Psychosis, Schizo Affective Disorder, Schizophrenia
Conditions
Brief summary
Motivation deficits are a strong determinant of poor functional outcomes in people with schizophrenia. Mobile interventions are a promising approach to improving these deficits, as they can provide frequent cues and reinforcements that support goal-directed behavior. The primary aims of this study are to conduct a pilot study using a randomized design to 1) Test the feasibility and acceptability of a personalized mobile text message intervention, Mobile Enhancement of Motivation in Schizophrenia (MEMS) and to 2) Test the preliminary effectiveness of MEMS compared to a control condition.
Detailed description
Objectives: Motivation deficits are one of the strongest determinants of poor functional outcomes in people with schizophrenia. Mobile interventions are a promising approach to improving these deficits, as they can provide frequent cues and reinforcements that support goal-directed behavior. The objective of this study is to conduct a pilot study using a randomized design to 1) Test the feasibility and acceptability of a personalized mobile text message intervention, Mobile Enhancement of Motivation in Schizophrenia (MEMS) and to 2) Test the preliminary effectiveness of MEMS compared to a control condition. Methods: Up to forty outpatients with a schizophrenia-spectrum disorder will be recruited. All participants will set individualized recovery goals to complete over an eight-week period; those randomized to receive MEMS will also receive three sets of personalized, interactive text messages each weekday to reinforce and cue goal completion. Before and after the eight-week period, participants in both groups will complete validated measures of motivation. Both groups will also report their goal attainment after eight weeks. Results: It is anticipated that those in the MEMS group will demonstrate greater goal attainment and improvements in motivation compared to the control group. Discussion: This project will test the initial feasibility, acceptability, and effectiveness of a novel intervention for improving one of the most debilitating aspects of schizophrenia.
Interventions
BEHAVIORALMobile Enhancement of Motivation (MEMS)
The MEMS group will engage in a goal-setting session and then receive personalized text-messages to support goal attainment.
BEHAVIORALControl
The control group will only engage in a goal-setting session.
Sponsors
Indiana Clinical and Translational Sciences Institute
American Psychological Foundation
Indiana University-Purdue University Indianapolis Department of Psychology
Indiana University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Schizophrenia-spectrum diagnosis * Have a text-message enabled cell-phone * Are a current client at a participating community mental health center * Are in a non-acute phase of illness or have no medication changes or hospitalizations in the prior 30 days * Demonstrate a minimum of moderate motivation impairments according to the Clinical Assessment Interview for Negative Symptoms (CAINS; Kring et al., 2013) * Have an English reading level at or above the fourth grade according to the Graded Word List (Pray & Ross, 1969)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Goal completion | follow-up (8 weeks) | The percentage of baseline goals participants completed over the eight-week period will be assessed at the follow-up assessment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Motivation and Pleasure Scale-Self-Report (MAP-SR) | baseline and follow-up (8 weeks) | The MAP-SR is a self-report measure 15-item self-report measure that assesses participant's level of motivation and pleasure in several domains, including work and recreational activities. It has been found to be valid and reliable in a schizophrenia-spectrum sample (Llerena, et al., 2013). |
| Intrinsic Motivation Index | baseline and follow-up (8 weeks) | The 3-item Intrinsic Motivation Index (Nakagami et al., 2008) from the clinician-rated Quality of Life Scale (Heinrichs et al., 1984) will be used to assess trait-like intrinsic motivation. |
Countries
United States
Outcome results
None listed