NCT03108638

Brief Summary

Opportunities to implement and evaluate system-wide change are rare. This observational, Hybrid II study leverages a real-world, system-initiated roll-out of R3, a supervisor-targeted implementation strategy aimed at infusing the use of evidence-based principles across multiple levels of the workforce within a public child welfare system. This project aims to study the effectiveness of R3 in impacting organizational inner-context variables and subsequent positive outcomes for one of the nation's most costly and vulnerable populations-families involved in the child welfare system.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
531

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Sep 2015

Longer than P75 for all trials

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 15, 2015

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

June 14, 2016

Completed
10 months until next milestone

First Posted

Study publicly available on registry

April 11, 2017

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2021

Completed
Last Updated

December 17, 2021

Status Verified

November 1, 2021

Enrollment Period

5.9 years

First QC Date

June 14, 2016

Last Update Submit

December 16, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Examination of child welfare supervisor ratings using the Fidelity of R3 Implementation for Supervisors (FRI_S) standardized measurement.

    The Fidelity of R3 Implementation for Supervisors (FRI\_S) measure will be used to rate supervisors' monthly delivery of the R3 model with fidelity over time, from baseline to 36 months.

    Monthly for 3 years from baseline to 36 months

Secondary Outcomes (1)

  • Organizational Climate, Leadership, Readiness, Attitudes toward Evidence-Based Practice:

    Once a year for 3 years

Study Arms (4)

R3 Supervisor Strategy Region 1

First cohort to be trained and monitored with remote coaching in the R3 model

Behavioral: R3 Supervisor Implementation Strategy

R3 Supervisor Strategy Region 2

Second cohort to be trained and monitored with remote coaching in the R3 model

Behavioral: R3 Supervisor Implementation Strategy

R3 Supervisor Strategy Region 3

Third cohort to be trained and monitored with remote coaching in the R3 model

Behavioral: R3 Supervisor Implementation Strategy

R3 Supervisor Strategy Region 4

Fourth cohort to be trained and monitored with remote coaching in the R3 model

Behavioral: R3 Supervisor Implementation Strategy

Interventions

Supervisors will be trained to provide supervision to their caseworkers using R3 principles and strategies. Monthly monitoring and remote coaching will be provided.

Also known as: R3
R3 Supervisor Strategy Region 1R3 Supervisor Strategy Region 2R3 Supervisor Strategy Region 3R3 Supervisor Strategy Region 4

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The population being studied is the child welfare workforce including supervisors and their staff

You may qualify if:

  • Child Welfare Workforce in the state of Tennessee

You may not qualify if:

  • Contract Workers

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Behavior

Study Officials

  • Lisa Saldana, PhD

    OSLC

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 14, 2016

First Posted

April 11, 2017

Study Start

September 15, 2015

Primary Completion

July 31, 2021

Study Completion

July 31, 2021

Last Updated

December 17, 2021

Record last verified: 2021-11

Data Sharing

IPD Sharing
Will not share