The Implementation and Sustainment of Digital MBC in Youth Mental Health Services
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|ClinicalTrials.gov Identifier: NCT04096274|
Recruitment Status : Recruiting
First Posted : September 19, 2019
Last Update Posted : May 7, 2021
|Condition or disease||Intervention/treatment||Phase|
|Leadership Behavioral Symptoms||Behavioral: Leadership for Organization Change and Implementation (LOCI) Behavioral: Leadership web-based seminars||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||720 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Randomized Trial of a Leadership and Organizational Change Strategy to Improve the Implementation and Sustainment of Digital Measurement-based Care in Youth Mental Health Services|
|Actual Study Start Date :||October 1, 2019|
|Estimated Primary Completion Date :||May 31, 2023|
|Estimated Study Completion Date :||May 31, 2023|
Experimental: LOCI (Intervention)
Agencies in the intervention group will receive leadership training and coaching in addition to training and technical assistance to implement the digital measurement based care system.
Behavioral: Leadership for Organization Change and Implementation (LOCI)
LOCI is a leadership training and coaching program designed to support leaders and foster a climate that implements and sustains use of evidence based practices.
Placebo Comparator: Implementation As Usual (Control)
Agencies in the control group will receive web-based leadership training in addition to training and technical assistance to implement the digital measurement based care system.
Behavioral: Leadership web-based seminars
A set of 4 leadership training web-based seminars will be provided that cover topics ranging from effective leadership, to giving effective feedback.
- Fidelity to MBC [ Time Frame: 0-24 months after baseline ]Clinician fidelity to the OQ-A, a digital measurement-based care system, will be measured by parent/caregiver reports. Specifically, parents/caregivers will complete the Caregiver Report of Measurement-Based Care measure which assesses the frequency of clinician's use of the measurement-based care system.
- Youth Outcomes [ Time Frame: 0-6 months ]Caregivers will be asked about their child's progress throughout treatment in order to assess this relative to their clinician's implementation and fidelity to the MBC system. Caregivers will complete the Short form Assessment for Children (SAC) to measure youth outcomes--specifically, the youth's rate of symptom reduction throughout treatment.
- Mechanisms of Fidelity [ Time Frame: 0-24 months ]This study will evaluate mechanisms of fidelity in clinician use of the MBC system. Clinicians will take assessments that measure the leadership style of their supervisors, the organizational climate, and clinicians' intentions to use MBC as these are hypothesized to mediate fidelity. Clinicians will complete the Implementation Leadership Scale (ILS) and the Implementation Climate Scale (ICS) to measure rate of improvement.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04096274
|Contact: Nate Williams, PhDemail@example.com|
|Contact: Susan Esp, PhDfirstname.lastname@example.org|
|United States, California|
|University of California, San Diego||Not yet recruiting|
|San Diego, California, United States, 92093|
|Contact: Greg Aarons|
|Contact: Lauren Brookman-Frazee|
|United States, Florida|
|University of Central Florida||Not yet recruiting|
|Orlando, Florida, United States, 32816|
|Contact: Mark Ehrhart|
|United States, Idaho|
|Boise State University||Recruiting|
|Boise, Idaho, United States, 83725|
|Contact: Nate Williams, PhD 208-426-3145 email@example.com|
|Sub-Investigator: Susan Esp|
|United States, Pennsylvania|
|University of Pennsylvania||Not yet recruiting|
|Philadelphia, Pennsylvania, United States, 19104|
|Contact: Steven Marcus|
|Principal Investigator:||Nate Williams, PhD||Boise State University|