Improving Teamwork in Rural Child Advocacy Centers: A Hybrid-Effectiveness Implementation Trial of TeamTRACS
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 172
- 试验地点
- 2
- 主要终点
- Acceptability of Self-guided Implementation
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals at least 18 years of age who are members of the multidisciplinary team at the participating CACs.
排除标准
- •Under 18 years old
结局指标
主要结局
Acceptability of Self-guided Implementation
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- 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))
- 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))
- Change in Team Performance From Baseline to 3-month Follow-up(Baseline, 3-month follow-up (Month 7, 3 months after training workshop))
研究者
Elizabeth McGuier
Assistant Professor of Psychiatry
University of Pittsburgh