Comparing Mobile Health (mHealth) and Clinic-Based Self-Management Interventions for Serious Mental Illness

The objective of the study is to compare two illness self-management interventions for SMI: a
clinic-based group protocol (Wellness Recovery Action Planning or WRAP) and an mHealth
smartphone intervention (FOCUS). The study is structured as a randomized controlled trial,
and data will be collected using a comprehensive mixed-methods quantitative /qualitative
approach. This study will evaluate patients willingness to enroll in one of the two
illness-self management interventions, patient satisfaction, engagement, symptoms, recovery
and quality of life.

The specific aims of the study are to: 1) Evaluate and compare the willingness and ability of
individuals with SMI to enroll in the two illness self-management interventions; 2) Examine
and compare participant engagement and satisfaction with both treatments; and 3) Examine and
compare patient outcomes following participation in the interventions.

Participants will be randomized to receive 12-weeks of WRAP or FOCUS. Participants allocated
to the WRAP group will be provided all other materials (i.e. WRAP binder, handouts) in their
first session and will meet weekly in groups with trained facilitators. Participants in the
FOCUS group will be given a study smartphone device with FOCUS application and trained by the
mHealth support specialist on how to use the functions of the smartphone (i.e. using a
touchscreen, call, text) and different features of the FOCUS intervention.

Inclusion Criteria:

- Chart diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or major
depressive disorder;

- 18 years or older; and

- A rating of "3" or lower on one of the three items which comprise the Domination by
Symptoms factor from the Recovery Assessment Scale.

Exclusion Criteria:

- Hearing, vision, or motor impairment that make it impossible to operate a smartphone
(determined using demonstration smartphone for screening);

- English reading level below 6th grade (determined using the Wide Range Achievement
Test - 4th Edition); and

- Received the FOCUS or WRAP intervention in the past 3 years.