RecruitingNot ApplicableNCT06865937

Context-Aware Mobile Intervention for Social Recovery in Serious Mental Illness (R33)

Sponsor

University of California, San Diego

Enrollment

125 participants

Start Date

Jul 1, 2025

Study Type

INTERVENTIONAL

Conditions

Schizoaffective Disorder Schizophenia Disorder

Summary

This randomized clinical trial will test a new technology-supported blended intervention, mobile Social Interaction Therapy by Exposure (mSITE), that targets social engagement in consumers with serious mental illness.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This study tests a smartphone app that delivers social and recovery support in real time for people living with serious mental illness (such as schizophrenia, bipolar disorder, or major depression with psychosis). **You may be eligible if...** - You are between 18 and 65 years old - You have a diagnosis of schizophrenia, schizoaffective disorder, bipolar I disorder, or major depression with a history of psychosis - You have experienced social isolation or have limited social engagement - You own a smartphone and are willing to use it for the study **You may NOT be eligible if...** - You are currently in an inpatient psychiatric facility - You have a primary diagnosis of substance use disorder - You have significant cognitive impairment that prevents you from using a smartphone - You are currently in crisis requiring immediate clinical intervention Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALMobile Intervention for Social Recovery in Serious Mental Illness (mSITE)

mSITE is a blended intervention that integrates a brief in-person psychotherapy with context-triggered mobile smartphone intervention and remote telephone coaching. Participants will attend weekly, in-person sessions for 8 weeks and then 15-minute, remote coaching sessions for 10 weeks. The intervention begins with setting a meaningful recovery goal and then the generic cognitive model is introduced and a simple thought challenging skill is trained to specifically address social avoidance behaviors and facilitate work toward recovery goals. Defeatist attitudes, social threat and avoidance behaviors that interfere with working on the goal are then modified using cognitive-behavioral therapy skills and practiced using role-plays.

BEHAVIORALSupportive Contact (SC)

The SC arm will match the mSITE arm on the same amount of individual in-person and coaching, and mobile device contact. Coaching sessions will be semi-structured and consist of setting recovery goals, check-in about symptoms and potential crisis management, flexible discussion involving psychoeducation, instructions for accessing community crisis lines and community resources, and symptom management behaviors that grow out of discussions, with only minimal therapist guidance.