Ignite Creation Date:
2024-05-11 @ 8:29 AM
Last Modification Date:
2024-10-26 @ 3:28 PM
Study NCT ID:
NCT06399991
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-05-06
First Post:
2024-05-01
Brief Title:
Aligning Facility Leadership and Climate to Advance Mental Health Services Integration in Malawi
Sponsor:
University of North Carolina Chapel Hill
Organization:
University of North Carolina Chapel Hill
Study Overview
Official Title:
Aligning Facility Leadership and Climate to Advance Mental Health Services Integration in Malawi ALIGN
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
ALIGN
Brief Summary:
The main objective of the proposed study is to evaluate the impact of the combined leadership alignment champion implementation strategy compared to a champion strategy alone on integration of an evidence-based mental health treatment model into multiple medical care settings
Detailed Description:
Task-shared mental health interventions are effective in low- and middle-income countries LMICs yet they remain underutilized and the mental health treatment gap remains substantial Innovative implementation strategies are needed to successfully integrate evidence-based mental health treatments into medical care in LMICs
A common component of many implementation efforts is a champion strategy which identifies and empowers an on-the-ground staff member as the implementation champion in charge of focusing their colleagues efforts on implementation of the evidence-based treatment model Yet a growing body of research including our own work in Malawi and elsewhere highlights that the champions success is strongly influenced by the strength of support from their line manager and other up-the-chain organization leaders who are critical in aligning the organizations climate and priorities in support of the implementation effort
Approaches to influencing leadership engagement to change organizational climate and align priorities has been developed over decades in the field of organizational and industrial psychology but only relatively recently applied to implementation science health research and primarily to implementation in high-income countries The Leadership and Organizational Change for Implementation LOCI is a recently developed multi-level leadership coaching implementation strategy that has demonstrated effectiveness in changing organizational climate aligning priorities and enhancing mental health treatment model integration in the US and Norway but has not been adapted to or tested in low-income country settings LOCI has significant potential to address the gaps identified in our current research by aligning leadership priorities to support champions in advancing mental health integration
The overall aim of the proposed study is to evaluate the impact of the combined leadership alignment champion implementation strategy compared to a champion strategy alone on integration of an evidence-based mental health treatment model into multiple medical care settings via a cluster-randomized randomized control trialRCT
Leadership alignment strategies are an understudied but essential ingredient for successful mental health integration efforts This project will make a major contribution to our understanding of the role of leadership alignment in advancing evidence-based mental health integration in LMICs
A common component of many implementation efforts is a champion strategy which identifies and empowers an on-the-ground staff member as the implementation champion in charge of focusing their colleagues efforts on implementation of the evidence-based treatment model Yet a growing body of research including our own work in Malawi and elsewhere highlights that the champions success is strongly influenced by the strength of support from their line manager and other up-the-chain organization leaders who are critical in aligning the organizations climate and priorities in support of the implementation effort
Approaches to influencing leadership engagement to change organizational climate and align priorities has been developed over decades in the field of organizational and industrial psychology but only relatively recently applied to implementation science health research and primarily to implementation in high-income countries The Leadership and Organizational Change for Implementation LOCI is a recently developed multi-level leadership coaching implementation strategy that has demonstrated effectiveness in changing organizational climate aligning priorities and enhancing mental health treatment model integration in the US and Norway but has not been adapted to or tested in low-income country settings LOCI has significant potential to address the gaps identified in our current research by aligning leadership priorities to support champions in advancing mental health integration
The overall aim of the proposed study is to evaluate the impact of the combined leadership alignment champion implementation strategy compared to a champion strategy alone on integration of an evidence-based mental health treatment model into multiple medical care settings via a cluster-randomized randomized control trialRCT
Leadership alignment strategies are an understudied but essential ingredient for successful mental health integration efforts This project will make a major contribution to our understanding of the role of leadership alignment in advancing evidence-based mental health integration in LMICs
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01MH133028 | NIH | None | httpsreporternihgovquickSearchR01MH133028 |