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CompletedNCT04379349Updated May 8, 2020

Using Short Message Service as a Means of Clinical Engagement in Early Psychosis

An interventional study of SMS text messaging - interactive check-in and SMS text messaging - inactive control in Psychotic Disorders, sponsored by Centre for Addiction and Mental Health. Completed at 1 site in Canada. Open to participants aged 16 Years to 29 Years. Per ClinicalTrials.gov, last updated 2020-05-08.

Sponsored by Centre for Addiction and Mental Health · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 4 months after the study started (first participant enrolled Jan 2018, registered May 2020).
Phase
Not applicable
Study type
Interventional
Enrollment
61
Allocation
Randomized
Ages
16 Years to 29 Years
Sex
All
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Study summary

Engagement with clinical services for youth with early psychosis represents a significant challenge, with up to 40% of patients dropping out of treatment in the first year. This has been linked to worse illness outcomes and represents a significant barrier to recovery for these patients. This study aims to evaluate the efficacy of short message service (SMS) as a means of improving clinical engagement in early-episode psychosis populations by bridging contact between appointments with weekly check-ins/reminders. These weekly check-ins during the first year of treatment will serve as an additional opportunity to reach out to patients and give them a chance to do the same with their care teams, with patient responses triggering clinician follow-up if necessary.

02

Conditions studied

  • Psychotic Disorders

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Keywords

  • SMS text messaging
  • Clinical engagement
03

In context

Psychotic Disorders

1,655 studies on the registry are indexed under Psychotic Disorders; 298 are open to participants now.

This study's enrollment of 61 is below the median of 68 across 1,358 interventional studies indexed under Psychotic Disorders.

Browse Psychotic Disorders studies →

Lead sponsor

Centre for Addiction and Mental Health is the lead sponsor of 339 studies on the registry; 51 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years to 29 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • between the ages of 16-29
  • a diagnosis of an affective or non-affective psychotic disorder (i.e., Bipolar or Major Depressive Disorders with Psychotic Features, Schizophrenia Spectrum Disorders, Other Specified Psychotic Disorders, Substance Induced Psychosis and Attenuated Psychotic Syndrome)
  • eligible for follow-up within the Slaight Family Centre for Youth in Transition early intervention service
  • within the first 6 months of treatment

Exclusion criteria

Exclusion Criteria:

  • involved in another intervention study
  • do not have a personal cell phone number
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
61 participants (actual)

Study arms

  • Experimental
    Active SMS

    Weekly interactive SMS text messaging check-ins.

    Behavioral: SMS text messaging - interactive check-in

  • Sham comparator
    Sham SMS

    Weekly minimally interactive SMS text messages.

    Behavioral: SMS text messaging - inactive control

Interventions

  • BehavioralSMS text messaging - interactive check-in

    Interactive SMS text message check-ins delivered once weekly to participants.

  • BehavioralSMS text messaging - inactive control

    Minimally interactive SMS text message delivered once weekly to participants.

06

What researchers measure

Primary outcomes

  1. Service Engagement Scale (SES)

    Clinician-rated treatment engagement and adherence (minimum score = 0, maximum score = 42, higher score indicates worse service engagement)

    Time frame: 9 months

  2. Appointment Attendance

    Percentage of attended clinic appointments

    Time frame: 9 months

Secondary outcomes

  1. Emergency Department Visits

    Number of emergency department visits

    Time frame: 9 months

  2. Hospitalizations

    Number of hospitalizations

    Time frame: 9 months

  3. Social Functioning Scale (SFS)

    Self-report measure of social functioning (minimum score = 0, maximum score = 247, higher score indicates better functioning)

    Time frame: 9 months

  4. Personal and Social Performance Scale (PSP)

    Interview-rated measure of global functioning (minimum score = 1, maximum score = 100, higher score indicates better functioning)

    Time frame: 9 months

  5. Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LESQ-18)

    Self-reported measure of subjective quality of life (minimum score = 1, maximum score = 5, higher score indicates better quality of life)

    Time frame: 9 months

  6. Clinical Global Impression (CGI)

    Interview-based global rating of illness severity (minimum score = 1, maximum score = 7, higher score indicates worse illness severity)

    Time frame: 9 months

  7. Brief Psychiatric Rating Scale (BPRS)

    Interview-based measure of the severity of psychiatric symptoms (minimum score = 24, maximum score = 168, higher score indicates higher severity of symptoms)

    Time frame: 9 months

  8. Scale for the Assessment of Negative Symptoms (SANS)

    Interview-based measure of the severity of negative symptoms (minimum score = 0, maximum score = 110, higher score indicates higher severity of symptoms)

    Time frame: 9 months

  9. Apathy Evaluation Scale (AES)

    Interview-rated measure of the severity of motivation deficits (minimum score = 18, maximum score = 72, higher score indicates worse motivation deficits)

    Time frame: 9 months

  10. Brief Cognitive Assessment Tool for Schizophrenia (B-CATS)

    Rater-administered measure of cognitive functioning (scores indicate standardized Z-scores with no pre-defined minimum or maximum score, higher score indicates better cognitive functioning)

    Time frame: 9 months

  11. Drug Attitude Inventory (DAI-10)

    Self-reported measure of medication adherence (minimum score = -10, maximum score = + 10, higher score indicates better adherence)

    Time frame: 9 months

  12. Scale To Assess Therapeutic Relationships - Patient Version (STAR-P)

    Self-reported measure of the clinician-patient therapeutic relationship (minimum score = 0, maximum score = 48, higher score indicates better therapeutic relationship)

    Time frame: 9 months

07

Study locations

1 site
  • Centre for Addiction and Mental Health
    Toronto, Ontario M5T 1R8, Canada
08

References and documents

Publications

  • D'Arcey JN, Zhao H, Wang W, Voineskos AN, Kozloff N, Kidd SA, Foussias G. An SMS text messaging intervention to improve clinical engagement in early psychosis: A pilot randomized-controlled trial. Schizophr Res. 2024 Feb;264:416-423. doi: 10.1016/j.schres.2024.01.012. Epub 2024 Jan 18. PubMed 38241785 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04379349
Responsible party
George Foussias (Clinician Scientist, Centre for Addiction and Mental Health) — Principal investigator
First posted
May 7, 2020
Start date
Jan 1, 2018
Primary completion
Mar 31, 2020
Completion
Mar 31, 2020
Last update
May 8, 2020

Study contacts

George Foussias, MD PhD
principal investigator · Centre for Addiction and Mental Health

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2020. You cannot join it, but the record below documents what was studied.

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