Development of a Training Intervention to Improve Mental Health Treatment Effectiveness and Engagement for Youth With Documented Mental Health Disparities
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 286
- 试验地点
- 2
- 主要终点
- Provider Participant Recruitment Rates (Feasibility of Conducting a Larger Trial)
研究概览
简要总结
The overall goal of the larger 3-aim study is to develop and pilot test a training intervention to increase mental health providers' use of evidence-based practices with youth patients. Aim 3 (registered here) of the study is an open trial pilot study at a multi-clinic mental health agency, aimed at examining the feasibility and acceptability of conducting a future randomized controlled trial (RCT).
详细描述
The overall goal of the larger 3-aim study is to develop and pilot test a training intervention to increase mental health providers' use of evidence-based practices with youth patients. The Boston College Institutional Review Board (IRB) approved protocol #21.247.01-15. Aim 1 involved designing the training intervention through an extensive literature review and community-engaged methods that centered on collaborations with providers, youth patients, and parents. Aim 2 (in progress) entails refining the training intervention via human centered design methods. Aim 3 (registered here) of the study is an open trial pilot study at a multi-clinic mental health agency, aimed at examining the feasibility and acceptability of conducting a future randomized controlled trial (RCT). Effectiveness and implementation data from both providers (n=49) and patients (i.e., youth and their parents; n=50 GMY and n=30 caregivers) will be collected and analyzed. Primary outcomes are measured at the provider-level and secondary outcomes are measured at the patient-level (i.e., patients and their parents).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •For provider participants:
- •Mental health care providers (e.g., psychologists, social workers) employed by the pilot site at the time of the pilot test and who work with clients ages 12-25
- •Age 18 or older
- •Fluent in English
- •For GMY participants:
- •Identify as a gender-minority.
- •Age 12-25
- •Currently receiving mental health services from the pilot site
- •Fluent in English
- •For parents of youth participants:
- •Parents of youth currently receiving mental health services at the pilot site
- •18 or older
- •Fluent in English
排除标准
- •Provided that participants meet the aforementioned inclusion criteria, there are no explicit criteria for exclusion.
结局指标
主要结局
Provider Participant Recruitment Rates (Feasibility of Conducting a Larger Trial)
时间窗: At time of training intervention
Percent of providers at pilot site who consented to participate in the study relative to number of employed providers at pilot site.
Change in Provider Participant Assessment Completion Rates at Post-training (Feasibility of Conducting a Larger Trial)
时间窗: Pre-training to post-training (up to 4 weeks after the training)
Change in the percent of providers who complete pre- and post- assessments of those who consented to participate. These assessment completion rates will also be compared to the 6- and 12-month assessment completion rates.
Change in Provider Participant Assessment Completion Rates at 6-month Followup (Feasibility of Conducting a Larger Trial)
时间窗: Post-training (up to 4 weeks after the training) to 6-month followup
Change in the percent of providers who complete post- and 6-month followup assessments of those who consented to participate. These assessment completion rates will also be compared to the pre-training and 12-month assessment completion rates.
Change in Provider Participant Assessment Completion Rates at 12-month Followup (Feasibility of Conducting a Larger Trial)
时间窗: 6-month followup to 12-month followup
Change in the percent of providers who complete 6- and 12-month followup assessments of those who consented to participate. These assessment completion rates will also be compared to the pre-training and post-training assessment completion rates.
Change in the Adoption of Practices Learned in the Training Intervention at 12-month Followup
时间窗: Baseline, Post-training, 6-month to 12-month followup
A self-report survey measuring whether, and the extent to which, provider participants used the practices they learned in the training intervention. The survey is currently being developed and will be adapted based on the Pachankis et al. (2022) measure Providers' Familiarity With and Use of LGBTQ-affirmative CBT Skills. The survey will be administered at the 6- and 12 month followups to see the change over time. Scores are calculated using mean scores for values 0-4 with higher numbers indicating more of the use of the practice (i.e., (0) Not at all, (4) Very much)
Electronic Monitoring of Training Intervention Completion (Adoption of Training Intervention)
时间窗: up to the 12-month followup
Electronic monitoring of training intervention completion by providers (i.e., whether all modules were completed).
Primary Outcome: Electronic Monitoring of Training Intervention Engagement (Adoption of Training Intervention)
时间窗: up to the 12-month followup
Electronic monitoring of training intervention engagement (e.g., days spent completing the training)
次要结局
- Ohio Functioning Scale (Client Functioning)(Monthly from pre-intervention to 12-month follow up)
- Client Behavioral Engagement by Session Participation(Weekly from pre-intervention to 12 months after training intervention completion)
- Client Behavioral Engagement by Session Attendance(Weekly from pre-intervention to 12 months after training intervention completion)
- Therapeutic Alliance Quality Scale (Client Satisfaction & Attitudinal Engagement)(Weekly from pre-intervention to 12-month follow up)
- Service Satisfaction Scale (Client Satisfaction & Attitudinal Engagement)(Every other week from pre-intervention to 12-month follow up)
- Treatment Outcomes Expectation Scale (Client Satisfaction & Attitudinal Engagement)(Pre-intervention)
- Treatment Process Expectations Index (Client Satisfaction & Attitudinal Engagement)(Pre-intervention)
- Symptoms and Functionality Severity Scale (Client Symptomatology & Functioning)(Monthly from pre-intervention to 12-month follow up)