TeamTRACS Pilot (CTSI)

Not Applicable

Completed

Conditions: Teamwork
Implementation

Interventions: Behavioral: TeamTRACS

Registration Number: NCT05370157

Lead Sponsor: University of Pittsburgh

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.

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.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 172

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

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)	TeamTRACS	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.

Primary Outcome Measures

Name	Time	Method
Acceptability of Self-guided Implementation	Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)	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.
Change in Teamwork Knowledge From Baseline to 3-month Follow-up	Baseline, 3-month follow-up (Month 7, 3 months after training workshop)	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.
Appropriateness of Self-guided Implementation	Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)	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.
Feasibility of Self-guided Implementation	Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)	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.
Change in Teamwork Skill Use From Baseline to 3-month Follow-up	Baseline, 3-month follow-up (Month 7, 3 months after training workshop)	Frequency of teamwork skill use will be assessed with survey items rated on a 5-point Likert scale (range 1-5). Scores will be averaged; higher scores indicate more frequent skill use.

Secondary Outcome Measures

Name	Time	Method
Change in Team Functioning From Baseline to 3-month Follow-up: Psychological Safety	Baseline, 3-month follow-up (Month 7, 3 months after training workshop)	Psychological safety (affective state) was assessed with Edmondson's (1999) Psychological Safety scale of 7 items rated on a 7-point Likert scale (1-7). Scores were averaged; higher scores indicate more psychological safety.
Change in Team Functioning From Baseline to 3-month Follow-up: Learning Behavior	Baseline, 3-month follow-up (Month 7, 3 months after training workshop)	Learning behavior (behavioral process) was assessed with Edmondson's (1999) Learning Behavior scale of 7 items rated on a 7-point Likert scale (1-7). Scores were averaged; higher scores indicate more learning behavior.
Change in Team Performance From Baseline to 3-month Follow-up	Baseline, 3-month follow-up (Month 7, 3 months after training workshop)	The overall quality of work done by the team will be assessed 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.