Mobile Enhancement of Motivation in Schizophrenia
| Status: | Completed |
|---|---|
| Conditions: | Schizophrenia, Psychiatric, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 8/1/2018 |
| Start Date: | February 28, 2017 |
| End Date: | January 16, 2018 |
Mobile Enhancement of Motivation in Schizophrenia: A Pilot Trial of a Personalized Text Message Intervention for Motivation Deficits
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.
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.
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.
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.
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)
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