RCT of a Measurement Feedback App to Improve Data Quality, Supervision & Outcomes in Behavioral Health
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- Strengths and Difficulties Questionnaire total score
研究概览
简要总结
The goal of this clinical trial is to test whether a smartphone-based data collection and feedback application ("Footsteps") improves the quality of behavioral data collected by one-to-one aides and leads to better youth mental health outcomes in school-aged youth (ages 4-17) who receive one-to-one support in schools.
The main questions it aims to answer are:
- Does the Footsteps app improve aides' data collection quality (i.e., consistency, timeliness, and completeness)?
- Does Footsteps use lead to improved youth behavioral health outcomes (e.g., SDQ, YTP scores)?
- Does Footsteps improve communication and supervision processes between aides and clinical supervisors?
Researchers will compare aides using Footsteps to those using a "data collection only" control app to see if Footsteps leads to higher quality data collection, enhanced supervisory communication, and better youth outcomes.
Participants will:
- Use either Footsteps or a control app to record de-identified data on one client's behaviors and skills over 12 weeks
- Complete biweekly online surveys about data collection experiences, youth progress, and aide-supervisor communication
- Participate in a virtual intake and post-trial meeting
- (For a subset) Participate in a 30-45 minute qualitative interview about their experience using the app
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 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
- 是
入选标准
- •Aides must be working with at least one client in school who meets the following criteria: 1) between 3-17 years, 2) has a diagnosis associated with a challenging behavior (e.g., autism spectrum disorder, attention deficit hyperactivity disorder, oppositional defiant disorder) as indicated on their treatment plan, and 3) receiving 1:1 aide support.
- •Supervisors must be employed by a community behavior health agency and supervise a participating aide. The investigators will recruit supervisors in dyads and not triads (i.e., no supervisors with two [or more] aides) to ensure there are 30 supervisor-aide dyads in total).
排除标准
- •Aides who participated in the pilot trial of the Footsteps will be excluded from participating to recruit a sample naïve to Footsteps and the control app.
研究组 & 干预措施
Footsteps (Enhancements)
An electronic platform for data collection ("Footsteps") that contains additional features designed to increase motivation to collect data and ease of data collection.
干预措施: Behavioral economics strategies (Behavioral)
Footsteps (Enhancements)
An electronic platform for data collection ("Footsteps") that contains additional features designed to increase motivation to collect data and ease of data collection.
干预措施: Electronic platform (Device)
Data Collection Only App (No Enhancements)
A basic electronic platform for data collection.
干预措施: Electronic platform (Device)
结局指标
主要结局
Strengths and Difficulties Questionnaire total score
时间窗: Assessed monthly (Baseline; Weeks 4, 8, and 12)
A behavioral screening tool used to assess psychological attributes in children and adolescents, leading to a total score of 0 to 40. A higher total score indicates greater difficulties in emotional and behavioral functioning, while lower scores suggest fewer difficulties.
Data collection consistency
时间窗: Assessed throughout 12-week trial
an aggregate of the numbers of intervals scheduled, and the numbers of those intervals in which data was entered (% real time data)
Data collection timeliness
时间窗: Assessed throughout 12-week trial
for intervals in which data was entered, the time lag between occurrence and data entry
次要结局
- Goal Attainment Scaling(Assessed biweekly, at baseline through 12-week trial)
- Data collection completeness(Assessed throughout 12-week trial)
- Youth Top Problems(Assessed biweekly, at baseline through 12-week trial)