Just-in-Time Training for Youth Mentors: A Strategy for Implementing Evidence-Based Preventive Interventions for Youth in Rural Communities
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 204
- 试验地点
- 1
- 主要终点
- Intervention Appropriateness Measure (IAM) - Week 12
研究概览
简要总结
This study will evaluate the usability, feasibility, and acceptability of a novel multi-level Just-In-Time Training (JITT) implementation strategy (JITT-EBP) that aims to equip mentors and mentor supervisors to implement evidence-based practices (EBPs) with fidelity using methods that are sustainable in rural communities. JITT-EBP integrates (a) self-directed, on-demand, online training modules for mentors and mentor supervisors, (b) synchronous evidence-based supervision strategies, and (c) an apprenticeship delivery model in which EBPs are co-led by an experienced mentor and a novice mentor, providing opportunity for in-the-moment training and support. The study will conduct a pilot hybrid type 2 effectiveness-implementation trial to evaluate the use of JITT-EBP compared to usual training for implementing mentor-delivered Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), an evidence-based depression prevention program. 96 adolescents (age 12-17) and their parents, 8-18 mentors (depending on amount of turnover), and 4 mentor supervisors will be enrolled in the trial.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 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
- •Youth and Parent Inclusion Criteria:
- •student at a partnering rural middle school or high school
- •age 12-17
- •have English speaking/reading/writing ability at a level to participate in IPT-AST
- •youth's parent has English or Spanish-speaking/reading/writing ability at a level to participate in research activities.
- •Youth and Parent
排除标准
- •moderate or severe depression (PHQ-9 > 10)
- •active suicidal ideation with a plan and/or intent, requiring higher level of care
- •Youth does not have English-speaking ability at a level to participate in IPT-AST
- •youth's parent does not have English or Spanish-speaking/reading/writing ability at a level to participate in research activities.
- •Mentor and Mentor Supervisor Inclusion Criteria:
- •age 18 or older
- •have completed the typical mentor or mentor supervisor screening and selection process at partnering mentoring organization (including a background check)
- •are available to facilitate the program during after-school hours.
研究组 & 干预措施
IPT-AST implemented via Just-In-Time Training (JITT-EBP)
IPT-AST = Interpersonal Psychotherapy-Adolescent Skills Training
干预措施: Interpersonal Psychotherapy-Adolescent Skills Training via Just-In-Time Training (JITT) implementation strategy (Behavioral)
IPT-AST implemented via usual training
IPT-AST = Interpersonal Psychotherapy-Adolescent Skills Training
干预措施: Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) implemented via usual training (Behavioral)
结局指标
主要结局
Intervention Appropriateness Measure (IAM) - Week 12
时间窗: Week 12
Mentor and mentor supervisor report of JITT-EBP appropriateness, with higher value indicating higher appropriateness.
Client Satisfaction Questionnaire (CSQ-8) - Week 12
时间窗: Week 12
Youth and parent report of satisfaction with IPT-AST program, with , with higher value indicating more satisfaction.
Feasibility of Intervention Measure (FIM) - Week 12
时间窗: Week 12
Mentor and mentor supervisor report of JITT-EBP feasibility, with higher value indicating higher feasibility
Acceptability of Intervention Measure (AIM) - Week 12
时间窗: Week 12
youth, parent, mentor, and mentor supervisor report of IPT-AST acceptability, with higher value indicating higher acceptability.
次要结局
- Fidelity(Week 12)
- Cost of implementation(Year 2)
- Revised Child Anxiety and Depression Scale-25 (RCADS-25) - Week 6(Week 6)
- Revised Child Anxiety and Depression Scale-25 (RCADS-25) - Week 12(Week 12)
- Revised Child Anxiety and Depression Scale-25 (RCADS-25) - Week 24(Week 24)
- Conflict Behavior Questionnaire-20 (CBQ-20) - Week 6(Week 6)
- Conflict Behavior Questionnaire-20 (CBQ-20) - Week 12(Week 12)
- Conflict Behavior Questionnaire-20 (CBQ-20) - Week 24(Week 24)
- National Survey of Children's Health Social Competence Scale (NSCH-SCS) - Week 6(Week 6)
- National Survey of Children's Health Social Competence Scale (NSCH-SCS) - Week 12(Week 12)
- National Survey of Children's Health Social Competence Scale (NSCH-SCS) - Week 24(Week 24)
- NIH Toolbox -Loneliness Ages 8-17 - Week 6(Week 6)
- NIH Toolbox -Loneliness Ages 8-17 - Week 12(Week 12)
- NIH Toolbox -Loneliness Ages 8-17 - Week 24(Week 24)
- PROMIS Pediatric Item Bank - Peer Relationships - Week 6(Week 6)
- PROMIS Pediatric Item Bank - Peer Relationships - Week 12(Week 12)
- PROMIS Pediatric Item Bank - Peer Relationships - Week 24(Week 24)
- NIH Toolbox - General Life Satisfaction - Week 6(Week 6)
- NIH Toolbox - General Life Satisfaction - Week 12(Week 12)
- NIH Toolbox - General Life Satisfaction - Week 24(Week 24)
- PROMIS Pediatric Short Form v1.0 - Positive Affect - Week 6(Week 6)
- PROMIS Pediatric Short Form v1.0 - Positive Affect - Week 12(Week 12)
- PROMIS Pediatric Short Form v1.0 - Positive Affect - Week 24(Week 24)
- Rosenberg Self-Esteem Scale (RSES) - Week 6(Week 6)
- Rosenberg Self-Esteem Scale (RSES) - Week 12(Week 12)
- Rosenberg Self-Esteem Scale (RSES) - Week 24(Week 24)