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Remote Training in Evidence-based Practices for Clinicians Who Work With Migrant Workers

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03515226
Recruitment Status : Terminated (Challenges in recruiting eligible participants)
First Posted : May 3, 2018
Results First Posted : December 1, 2021
Last Update Posted : December 1, 2021
Sponsor:
Collaborator:
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Eugene Aisenberg, University of Washington

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Health Services Research
Condition Depression
Interventions Behavioral: ITS based training
Behavioral: Traditional Training
Enrollment 25
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Traditional Training ITS Based Training
Hide Arm/Group Description

25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

Period Title: Overall Study
Started 10 15
Completed 8 11
Not Completed 2 4
Arm/Group Title Traditional Training ITS Based Training Total
Hide Arm/Group Description

24 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

Total of all reporting groups
Overall Number of Baseline Participants 8 11 19
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 8 participants 11 participants 19 participants
26.63  (9.61) 24.09  (8.63) 24.74  (8.82)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 8 participants 11 participants 19 participants
Female
8
 100.0%
9
  81.8%
17
  89.5%
Male
0
   0.0%
2
  18.2%
2
  10.5%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 8 participants 11 participants 19 participants
Hispanic or Latino
8
 100.0%
4
  36.4%
12
  63.2%
Not Hispanic or Latino
0
   0.0%
7
  63.6%
7
  36.8%
Unknown or Not Reported
0
   0.0%
0
   0.0%
0
   0.0%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 8 participants 11 participants 19 participants
American Indian or Alaska Native
0
   0.0%
0
   0.0%
0
   0.0%
Asian
0
   0.0%
1
   9.1%
1
   5.3%
Native Hawaiian or Other Pacific Islander
0
   0.0%
0
   0.0%
0
   0.0%
Black or African American
0
   0.0%
1
   9.1%
1
   5.3%
White
8
 100.0%
8
  72.7%
16
  84.2%
More than one race
0
   0.0%
1
   9.1%
1
   5.3%
Unknown or Not Reported
0
   0.0%
0
   0.0%
0
   0.0%
1.Primary Outcome
Title Acceptability of Intervention Measure (AIM) - Goal Setting
Hide Description This is a four item measure of intervention acceptability; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill acceptable to use after they complete the training. We administered the AIM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on goal setting.
Time Frame This measure will be administered to participants in each training group after they complete the 25 hours of training.
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Traditional Training ITS Based Training
Hide Arm/Group Description:

25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

Overall Number of Participants Analyzed 8 11
Mean (Standard Deviation)
Unit of Measure: score on a scale
Pre-Training 17.88  (0.99) 17.64  (1.43)
Post-Training 17.63  (1.69) 18.27  (2.61)
2.Primary Outcome
Title Acceptability of Intervention Measure (AIM) - Identifying Challenges
Hide Description This is a four item measure of intervention acceptability; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill acceptable to use after they complete the training. We administered the AIM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on identifying challenges.
Time Frame This measure will be administered to participants in each training group after they complete the 25 hours of training.
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Traditional Training ITS Based Training
Hide Arm/Group Description:

24 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

Overall Number of Participants Analyzed 8 11
Mean (Standard Deviation)
Unit of Measure: score on a scale
Pre-Training 16.75  (1.39) 17.73  (3.44)
Post-Training 16.25  (1.28) 17.82  (1.72)
3.Primary Outcome
Title Intervention Appropriateness Measure (IAM) - Goal Setting
Hide Description This is a four item measure of intervention appropriateness; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total range for this measure is 4-20. Each group will be compared on the degree they find the specific clinical skill appropriate to use after they complete the training. We administered the IAM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on goal setting.
Time Frame This measure will be administered to participants in each training group after they complete the 25 hours of training.
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Traditional Training ITS Based Training
Hide Arm/Group Description:

24 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

Overall Number of Participants Analyzed 8 11
Mean (Standard Deviation)
Unit of Measure: score on a scale
Pre-Training 18.25  (1.75) 18.55  (1.63)
Post-Training 17.88  (2.23) 18.82  (1.54)
4.Primary Outcome
Title Intervention Appropriateness Measure (IAM) - Identifying Challenges
Hide Description This is a four item measure of intervention appropriateness; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill appropriate to use after they complete the training. We administered the IAM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on identifying challenges.
Time Frame This measure will be administered to participants in each training group after they complete the 25 hours of training.
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Traditional Training ITS Based Training
Hide Arm/Group Description:

24 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

Overall Number of Participants Analyzed 8 11
Mean (Standard Deviation)
Unit of Measure: score on a scale
Pre-Training 16.38  (1.19) 18.82  (2.27)
Post-Training 17.13  (1.81) 18.27  (1.90)
5.Primary Outcome
Title Feasibility of Intervention Measure (FIM) - Goal Setting
Hide Description This is a four item measure of intervention feasibility; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill feasible to use after they complete the training they participated in. We administered the FIM twice asking the students to respond to the feasibility of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on goal setting.
Time Frame This measure will be administered to participants in each training group after they complete the 25 hours of training.
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Traditional Training ITS Based Training
Hide Arm/Group Description:

24 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

Overall Number of Participants Analyzed 8 11
Mean (Standard Deviation)
Unit of Measure: score on a scale
Pre-Training 16.88  (2.23) 17.09  (2.17)
Post-Training 17.13  (1.46) 18.91  (1.64)
6.Primary Outcome
Title Feasibility of Intervention Measure - Identifying Challenges
Hide Description This is a four item measure of intervention feasibility; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill feasible to use after they complete the training they participated in. We administered the FIM twice asking the students to respond to the feasibility of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on identifying challenges.
Time Frame This measure will be administered to participants in each training group after they complete the 25 hours of training.
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Traditional Training ITS Based Training
Hide Arm/Group Description:

25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

Overall Number of Participants Analyzed 8 11
Mean (Standard Deviation)
Unit of Measure: score on a scale
Pre-Training 15.88  (2.30) 17.73  (2.45)
Post-Training 15.63  (1.69) 18.27  (1.68)
7.Primary Outcome
Title Intervention Usability Scale (IUS) - Goal Setting
Hide Description The IUS is a 10-item measure with a possible total score ranging from 0 to 100; higher scores indicate a more usable intervention. Although this measure has not yet been normed as a measure of intervention usability, the System Usability Scale upon which the IUS is based defines scores of 70 or above as indicative of acceptable usability.
Time Frame This measure will be administered to participants in each training group after they complete the 25 hours of training.
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Traditional Training ITS Based Training
Hide Arm/Group Description:

24 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

Overall Number of Participants Analyzed 8 11
Mean (Standard Deviation)
Unit of Measure: score on a scale
Pre-Training 28.25  (3.85) 28.27  (3.61)
Post-Training 30.13  (5.03) 30.82  (4.02)
8.Primary Outcome
Title Intervention Usability Scale (IUS) - Identifying Challenges
Hide Description The IUS is a 10-item measure with a possible total score ranging from 0 to 100; higher scores indicate a more usable intervention. Although this measure has not yet been normed as a measure of intervention usability, the System Usability Scale upon which the IUS is based defines scores of 70 or above as indicative of acceptable usability.
Time Frame This measure will be administered to participants in each training group after they complete the 25 hours of training.
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Traditional Training ITS Based Training
Hide Arm/Group Description:

25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

Overall Number of Participants Analyzed 8 11
Mean (Standard Deviation)
Unit of Measure: score on a scale
Pre-Training 26.75  (4.30) 27.91  (4.55)
Post-Training 28.88  (4.09) 29.27  (5.10)
Time Frame 9 months
Adverse Event Reporting Description No adverse events occurred
 
Arm/Group Title Traditional Training ITS Based Training
Hide Arm/Group Description

24 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency.

Traditional Training: Training using didactics and role plays

Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.

ITS based training: Training using computerized adaptive training in addition to role play

All-Cause Mortality
Traditional Training ITS Based Training
Affected / at Risk (%) Affected / at Risk (%)
Total   0/8 (0.00%)   0/11 (0.00%) 
Hide Serious Adverse Events
Traditional Training ITS Based Training
Affected / at Risk (%) Affected / at Risk (%)
Total   0/8 (0.00%)   0/11 (0.00%) 
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Traditional Training ITS Based Training
Affected / at Risk (%) Affected / at Risk (%)
Total   0/8 (0.00%)   0/11 (0.00%) 
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Dr. Patricia Arean, Director, UW ALACRITY Center
Organization: University of Washington, Department of Psychiatry & Behavioral Sciences
Phone: 206-221-8692
EMail: parean@uw.edu
Layout table for additonal information
Responsible Party: Eugene Aisenberg, University of Washington
ClinicalTrials.gov Identifier: NCT03515226    
Other Study ID Numbers: STUDY00004268
1P50MH115837-01 ( U.S. NIH Grant/Contract )
First Submitted: March 15, 2018
First Posted: May 3, 2018
Results First Submitted: August 30, 2021
Results First Posted: December 1, 2021
Last Update Posted: December 1, 2021