Ignite Creation Date:
2024-07-17 @ 11:54 AM
Last Modification Date:
2024-10-26 @ 3:34 PM
Study NCT ID:
NCT06494384
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-07-11
First Post:
2024-07-02
Brief Title:
Implementation of Problem-Solving Treatment in Community Health Centers PST-Aid
Sponsor:
University of Washington
Organization:
University of Washington
Study Overview
Official Title:
Type III Hybrid Effectiveness-Implementation Trial of a Clinical Decision Support System for the Implementation of Problem-Solving Treatment in Community Health Centers
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-07
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:
None
Brief Summary:
Although evidence-based clinical interventions CI are a preferred treatment option for patients with depression CIs are rarely available in community primary care settings When available CIs are often delivered with poor fidelity and abandoned by practitioners during the initial months post-training Identifying effective implementation strategies to support the adoption reach and sustained use with fidelity of these CIs could enhance the effectiveness of primary care-based treatment of depression as primary care is where most treatment for this disorder is delivered Current models of primacy care practitioner training and supervision follow standard formal didactic procedures that might not be sufficient for successful adoption high-fidelity delivery and sustainment of CIs Automated decision support tools and feedback systems embedded in health informatics technology have been found to be effective in supporting the use of best practices and hence might be useful for the transition from training to sustained CI use In practice however these tools are ignored by practitioners have mixed success on outcomes and can hinder clinical care owing to poor design Problem Solving Treatment Aid PST-Aid an educate and reorganize implementation strategy is a web-based app that promotes practitioner-client collaboration in the use of PST for goal setting and action planning A pilot randomized trial comparing Problem Solving Treatment PST training-as-usual to training plus PST-Aid found PST-Aid was deemed to be appropriate and usable to both practitioner and client users with preliminary support for benefits in depression outcomes
Detailed Description:
This study is a hybrid type III effectiveness-implementation randomized clinical trial comparing standard PST implementation with PST augmented by the PST-Aid implementation strategy The study will test whether
1 PST Aid results in improved implementation outcomes initial and sustained fidelity adoption reach and reduced reactive adaptations
2 Changes in usability engagement and appropriateness mediate the effect of PST Aid on implementation outcomes and
3 PST Aid is more effective in reducing client depressive symptoms and improving functioning
1 PST Aid results in improved implementation outcomes initial and sustained fidelity adoption reach and reduced reactive adaptations
2 Changes in usability engagement and appropriateness mediate the effect of PST Aid on implementation outcomes and
3 PST Aid is more effective in reducing client depressive symptoms and improving functioning
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 |
|---|---|---|---|
| P50MH115837-06 | NIH | None | None |