TeamTRACS Pilot (CTSI)

• ClinicalTrials.gov Identifier: NCT05370157
• Recruitment Status: Completed
• First Posted: May 11, 2022
• Last Update Posted: May 6, 2023
• Sponsor: University of Pittsburgh
• Collaborator: National Institutes of Health (NIH)
• Information provided by (Responsible Party): Elizabeth McGuier, University of Pittsburgh

Study Description

Brief Summary:

In a previous research study, the investigators adapted an evidence-based team training intervention for healthcare settings (TeamSTEPPS) to fit the needs and context of Child Advocacy Center multidisciplinary teams. This study is a cluster-randomized controlled trial of the adapted training, TeamTRACS (Team Training in Roles, Awareness, Communication, and Support). This hybrid type 2 effectiveness-implementation study will test the effectiveness of TeamTRACS and pilot a self-guided approach to implementing TeamTRACS in low-resource settings.

Condition or disease	Intervention/treatment	Phase
Teamwork; Implementation	Behavioral: TeamTRACS	Not Applicable

Detailed Description:

This study is designed to test the effects of TeamTRACS on knowledge, skill use, and team functioning. It will also evaluate the acceptability, appropriateness, and feasibility of a self-guided implementation approach that requires few resources and builds local capacity for change. Six rural Child Advocacy Centers (CACs) will be randomized to TeamTRACS (4 CACs) or a waitlist comparison (2 CACs). The long-term goal of this research is to create an effective team training that can be rapidly scaled up and disseminated to rural CACs nationwide. Supporting rural teams can improve team performance, strengthen the workforce, and ultimately improve service quality and outcomes for rural children who experience child abuse.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 162 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Health Services Research
• Official Title: Improving Teamwork in Rural Child Advocacy Centers: A Hybrid-Effectiveness Implementation Trial of TeamTRACS
• Actual Study Start Date: June 8, 2022
• Actual Primary Completion Date: March 22, 2023
• Actual Study Completion Date: March 22, 2023

Arms and Interventions

Arm	Intervention/treatment
Experimental: TeamTRACS (Team Training in Roles, Awareness, Communication, and Support); CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training.	Behavioral: TeamTRACS; TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
No Intervention: Waitlist Comparison; CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.

Outcome Measures

Primary Outcome Measures :

1. Change in teamwork knowledge from baseline to 3-month follow-up [ Time Frame: Baseline, 3-month follow-up ]
   Survey questions assessing knowledge taught in TeamTRACS will be assessed with multiple choice questions. The percent of correct answers (range 0-100%) will be calculated.
2. Change in teamwork skill use from baseline to 3-month follow-up [ Time Frame: Baseline, 3-month follow-up ]
   Frequency of teamwork skill use will be assessed with survey items rated on a 5-point Likert scale. Scores will be averaged; higher scores indicate more frequent skill use.
3. Acceptability of self-guided implementation [ Time Frame: Baseline ]
   Perceived acceptability of the self-guided implementation process will be assessed with items from the Acceptability of Intervention Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.
4. Acceptability of self-guided implementation [ Time Frame: Month 4 ]
   Perceived acceptability of the self-guided implementation process will be assessed with items from the Acceptability of Intervention Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.
5. Acceptability of self-guided implementation [ Time Frame: Month 8 ]
   Perceived acceptability of the self-guided implementation process will be assessed with items from the Acceptability of Intervention Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.
6. Appropriateness of self-guided implementation [ Time Frame: Baseline ]
   Perceived appropriateness of the self-guided implementation process will be assessed with items from the Intervention Appropriateness Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.
7. Appropriateness of self-guided implementation [ Time Frame: Month 4 ]
   Perceived appropriateness of the self-guided implementation process will be assessed with items from the Intervention Appropriateness Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.
8. Appropriateness of self-guided implementation [ Time Frame: Month 8 ]
   Perceived appropriateness of the self-guided implementation process will be assessed with items from the Intervention Appropriateness Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.
9. Feasibility of self-guided implementation [ Time Frame: Baseline ]
   Perceived feasibility of the self-guided implementation process will be assessed with items from the Feasibility of Intervention Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.
10. Feasibility of self-guided implementation [ Time Frame: Month 4 ]
    Perceived feasibility of the self-guided implementation process will be assessed with items from the Feasibility of Intervention Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.
11. Feasibility of self-guided implementation [ Time Frame: Month 8 ]
    Perceived feasibility of the self-guided implementation process will be assessed with items from the Feasibility of Intervention Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.

Secondary Outcome Measures :

1. Change in team functioning from baseline to 3-month follow-up [ Time Frame: Baseline, 3-month follow-up ]
   Affective, behavioral, and cognitive processes and states will be assessed with survey items rated on Likert scales. Scores will be averaged; higher scores indicate more adaptive team functioning.
2. Change in team performance from baseline to 3-month follow-up [ Time Frame: Baseline, 3-month follow-up ]
   The overall quality of work done by the team will be assessed with with Edmondson's (1999) Team Performance scale of 5 items rated on a 7-point Likert scale. Scores will be averaged; higher scores indicate better performance.

Eligibility Criteria

• Ages Eligible for Study: 18 Years and older (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

• Individuals at least 18 years of age who are members of the multidisciplinary team at the participating CACs.

Exclusion Criteria:

• Under 18 years old

Contacts and Locations

Locations

United States, Pennsylvania

University of Pittsburgh

Pittsburgh, Pennsylvania, United States, 15213

Sponsors and Collaborators

University of Pittsburgh

National Institutes of Health (NIH)

Investigators

• Principal Investigator: Elizabeth A McGuier, PhD; University of Pittsburgh

More Information

• Responsible Party: Elizabeth McGuier, Assistant Professor of Psychiatry, University of Pittsburgh
• ClinicalTrials.gov Identifier: NCT05370157
• Other Study ID Numbers: STUDY21110090; UL1TR001857 ( U.S. NIH Grant/Contract )
• First Posted: May 11, 2022
• Last Update Posted: May 6, 2023
• Last Verified: May 2023

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: Yes
• Plan Description: Deidentified data will be available upon reasonable request as allowed by IRB regulations and after manuscripts reporting the main findings are accepted for publication.
• Supporting Materials: Study Protocol; Statistical Analysis Plan (SAP); Informed Consent Form (ICF); Analytic Code
• Time Frame: Data will be available after manuscripts reporting the main findings are accepted for publication.
• Access Criteria: Contact the principal investigator to request access to the deidentified data.

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Elizabeth McGuier, University of Pittsburgh:

multidisciplinary teamwork; implementation