CSC OnDemand: An Innovative Online Learning Platform for Implementing Coordinated Specialty Care

NCT03465371 | Completed

• 1 other identifier: 4R44MH111283-02
• Study Type: interventional
• Target: 349
• Locations: 1 country
• Sites: 1

Brief Summary

In response to the growing need for training on interventions to address first episode psychosis, the Center for Social Innovation (C4) partnered with experts in Coordinated Specialty Care (CSC) to develop and test CSC OnDemand: An Innovative Online Learning Platform for Implementing Coordinated Specialty Care. The product builds on the findings of the Recovery After an Initial Schizophrenia Episode (RAISE) studies, funded by the National Institute of Mental Health (NIMH). RAISE examined team-based models of care for people early in the course of schizophrenia. Through a Fast Track Small Business Innovation Research (SBIR) grant, investigators will prototype, test, refine, and evaluate the impact of CSC OnDemand.

Conditions

Psychosis

Outcome Measures

Primary Outcomes (2)

• Provider-level: Success in increasing CSC providers knowledge of CSC

  CSC knowledge will be assessed with a 50-item, complex, multiple-choice test (25 common across disciplines, 25 discipline-specific), which will be created in conjunction with the intervention modules and will be piloted in Phase I. The outcome will be the percentage of correct responses.

  Up to 9 months

• Provider-level: Success in increasing CSC providers shared decision making

  Shared Decision Making Questionnaire-physician version (SDM-Q-Doc) is a standardized brief instrument (9 items) for assessing SDM in clinical encounters. SDM-Q-Doc was developed for physicians, but has been adapted to all healthcare professionals. The instrument consists of 9 statements rated on a 6-point scale from "completely disagree" (0) to "completely agree" (5). The items are summed to create a total score.

  Up to 9 months

Secondary Outcomes (3)

• Client-level: Work/School Participation

  Up to 9 months

• Client-level: Engagement

  Up to 9 months

• Client-level: Psychiatric Hospitalization

  Up to 9 months

Study Arms (3)

OnDemand Training Intervention

EXPERIMENTAL

Participants receiving the OnDemand Training Intervention

Other: CSC OnDemand Training Intervention

InPerson Intervention

ACTIVE COMPARATOR

Participants receiving the InPerson Intervention

Other: InPerson Intervention

Virtual InPerson Intervention

ACTIVE COMPARATOR

Participants receiving the Virtual InPerson Intervention (the InPerson training via Zoom)

Other: Virtual InPerson Intervention

Interventions

CSC OnDemand Training Intervention OTHER

Level 1: Readiness Online readiness tool Level 2: Core Knowledge Week 1-self-paced core curriculum, totaling 8 hours of instruction Level 3: Going Deeper Week 2-instructor-led, role-specific, and advanced topics, totaling 12 hours of instruction Level 4: Sustainability 9 months of online community of practice support; a discussion forum; open office hours with experts; multisite case conferencing; access to online materials

OnDemand Training Intervention

InPerson Intervention OTHER

Level 1: Readiness Telephone conversations with program leaders to determine structures, roles, staffing, recruitment Level 2: Core Knowledge 1 day of in-person training on FEP basics and CSC components Level 3: Going Deeper 1.5 days of in-person training on how the team works, followed by breakout sessions by role Level 4: Sustainability 9 months of monthly implementation coaching calls with team leads; monthly telephone case conferences; monthly care coordination calls split out by role

InPerson Intervention

Virtual InPerson Intervention OTHER

Level 1: Readiness Telephone conversations with program leaders to determine structures, roles, staffing, recruitment Level 2: Core Knowledge 1 day of virtual (via Zoom) in-person training on FEP basics and CSC components Level 3: Going Deeper 1.5 days of virtual (via Zoom) in-person training on how the team works, followed by breakout sessions by role Level 4: Sustainability 9 months of monthly implementation coaching calls with team leads; monthly telephone case conferences; monthly care coordination calls split out by role

Virtual InPerson Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Agencies will need to provide:
• direct care to individuals with early psychosis;
• administrative-level support for training and use of the CSC model;
• an entire treatment team that is willing to participate in this team-based intervention;
• contact information for direct service staff;
• support for the study, including a staff person to serve as a liaison to work with the research team;
• access to the Internet during the intervention period; and
• a willingness to provide data and participate in the evaluation.

You may not qualify if:

• Teams should not have previously received CSC training.

Sponsors & Collaborators

• Center for Social Innovation, Massachusetts: lead
• Dartmouth College: collaborator
• University of Maryland: collaborator
• New York State Psychiatric Institute: collaborator

Study Sites (1)

Center for Social Innovation

Needham, Massachusetts, 02494, United States

Location

MeSH Terms

Conditions

Psychotic Disorders

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders

Study Officials

• Kathleen Ferreira, PhD

  C4 Innovations

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A 3-arm randomized controlled trial

Study Record Dates

• First Submitted: February 20, 2018
• First Posted: March 14, 2018
• Study Start: October 1, 2018
• Primary Completion: January 31, 2022
• Study Completion: January 31, 2022
• Last Updated: May 2, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will share

Locations

US (1)