K-ORCA: Testing a Decision Support Tool and Group Process for Selecting Interventions
Refining and Pilot Testing a Decision Support Intervention to Facilitate Adoption of Evidence-Based Programs to Improve Parent and Child Mental Health
Chestnut Health Systems
80 participants
May 1, 2026
INTERVENTIONAL
Conditions
Summary
This proposal responds to NIMH Objective 4.2.c to develop "decision-support tools and technologies that increase the effectiveness and continuous improvement of mental health interventions" by leveraging the Family First Prevention Services Act (FFPSA) policy opportunity. First, a web-based platform to host (a) a decision-support tool and (b) automated facilitation for group decisions with the tool will be developed with state partners' feedback. Next, decision makers leading their states' FFPSA quality improvement efforts will be engaged to pilot a decision-support intervention comprised of the tool and live or automated facilitation, and to evaluate the implementation quality of evidence-based programs adopted with the decision-support intervention.
Eligibility
Inclusion Criteria13
- Non-institutionalized
- Adults (18 years or older).
- English-Speaking
- Aim 1:
- Involved in initial state decision-making related to Family First Prevention Services Act.
- Willing to participate in two data collection occasions.
- Aim 2:
- Non-institutionalized
- Adults (18 years or older). English-Speaking.
- Involved in ongoing state decision-making related to Family First Prevention Services Act.
- Willing to participate in three measurement occasions.
- Aim 3:
- Willing to participate in multiple (bi-weekly up to two years) measurement occasions.
Exclusion Criteria1
- Not involved in or potentially influencing child welfare intervention decisions
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Interventions
Participants will receive automated facilitation in the ORCA platform. This will entail prompts for group discussion based on group model building scripts and decision hygiene approaches proposed by Kahneman, Sibony, and Sunstein (2021). Participants will have the option of using these prompts to discuss ORCA results in group decision discussions. Optimizing Responses with Collaborative Assessments (ORCA) is a technical decision support tool based in multi-criteria decision analysis. Decision makers rate and compare evidence-based programs or other practices with ORCA, then prioritize practices for local implementation based on ORCA results. ORCA will be on a virtual platform to allow for web-based completion, automated analysis, and automated facilitation.
A facilitator will guide group decision discussions using group model building scripts and decision hygiene approaches proposed by Kahneman, Sibony, and Sunstein (2021). Facilitation will be either in-person or virtual, but occur "live" as in during real-time. Optimizing Responses with Collaborative Assessments (ORCA) is a technical decision support tool based in multi-criteria decision analysis. Decision makers rate and compare evidence-based programs or other practices with ORCA, then prioritize practices for local implementation based on ORCA results. ORCA will be on a virtual platform to allow for web-based completion, automated analysis, and automated facilitation.
Locations(1)
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NCT06375551