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Journal article
Care team and practice-level implementation strategies to optimize pediatric collaborative care: study protocol for a cluster-randomized hybrid type III trial
Implementation science : IS, v 17(1), pp 20-20
22 Feb 2022
PMID: 35193619
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Implementation facilitation is an effective strategy to support the implementation of evidence-based practices (EBPs), but our understanding of multilevel strategies and the mechanisms of change within the "black box" of implementation facilitation is limited. This implementation trial seeks to disentangle and evaluate the effects of facilitation strategies that separately target the care team and leadership levels on implementation of a collaborative care model in pediatric primary care. Strategies targeting the provider care team (TEAM) should engage team-level mechanisms, and strategies targeting leaders (LEAD) should engage organizational mechanisms.
We will conduct a hybrid type 3 effectiveness-implementation trial in a 2 × 2 factorial design to evaluate the main and interactive effects of TEAM and LEAD and test for mediation and moderation of effects. Twenty-four pediatric primary care practices will receive standard REP training to implement Doctor-Office Collaborative Care (DOCC) and then be randomized to (1) Standard REP only, (2) TEAM, (3) LEAD, or (4) TEAM + LEAD. Implementation outcomes are DOCC service delivery and change in practice-level care management competencies. Clinical outcomes are child symptom severity and quality of life.
This statewide trial is one of the first to test the unique and synergistic effects of implementation strategies targeting care teams and practice leadership. It will advance our knowledge of effective care team and practice-level implementation strategies and mechanisms of change. Findings will support efforts to improve common child behavioral health conditions by optimizing scale-up and sustainment of CCMs in a pediatric patient-centered medical home.
ClinicalTrials.gov, NCT04946253 . Registered June 30, 2021.
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Details
- Title
- Care team and practice-level implementation strategies to optimize pediatric collaborative care: study protocol for a cluster-randomized hybrid type III trial
- Creators
- David J Kolko - University of PittsburghElizabeth A McGuier - University of PittsburghRenee Turchi - Drexel UniversityEileen Thompson - American Academy of PediatricsSatish Iyengar - University of PittsburghShawna N Smith - University of Michigan–Ann ArborKimberly Hoagwood - New York University Langone Medical CenterCeleste Liebrecht - University of Michigan–Ann ArborIan M Bennett - University of WashingtonByron J Powell - Washington University in St. LouisKelly Kelleher - The Research Institute at Nationwide Children's HospitalMaria Silva - Allegheny Health NetworkAmy M Kilbourne - University of Michigan–Ann Arbor
- Publication Details
- Implementation science : IS, v 17(1), pp 20-20
- Publisher
- Springer BMC
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000759558500002
- Scopus ID
- 2-s2.0-85125154323
- Other Identifier
- 991019167993904721
UN Sustainable Development Goals (SDGs)
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services