CompletedNot Applicable

A Statewide Trial to Compare Three Training Models for Implementing an Evidence-based Treatment (EBT)

United States648 participantsStarted 2012-09

Plain-language summary

Evidence-based treatments (EBTs) are available for treating Disruptive Behavior Disorders ( DBDs) including Parent-Child Interaction Therapy (PCIT). Despite EBTs' potential to help children and families, they have primarily remained in university settings. Recognized field leaders have expressed concern over the discrepancy between treatment research and clinical practice, and have indicated that EBT implementation is a priority. Little empirical evidence exists regarding how effective commonly used training models are in changing clinician behavior, achieving full implementation (e.g., increasing treatment fidelity, integrating into service settings), and supporting positive client outcomes. This novel application will evaluate the effectiveness of three training models (Learning Collaborative, Train-the-Trainer, and Web-Supported Self-Study) to implement a well-established EBT in real-world, community settings. To accomplish this goal, the project will be guided by three specific aims: 1. to build knowledge about training outcomes, 2. to build knowledge about implementation outcomes, and 3. to understand the impact of training clinicians using LC, TTT, and SS models on key client outcomes. Seventy-two of 243 possible (30%) licensed psychiatric clinics across Pennsylvania will be randomized to one of three training conditions: 1. Learning Collaborative (LC), 2. Train-the-Trainer (TTT), or 3. Web-Supported Self-Study (SS). Data also will be collected on staff trained by clinicians in the TTT group given that the intention of a TTT model is for participants of that group to return to their organization and train others within the organization. The impact of training (clinician level) will be evaluated at 4 time-points coinciding with the training schedule: baseline, 6, 12, and 24-months. Immediately after training begins, parent-child dyads (client level) will be recruited from the caseloads of participating clinicians (N = 288). Client outcomes will be assessed at four timepoints (pre-treatment, 3, 6, and 12-months). Implementation outcomes (clinic level) will be assessed at baseline, 6, 12, and 24-months after training. This proposal builds on an ongoing state-led initiative to implement, and ultimately sustain, PCIT statewide. Lessons learned from this project will directly impact future EBT implementation efforts in Pennsylvania and other states, helping to increase the use of EBTs in community settings nationwide.

Who can participate

Age range

1 Year

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: Administrators group * must be employed at an agency selected to participate in training as an Executive Director, Chief Financial Officer, or other person responsible for daily operations. Clinicians/Supervisors group * a masters or doctoral level professional in the human services field (e.g., social work, psychology, education), * licensed in his/her field or receiving supervision from a licensed individual, * actively seeing children and families who are appropriate for PCIT, * receptive to training in PCIT but not previously trained in PCIT, * amenable to study tasks (e.g., video-taping, completing assessments). Parent-Child Dyads group * Any parent-child dyad who a trained clinician enrolls in PCIT services Exclusion Criteria: Administrators group * not employed at an agency selected to participate in training as an Executive Director, Chief Financial Officer, or other person responsible for daily operations. Clinicians group * a bachelors or lower level professional in the human services field, * unlicensed in his/her field or not receiving supervision from a licensed individual, * not actively seeing children and families who are appropriate for PCIT, * not receptive to training in PCIT but not previously trained in PCIT, and/or * not amenable to study tasks. Interns also will be excluded. Parent-Child Dyads group \- if he/she is a ward of the state or living in state custody

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Change in Clinician knowledge of treatment based on PCIT Coaches Quiz

Timeframe: Measured at baseline, 6, 12, and 24 months

Change in Clinician PCIT skill competency based on Therapist Competency Checklist

Timeframe: Measured at baseline and 6, 12, and 24 months

Change in Clinician attitudes about training based on Feedback Surveys

Timeframe: Measured at baseline and 6, 12 months and 24 months

Trial details

NCT IDNCT02543359

SponsorWest Virginia University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2017-11-02

View on ClinicalTrials.gov More Training of Mental Health Professionals trials