Implementation of the Care Process Model for Pediatric Traumatic Stress in Rural Child Advocacy Centers: A Pilot Test of Team-focused Implementation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 147
- 试验地点
- 2
- 主要终点
- Appropriateness of team-focused implementation assessed by the Intervention Appropriateness Measure
研究概览
简要总结
Child Advocacy Centers (CACs) are well-positioned to identify children at risk for mental health problems and to facilitate access to evidence-based treatments. Implementation of standardized mental health screening and referral protocols may improve recognition of mental health needs and facilitate treatment engagement. Implementation strategies that improve teamwork may enhance implementation outcomes in team-based settings like CACs. In this study, CACs will implement the Care Process Model for Pediatric Traumatic Stress (CPM-PTS) and be randomized to either team-focused implementation or standard implementation. The study aims are to evaluate the feasibility of team-focused implementation and the effect of the CPM-PTS on caregiver understanding of mental health needs and intentions to initiate treatment.
详细描述
This study is a pilot cluster randomized controlled hybrid Type II effectiveness-implementation trial in 4 rural Child Advocacy Centers. All CACs will implement the Care Process Model for Pediatric Traumatic Stress (CPM-PTS), a mental health screening and referral protocol. CACs will be randomized to team-focused implementation (n = 2) or standard implementation (n = 2). The study is designed to evaluate the acceptability, appropriateness, and feasibility of team-focused implementation strategies. It will also test the effect of the CPM-PTS on caregiver understanding of mental health needs and intentions to initiate treatment. Mixed methods will be used to evaluate the feasibility of team-focused implementation, test the effect of team strategies on teamwork, and assess implementation outcomes. Administrative data collected anonymously from caregivers will be used to test the effectiveness of the CPM-PTS.
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
Appropriateness of team-focused implementation assessed by the Intervention Appropriateness Measure
时间窗: Month 12
Perceived appropriateness of team-focused implementation 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 (range 1-5).
Acceptability of team-focused implementation assessed by the Acceptability of Intervention Measure
时间窗: Month 12
Perceived acceptability of team-focused implementation 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 (range 1-5).
Feasibility of team-focused implementation assessed by the Feasibility of Intervention Measure
时间窗: Month 12
Perceived feasibility of team-focused implementation 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 (range 1-5).
次要结局
- CPM-PTS Adoption(From start of the study for up to 12 months after CPM-PTS implementation)
- Change in team functioning from baseline to 6-month follow-up(Baseline, month 6)
- Change in team performance from baseline to 6- and 12-month follow-up(Baseline, month 6, month 12)
- CPM-PTS Reach(Monthly for 12 months after CPM-PTS implementation)
- CPM-PTS Acceptability assessed by the Acceptability of Intervention Measure(Month 12)
- Change in team functioning from baseline to 12-month follow-up(Baseline, month 12)
- CPM-PTS Appropriateness assessed by the Intervention Appropriateness Measure(Month 12)
- CPM-PTS Feasibility assessed by the Feasibility of Intervention Measure(Month 12)
研究者
Elizabeth McGuier
Assistant Professor
University of Pittsburgh