RecruitingNot ApplicableNCT04946253

SKIP for PA Study: Team and Leadership Level Implementation Support for Collaborative Care

Care Team and Practice Level Implementation Strategies to Optimize Pediatric Collaborative Care: A Cluster-Randomized Trial

Sponsor

University of Pittsburgh

Enrollment

450 participants

Start Date

Nov 28, 2021

Study Type

INTERVENTIONAL

Conditions

Child Behavior Problem Attention Deficit and Disruptive Behavior Disorders

Summary

In a prior application (MH064372), the investigators' treatment research program (Services for Kids In Primary-care, SKIP) developed and tested a chronic care model-based intervention, called Doctor Office Collaborative Care (DOCC), that was found to be effective in the management of childhood behavior problems and comorbid ADHD. In the "SKIP for PA Study", the investigators propose to conduct a randomized clinical trial to evaluate the effects of team- and practice leadership-level implementation strategies designed to enhance the use and uptake of DOCC in diverse pediatric primary care offices.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests a program called SKIP (Supporting Kids in Primary care) that helps pediatric primary care clinics deliver better behavioral health support to children with behavior problems. It focuses on improving how entire clinic teams — including doctors, care managers, and practice leaders — work together to provide coordinated care. The study also includes parents and caregivers of children aged 5–12 who have behavioral challenges. You may be eligible if: - You are a primary care provider, care manager, senior leader, or practice manager at one of the participating pediatric clinics in Pennsylvania - OR you are a caregiver (aged 18 or older) with parental rights for a child aged 5–12 who shows at least some behavior problems You may NOT be eligible if (caregivers): - You are already enrolled in this study as a caregiver for a different child (such as a sibling) Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALDOCC: Evidence-based treatment for disruptive behavior and ADHD

Practices will learn and then deliver DOCC in treatment sessions with caregivers and/or children. The content covers key topics related to the treatment of behavior problems (e.g., self-management, positive parenting) and ADHD (e.g., psychoeducation, medication).

BEHAVIORALTEAM: Implementation support strategies at the care team level following standard implementation of DOCC

Practices will learn and then deliver DOCC in treatment sessions with caregivers and/or children. Coaching and consultation will be provided to the provider care team to support the use of collaborative care for behavior problems and ADHD. The TEAM intervention includes regular virtual meetings or calls with the providers (about once/month, on average) that cover core chronic care model functions, including registry use, case-finding, collaborative care team roles, and workflows outlining how DOCC is delivered in the practice.

BEHAVIORALImplementation support strategies at the leadership level following standard implementation of DOCC

Practices will learn and then deliver DOCC in treatment sessions with caregivers and/or children. Practice facilitation will be provided to practice leaders to help them support the care team's use of collaborative care for behavior problems and ADHD. The LEAD intervention includes regular virtual meetings or calls with practice leaders (about once/month, on average) that cover the assessment of practice capacity/barriers, ways to overcome organizational barriers and support staff use of DOCC, promoting innovation, and leveraging practice resources to support DOCC delivery and maintenance in the practice.

Locations(2)

Drexel University

Philadelphia, Pennsylvania, United States

University of Pittsburgh

Pittsburgh, Pennsylvania, United States

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NCT04946253

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