Abstract
BackgroundEvidence-based treatments (EBTs) are available for treating childhood behavioral health challenges. Despite EBTs’ potential to help children and families, they have primarily remained in university settings. Little empirical evidence exists regarding how specific, commonly used training and quality control models are effective in changing practice, achieving full implementation, and supporting positive client outcomes.Methods/designThis study (NIMH RO1 MH095750; ClinicalTrials.gov Identifier: NCT02543359), which is currently in progress, will evaluate the effectiveness of three training models (Learning Collaborative (LC), Cascading Model (CM), and Distance Education (DE)) to implement a well-established EBT , Parent-Child Interaction Therapy, in real-world, community settings. The three models differ in their costs, skill training, quality control methods, and capacity to address broader implementation challenges. The project is guided by three specific aims: (1) to build knowledge about training outcomes, (2) to build knowledge about implementation outcomes, and (3) to test the differential impact of training clinicians using LC, CM, and DE models on key client outcomes. Fifty (50) licensed psychiatric clinics across Pennsylvania were randomized to one of the three training conditions: (1) LC, (2) CM, or (3) DE. The impact of training on practice skills (clinician level) and implementation/sustainment outcomes (clinic level) are being evaluated at four timepoints coinciding with the training schedule: baseline, 6 (mid), 12 (post), and 24 months (1 year follow-up). Immediately after training begins, parent–child dyads (client level) are recruited from the caseloads of participating clinicians. Client outcomes are being assessed at four timepoints (pre-treatment, 1, 6, and 12 months after the pre-treatment).DiscussionThis proposal builds on an ongoing initiative to implement an EBT statewide. A team of diverse stakeholders including state policy makers, payers, consumers, service providers, and academics from different, but complementary areas (e.g., public health, social work, psychiatry), has been assembled to guide the research plan by incorporating input from multidimensional perspective.Trial registrationClinicalTrials.gov: NCT02543359
Highlights
Evidence-based treatments (EBTs) are available for treating childhood behavioral health challenges
Sophisticated Distance Education (DE) methods have the advantage of being cost-effective and the potential to make a broader public health impact given that more clinicians could access an online system than could attend in-person training
Innovation and anticipated contribution This study offers a direct comparison of the effectiveness of three training models to implement Parent–Child Interaction Therapy (PCIT), a wellestablish EBT, within community settings
Summary
Innovation and anticipated contribution This study offers a direct comparison of the effectiveness of three training models to implement PCIT, a wellestablish EBT, within community settings. By using an intent-to-train model, the study design allows for the continued tracking of professionals, as they change employment location or status Through this design, we are able to continually collect data on clinician use of PCIT, as well as family outcomes, regardless of staff movement. Participating professionals were not replaced at the clinic level This allowed for data collection to remain consistent over time while providing information about the frequency and nature of staff movement occurring in community mental health settings. One clinic reported that reorganizing resulted in about 30 % of staff leaving the organization within a few weeks, which impacted the roles and demands of participating team members The scale of this community-based study spanning across 50 agencies in 37 mental health systems led to additional considerations specific to project implementation. An online data collection system was developed because participants were located across a large geographic area, which changed many of our team’s established recruitment and retention strategies
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
