Testing a Measurement Feedback App to Improve Data Quality, Supervision & Outcomes in Behavioral Health

Официальное название

RCT of a Measurement Feedback App to Improve Data Quality, Supervision & Outcomes in Behavioral Health

Обзор

The goal of this clinical trial is to test whether a smartphone-based data collection and feedback application ("Footsteps") improves the quality of behavioral data collected by one-to-one aides and leads to better youth mental health outcomes in school-aged youth (ages 4-17) who receive one-to-one support in schools. The main questions it aims to answer are: 1. Does the Footsteps app improve aides' data collection quality (i.e., consistency, timeliness, and completeness)? 2. Does Footsteps use lead to improved youth behavioral health outcomes (e.g., SDQ, YTP scores)? 3. Does Footsteps improve communication and supervision processes between aides and clinical supervisors? Researchers will compare aides using Footsteps to those using a "data collection only" control app to see if Footsteps leads to higher quality data collection, enhanced supervisory communication, and better youth outcomes. Participants will: * Use either Footsteps or a control app to record de-identified data on one client's behaviors and skills over 12 weeks * Complete biweekly online surveys about data collection experiences, youth progress, and aide-supervisor communication * Participate in a virtual intake and post-trial meeting * (For a subset) Participate in a 30-45 minute qualitative interview about their experience using the app

Вмешательства

• Поведенческое Behavioral economics strategies
  Behavioral economics features designed to increase motivation to collect data and ease of data collection on the electronic platform.
• Устройство Electronic platform
  Electronic platform to collect data

Первичные конечные точки

• Strengths and Difficulties Questionnaire total score [Срок оценки: Assessed monthly (Baseline; Weeks 4, 8, and 12)]
• Data collection consistency [Срок оценки: Assessed throughout 12-week trial]
• Data collection timeliness [Срок оценки: Assessed throughout 12-week trial]

Вторичные конечные точки (2)

• Data collection completeness [Срок оценки: Assessed throughout 12-week trial]
• Youth Top Problems [Срок оценки: Assessed biweekly, at baseline through 12-week trial]

Критерии участия

Критерии включения

• Aides must be working with at least one client in school who meets the following criteria: 1) between 3-17 years, 2) has a diagnosis associated with a challenging behavior (e.g., autism spectrum disorder, attention deficit hyperactivity disorder, oppositional defiant disorder) as indicated on their treatment plan, and 3) receiving 1:1 aide support.
• Supervisors must be employed by a community behavior health agency and supervise a participating aide. The investigators will recruit supervisors in dyads and not triads (i.e., no supervisors with two \[or more\] aides) to ensure there are 30 supervisor-aide dyads in total).

Критерии исключения

• Aides who participated in the pilot trial of the Footsteps will be excluded from participating to recruit a sample naïve to Footsteps and the control app.

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

Открытое

Основная цель

Лечение

Центры проведения

США · 1 центр

• University of Pennsylvania — Philadelphia

Публикации

• Nuske HJ, Buck J, Ramesh B, Becker-Haimes EM, Zentgraf K, Mandell DS. Making Progress Monitoring Easier and More Motivating: Developing a Client Data Collection App Incorporating User-Centered Design and Behavioral Economics Insights. Soc Sci (Basel). 2022 Mar;11(3):106. doi: 10.3390/socsci11030106. Epub 2022 Mar 3. PMID 35496358

Идентификаторы

NCT: NCT07042347 · 855228 · R01MH136153

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗