Novel Methods for Implementing Measurement-Based Care for Youth in Low-resource Environments (NIMBLE)
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ClinicalTrials.gov Identifier: NCT05644756 |
Recruitment Status :
Recruiting
First Posted : December 9, 2022
Last Update Posted : June 27, 2023
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Condition or disease | Intervention/treatment | Phase |
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Mental Health | Behavioral: IMPACT Methods to Identify and Prioritize Determinants (Challenge I), Challenge and Match strategies to Prioritized Determinants (Challenge II) | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 228 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Health Services Research |
Official Title: | IMPACT Center Signature Project 1, "Novel Methods for Implementing Measurement-Based Care for Youth in Low-resource Environments", is Embedded Within IMPACT Center P50 Entitled: Optimizing Evidence-Based Practice Implementation for Clinical Impact: the IMPACT Center. |
Actual Study Start Date : | October 25, 2022 |
Estimated Primary Completion Date : | April 30, 2024 |
Estimated Study Completion Date : | August 31, 2025 |
Arm | Intervention/treatment |
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Measurement Based Care Implementation
Six community mental health clinics located in Washington state will receive trainings on how to implement Measurement Based Care (MBC) in their clinics. We are creating implementation plans to improve therapists' use of measurement-based care.
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Behavioral: IMPACT Methods to Identify and Prioritize Determinants (Challenge I), Challenge and Match strategies to Prioritized Determinants (Challenge II)
IMPACT Center developed two methods for identifying determinants that involved providers, staff, and youth at community mental health centers in site visit 1: Rapid Ethnographic Assessment, Design Probes. Then, practice partners engage in a facilitated group activity to rate the criticality, chronicity, and ubiquity of the list of determinants in Site Visit 2. Finally, practice partners engage in a third site visit where they create Causal Pathway Diagrams that allow them to match strategies to prioritize determinants and create Implementation Plans. |
- Change in measurement-based care frequency [ Time Frame: We will assess at 6, 12 and 18 months after enrollment. ]Therapists will report on the number of clinical outcome questionnaires administered to 5 pilot clients (the total number of outcome questionnaires per client used) before and after engaging in our researcher-driven implementation process.
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Ages Eligible for Study: | 13 Years and older (Child, Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Aim 1: Co-create plans for optimizing Measurement Based Care (MBC) implementation for youth with comorbidities. Clinic staff/Therapists (N=180) across 6 CMHCs in Washington state.
- Aged 21+
- Working at a CMHC that is participating in the WA State CBT (Cognitive Behavioral Therapy) + Initiative.
- Youth (N=48)
- Aged 13-17 years
- Receiving treatment at CMHC participating in the WA State CBT (Cognitive Behavioral Therapy) + Initiative.
- Aim 2: Compare MBC fidelity post IMPACT Center methods deployment versus historical controls. Clinic staff/Therapists (N=30) across 6 CMHCs in Washington.
- Must be aged 21+
- Working at a CMHC that is participating in the WA State CBT (Cognitive Behavioral Therapy) + Initiative.
Exclusion Criteria:
- Aim 1: Clinic staff/Therapists: Unwilling to participate in study activities.
- Youth:
- Suicidal or psychotic
- Not cognitively able to safely participate in MBC
- Not able to read and write in English.
- Aim 2: Clinic staff/Therapists:
- Unwilling to participate in study activities.
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): NCT05644756
Contact: Carolyn E Bain, MPH | 206-287-4611 | Carolyn.E.Bain@kp.org | |
Contact: Rene Hawkes, BS | 206-287-2073 | rene.j.hawkes@kp.org |
United States, Washington | |
KPWHRI | Recruiting |
Seattle, Washington, United States, 98101 | |
Contact: Carolyn E Bain, MPH 206-287-4611 Carolyn.E.Bain@kp.org | |
Principal Investigator: Ruben G Martinez, PhD |
Study Director: | Ruben G Martinez, PhD | Kaiser Permanente |
Responsible Party: | Kaiser Permanente |
ClinicalTrials.gov Identifier: | NCT05644756 |
Other Study ID Numbers: |
1943932-2 P50MH126219 ( U.S. NIH Grant/Contract ) |
First Posted: | December 9, 2022 Key Record Dates |
Last Update Posted: | June 27, 2023 |
Last Verified: | June 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Youth Mental Health Improving Measurement-based Care Community Mental Health Centers Implementation Science |