BASIS Optimization

Официальное название

Beliefs and Attitudes for Successful Implementation in Schools (BASIS) Optimization

Обзор

The objective of the BASIS R34 pilot study is to test the impact of eBASIS in a randomized controlled trial (RCT). Consistent with IMPACT's IQM, the study tests effects of eBASIS on treatment fidelity and youth outcomes, compared to a digitally delivered control (N=32 clinicians; 96 clients). A well-established EBP (Cognitive Behavioral Therapy Plus), will be a focus of the investigation, which eligible participants will already be signed up to receive.

Подробное описание

Although evidence-based practices (EBPs) have been extensively developed, they are not widely used in school settings, where up to 80% of youth receive mental health services. This results in reduced impact on youth mental health. The project aims to test the online version of efficient and effective strategy called BASIS to improve the quality of EBP by focusing on individual-level processes, complementing organizational change approaches.

The strategy applies the Theory of Planned Behavior (TPB) to influence key provider behaviors, such as attitudes, subjective norms, and perceived behavioral control, which are central to EBP adoption and fidelity. Preliminary trials on BASIS found significant changes in key theory of planned behavior mechanisms (e.g., attitudes, perceived behavioral control, and social norms) and more engagement in post-training consultation among school school-based clinicians, supporting implementation of evidenced-based social-emotional-behavioral practices. By addressing the intrapersonal mechanisms driving provider decisions, the study aims to improve implementation outcomes in school settings.

The objective of this pilot study is to test the impact of the optimized eBASIS in a randomized controlled trial (RCT). Consistent with IMPACT's IQM, the study tests effects of eBASIS on treatment fidelity and youth outcomes, compared to a digitally delivered control (N=32 clinicians; 96 clients). A well-established EBP (Cognitive Behavioral Therapy Plus), will be a focus of the investigation, which eligible participants will already be signed up to receive.

Вмешательства

• Поведенческое eBASIS
  eBASIS is an online, optimized, and evidence-based practice agnostic implementation strategy that addresses the behavioral component often missing from standard evidence-based practice training and consultation. It relates to motivation before and volition after the evidence-based practice training and targets behavioral intentions by improving attitudes, subjective norms, and self-efficacy. The implementation strategy is designed to be designed to be delivered within the Preparation/Adoption ph
• Поведенческое eAttention Control
  eAC is an online control for eBASIS. Providers assigned to eAttention Control (eAC) will receive pre- and post-training experiences designed to mirror those received in eBASIS. These training experiences will be delivered on the same platform and be approximately the same length as the eBASIS but will not contain any eBASIS content or mechanisms of change. The eAC pre-training experience will define, describe, and advocate for evidence-based practice implementation in schools. Content in eAC wil

Первичные конечные точки

• Evidence-Based Practice Attitude Scale (EBPAS) [Срок оценки: Baseline, immediately after training, 2 weeks after training, 1 month after training, 2 months after training, 3 months after training]
• Subjective Norms [Срок оценки: Baseline, immediately after training, 2 weeks after training, 1 month after training, 2 months after training, 3 months after training]
• Outcome Expectancies [Срок оценки: Baseline, immediately after training, 2 weeks after training, 1 month after training, 2 months after training, 3 months after training]
• Action Self-Efficacy [Срок оценки: Baseline, immediately after training, 2 weeks after training, 1 month after training, 2 months after training, 3 months after training]
• Maintenance Self-Efficacy [Срок оценки: immediately after training, 2 weeks after training, 1 month after training, 2 months after training, 3 months after training]
• Perceived Needs [Срок оценки: Baseline, immediately after training, 2 weeks after training, 1 month after training, 2 months after training, 3 months after training]
• Modified Intention to Implement Scale (MIIS) [Срок оценки: Baseline, immediately after training, 2 weeks after training, 1 month after training, 2 months after training, 3 months after training]
• Intervention Usability Scale (IUS) [Срок оценки: immediately after training, 2 weeks after training, 1 month after training, 2 months after training, 3 months after training]
• Action Plan [Срок оценки: immediately after training, 2 weeks after training, 1 month after training, 2 months after training, 3 months after training]
• Coping Plan [Срок оценки: immediately after training, 2 weeks after training, 1 month after training, 2 months after training, 3 months after training]

Вторичные конечные точки (2)

• School Implementation Leadership Scale (S-ILS) [Срок оценки: 2 weeks after training]
• School Implementation Climate Scale (S-ICS) [Срок оценки: 2 weeks after training]

Критерии участия

Критерии включения

• Mental health provider who spends 2 hours or more providing supports in school setting
• Registered to receive CBT+ training from the WA State EBP Initiative

Критерии исключения

• None

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Организация здравоохранения

Центры проведения

США · 1 центр

• University of Washington — Seattle

Идентификаторы

NCT: NCT06672835 · STUDY00021393 · 5P50MH126219-04

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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