Comparing the Effect of Adding a Remote Self-reporting Tool for Distress and Fit-for-purpose Mental Health & Addictions Service to Usual Case Management on Dropout Rates in a Vocational Training Program (TeachMeToBuild)
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ClinicalTrials.gov Identifier: NCT05626374 |
Recruitment Status :
Not yet recruiting
First Posted : November 23, 2022
Last Update Posted : November 23, 2022
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Condition or disease | Intervention/treatment | Phase |
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Mental Health Issue Substance Use Disorders Distress, Emotional | Behavioral: Basic Case Management Behavioral: Basic Case Management plus Distress Tool Behavioral: Basic Case Management plus rapid mental health & addictions healthcare access Behavioral: Basic Case Management plus Distress Tool and rapid mental health & addictions healthcare access | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 400 participants |
Allocation: | Randomized |
Intervention Model: | Factorial Assignment |
Intervention Model Description: | 2x2 factorial design, cluster-randomized, multicentre trial |
Masking: | None (Open Label) |
Primary Purpose: | Health Services Research |
Official Title: | A Cluster Randomized, 2x2 Factorial, Superiority Study to Compare the Effectiveness of Adding a Remote Self-reporting Tool for Distress and a Fit-for-purpose Mental Health & Addictions Service to Usual Case Management on Program Completion and Employment Among Unemployed Visible Minorities and Women Enrolled in a Vocational Training Program |
Estimated Study Start Date : | January 15, 2023 |
Estimated Primary Completion Date : | January 15, 2026 |
Estimated Study Completion Date : | January 15, 2027 |
Arm | Intervention/treatment |
---|---|
Active Comparator: Basic case management
Basic case management with bi-weekly meetings between case manager and trainees that includes check-ins, frequent visits to construction sites and monitoring of feedback forms from mentors. Case managers attempt to connect trainees with external support services as needed.
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Behavioral: Basic Case Management
Usual case management support during 12-week training program |
Experimental: Basic case management supplemented by self-reporting distress tool (DT)
Basic case management plus access to the self-report daily distress tool. The trainees are provided web-based access to the daily distress tool and report their distress levels using a validated visual analog scale (Distress Thermometer), along with reporting their risk of missing work/class or dropping out of the program. The case manager responds to the distress tool by coordinating external support services as needed.
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Behavioral: Basic Case Management plus Distress Tool
Usual case management support during 12-week training program plus daily self-reports of distress using Distress Thermometer tool |
Experimental: Basic case management supplemented by rapid access healthcare services
Basic case management supplemented by a fit-for-purpose rapid referral process for trainees with active mental health and/or substance use disorders affecting their program participation.
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Behavioral: Basic Case Management plus rapid mental health & addictions healthcare access
Usual case management support during 12-week training program plus rapid access referral process for healthcare crisis services |
Experimental: Basic case management supplemented by DT and rapid access healthcare services
Basic case management supplemented by both the self-report distress tool and rapid referral process for those trainees at-risk of program absence or drop-out from either mental health or addictions issues.
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Behavioral: Basic Case Management plus Distress Tool and rapid mental health & addictions healthcare access
Usual case management support during 12-week training program plus daily distress self-reports plus rapid access referral process for healthcare crisis services |
- Program attendance [ Time Frame: 12 weeks from program enrolment ]Difference in proportion of absence-free program days, where absence-free day is defined as being present in class or work setting by case manager or supervisor. Maximum number of absence-free days is 48 days (12 weeks x 4-day work week). A day is defined as an 8- to 10-hour work day from Monday to Thursday.
- Program completion [ Time Frame: 12 weeks from program enrolment ]
Difference in proportion of drop-outs, where a drop-out is defined as an apprentice who fulfils any of the following criteria:
- Has missed more than 50% of class/work days, or
- Who has elected to leave the program for reasons other than taking another job or returning to school
- Post-program employment [ Time Frame: 24 weeks post-program completion ]Difference in proportion of full-time employment, where full-time employment is defined as paid work ≥ 30 (median) hours per week at their main or only job. The reference period that will be used to determine full-time employment is the 4-week period preceding the 24-month post-program completion date.
- Access to healthcare services [ Time Frame: 12 weeks from program enrolment ]Difference in time to access mental health & addiction services, where time to access is defined as the difference (hours) between the date of referral from the case manager to the date of the mental health & addictions appointment/assessment.
- Healthcare utilization [ Time Frame: 12 weeks from program enrolment ]Difference in incidence rates of healthcare days, where healthcare days represent the number of days alive and registered for an emergency room, mental health outpatient or addictions outpatient visit, or admitted to an acute care, mental health or detoxification facility. The potential number of healthcare days is the number of days alive during the program (12 weeks x 7 days = 84 days)
- Apprentice satisfaction [ Time Frame: 12 weeks from program enrolment ]Difference in program satisfaction scores, where program satisfaction scores will be measured using the validated National Centre for Vocational Education Research Student Outcomes Survey Satisfaction scores
- Acceptability of self-report distress tool [ Time Frame: 12 weeks from program enrolment ]To measure the acceptability of using the Distress Thermometer screening tool by apprentices and the case manager, where acceptability is measured using a validated 2-item questionnaire.
- Feasibility of self-report distress tool [ Time Frame: 12 weeks from program enrolment ]To measure the feasibility of using the Distress Thermometer screening tool by apprentices and the case manager, where feasibility is measured using a validated 1-item questionnaire.
- Compliance of self-report distress tool [ Time Frame: 12 weeks from program enrolment ]To measure apprentices' compliance with the Distress Thermometer screening tool, where compliance is defined as the ratio of completed daily screens relative to the total number of program days
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Ages Eligible for Study: | 18 Years to 49 Years (Adult) |
Sexes Eligible for Study: | All |
Gender Based Eligibility: | Yes |
Gender Eligibility Description: | Female based on self-representation of gender identity |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- must be a visible minority or female
- must be fluent in English or French
- must have an active Ontario Health Insurance Plan number
- must have a valid Canadian Social Insurance Number
- Access to wi-fi network and computing device (phone, tablet, computer)
Exclusion Criteria:
- none
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05626374
Contact: Giulio DiDiodato, MD PhD | 7057289090 ext 45641 | didiodatog@rvh.on.ca | |
Contact: Kelly Cruise, BHSc | 705-728-9090 ext 45639 | cruisek@rvh.on.ca |
Canada, Ontario | |
Royal Victoria Regional Health Centre | |
Barrie, Ontario, Canada, L4M6M2 | |
Contact: Kelly Cruise, BHSc 7057289090 ext 45639 cruisek@rvh.on.ca | |
Sub-Investigator: Shawna Bailey, BA | |
Sub-Investigator: Carrie Stoner, BA |
Principal Investigator: | Giulio DiDiodato, MD PhD | Royal Victoria Regional Health Centre |
Responsible Party: | Giulio DiDiodato, Chief Research Scientist, Royal Victoria Hospital, Canada |
ClinicalTrials.gov Identifier: | NCT05626374 |
Other Study ID Numbers: |
R22-013 |
First Posted: | November 23, 2022 Key Record Dates |
Last Update Posted: | November 23, 2022 |
Last Verified: | November 2022 |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
mental health issues substance use disorders multi-centre trial cluster randomized |
factorial design vocational training program vulnerable youth unemployment |
Substance-Related Disorders Chemically-Induced Disorders Mental Disorders |