the bank of 27, each week over the course of 16 weeks. Items will be resampled across the 4-month interval with 64 items being delivered. A mean score will be computed. SMS score means will range from 0 to 3 and lower scores indicate increased Wraparound needs.
Short Message Service (SMS) Open Rate (SMARTWrap open rate) - Caregiver
Short Message Service (SMS) open rate will be calculated from the 16 SMS's that are delivered. Rates will be computed as percentage opened (0-100%) and higher rates indicated more consistent system usage.
Item Completion Rate (SMARTWrap item completion rate) - Caregiver
Item completion rate will be calculated from the 64 items that are delivered. Rates will be computed as percentages (0-100%) and higher rates indicated more consistent item completion.
Time to Complete (SMARTWrap time) - Caregiver
Time to complete the 16 SMS delivered surveys will be calculated and reported as a mean in seconds ranging from 0 to 600, with higher scores showing longer completion times.
Sponsors and contacts
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3-C Institute for Social Development
Lead sponsor
University of Washington
Collaborator
National Institute of Mental Health (NIMH)
Collaborator
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