Collaborative Redesign of Implementation Strategies for the Brief Intervention for School Clinicians
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Unadapted Brief Intervention for School Clinicians (BRISC; BR-O), Brief Intervention for School Clinicians (BRISC) with Implementation Strategies Adapted for School-Employed Practitioners (BR-A).
- Who it may be relevant to
- Registry conditions: Anxiety Disorders, Depressive Symptoms, Mental Health Issue. Basic parameters: from 13 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Collaborative Redesign of Implementation Strategies for the Brief Intervention for School Clinicians (BRISC)
Overview
Schools are the most common venue for youth mental health services, but school mental health (SMH) typically does not use evidence-based clinical interventions (CI), common elements of effective mental health, or effective implementation strategies. To address this gap, a multidisciplinary team developed the Brief Intervention for School Clinicians (BRISC), a four-session engagement, brief intervention, and triage strategy targeting a range of mental health (e.g., anxiety, depression, past trauma) and other problems (academic, peer, family). BRISC outperformed SMH usual care on engagement, treatment completion, and youth self-reported problem severity. Although there are many evidence-based SMH strategies such as BRISC, integration into practice is poor because accompanying implementation strategies are often absent, poorly defined, or insufficiently tailored to the education context.
Detailed description
The investigators will evaluate the impact of original BRISC (BR-O) implementation versus adapted BRISC (BR-A) implementation for students referred to SMH on mental health outcomes (i.e., student top problems, anxiety, depression, mental health functioning). The investigators hypothesize:
H-1: In both BR-O and BR-A, more students will experience clinical improvement on mental health outcomes (i.e., top problems, anxiety, depression, mental health functioning) than deteriorate or remain unchanged.
H-2: BR-A will demonstrate noninferiority to BR-O on mental health outcomes.
Interventions
- Behavioral Unadapted Brief Intervention for School Clinicians (BRISC; BR-O)
BRISC is a four-session, individual engagement, assessment, brief intervention and triage strategy for youth age 13-18. BRISC provides a research-based approach to improving structure, efficiency, and effectiveness of school mental health via five elements: (1) Stepped care/tiered structure; (2) Culturally-informed engagement and motivation strategies;(3) Systematic problem-solving framework; (4) Modularized common elements approach; and (5) Structured assessment and monitoring.BRISC is hypothes - Behavioral Brief Intervention for School Clinicians (BRISC) with Implementation Strategies Adapted for School-Employed Practitioners (BR-A)
BR-A is a version of the Brief Intervention for School Clinicians with implementation strategies (IS) adapted for delivery by in the education sector by school-employed practitioners. Although IS modifications will be determined by Study 1 activities, we anticipate that BR-A may include changes to training pacing or format (e.g., asynchronous e-learning modules and videos); adaptations to format/content of consultation; and/ or addition of other ISs to enhance skills development (e.g., developme
Primary outcome measures
- Implementation Strategy Usability Scale (ISUS) [Time frame: Post-training, End of Year 1]
- Participant Responsiveness Scale (PRS) [Time frame: Post-training, End of Year 1]
- Intervention Appropriateness Measure (IAM) [Time frame: Baseline, 3 months, 6 months]
- Adoption [Time frame: Baseline, 3 months, 6 months]
- Reach [Time frame: Baseline, 3 months, 6 months]
- Youth Top Problems (YTP) [Time frame: Baseline, 3 months, 6 months]
- Therapeutic Alliance Scale for Adolescents (TASA) [Time frame: Baseline, 3 months, 6 months]
- Treatment Completion/Triage [Time frame: End of study]
- Patient Health Questionnaire (PHQ-8 for Adolescent) [Time frame: Baseline, 3 months, 6 months]
- Generalized Anxiety Disorder-7 scale (GAD-7) [Time frame: Baseline, 3 months, 6 months]
Secondary outcome measures (2)
- BRISC External Rating Tool (BECT) [Time frame: Baseline, 3 months, 6 months]
- Framework for Modifications and Adaptations of Evidence-Based Interventions [Time frame: Baseline, 3 months, 6 months]
Eligibility criteria
Inclusion criteria
- Clinician participants: Counselors will be included if they (a) provide school-based services; (b) have not previously received formal training in BRISC; and (c) are not actively receiving support to implement another intervention.
- Youth participants: Students must meet eligibility criteria for BRISC including (a) being in grades 9-12 and 13 years or older (b) receiving school mental health services
Exclusion criteria
- Anyone not meeting inclusion criteria.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Health services research
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT06968949 · STUDY00019682 · P50MH115837