Collaborative Redesign of Implementation Strategies for the Brief Intervention for School Clinicians

Официальное название

Collaborative Redesign of Implementation Strategies for the Brief Intervention for School Clinicians (BRISC)

Обзор

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.

Подробное описание

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.

Вмешательства

• Поведенческое 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
• Поведенческое 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

Первичные конечные точки

• Implementation Strategy Usability Scale (ISUS) [Срок оценки: Post-training, End of Year 1]
• Participant Responsiveness Scale (PRS) [Срок оценки: Post-training, End of Year 1]
• Intervention Appropriateness Measure (IAM) [Срок оценки: Baseline, 3 months, 6 months]
• Adoption [Срок оценки: Baseline, 3 months, 6 months]
• Reach [Срок оценки: Baseline, 3 months, 6 months]
• Youth Top Problems (YTP) [Срок оценки: Baseline, 3 months, 6 months]
• Therapeutic Alliance Scale for Adolescents (TASA) [Срок оценки: Baseline, 3 months, 6 months]
• Treatment Completion/Triage [Срок оценки: End of study]
• Patient Health Questionnaire (PHQ-8 for Adolescent) [Срок оценки: Baseline, 3 months, 6 months]
• Generalized Anxiety Disorder-7 scale (GAD-7) [Срок оценки: Baseline, 3 months, 6 months]

Вторичные конечные точки (2)

• BRISC External Rating Tool (BECT) [Срок оценки: Baseline, 3 months, 6 months]
• Framework for Modifications and Adaptations of Evidence-Based Interventions [Срок оценки: Baseline, 3 months, 6 months]

Критерии участия

Критерии включения

• 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

Критерии исключения

• Anyone not meeting inclusion criteria.

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Организация здравоохранения

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT06968949 · STUDY00019682 · P50MH115837

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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