NCT04221633

Brief Summary

For the current study, the investigators will develop, implement, and evaluate web-based and consultative training for Family Advocates employed at Children's Advocacy Centers (CACs) across the United States to enhance children's early engagement in evidence-based mental health treatment. The interactive web-based training will embed key targets of knowledge and skills related to family engagement, trauma, evidence-based practices (EBP), and EBP services in the community. Seventy-five CACs who apply to participate in training will be randomized to a webinar-only training group, a webinar plus consultation training group, and a delayed (waitlist) control group. It is hypothesized that the Family Advocates and CAC Directors will report high levels of satisfaction with the training. More importantly, it is also hypothesized that webinar training will improve Family Advocates' knowledge, resulting in minor improvement in EBP engagement, while the addition of consultation in the second training group will lead to increased use of engagement skills, thereby resulting in greater improvement in family engagement in EBP.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
297

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2019

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
unknown

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 11, 2019

Completed
2 days until next milestone

First Submitted

Initial submission to the registry

December 13, 2019

Completed
27 days until next milestone

First Posted

Study publicly available on registry

January 9, 2020

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 4, 2021

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 30, 2021

Completed
Last Updated

January 13, 2021

Status Verified

January 1, 2021

Enrollment Period

1.1 years

First QC Date

December 13, 2019

Last Update Submit

January 11, 2021

Conditions

Outcome Measures

Primary Outcomes (3)

  • Rate of child engagement in mental health services

    Caregiver report (via Outcome Management System \[OMS\] survey on a yes/no item) if family attended the first appointment of mental health services they were referred to be the CAC.

    Tracked over the course of one year for all families seen at the CAC.

  • Score on 45-item Knowledge Assessment

    Questionnaire of knowledge-based multiple choice and true/false questions, assessing knowledge of evidence-based engagement skills, trauma, evidence-based treatments, and mental health screening, yielding a total correct out of 45

    Through study completion, up to one year

  • Rate of evidence-based Engagement Skills survey

    Advocate self-report of use of evidence-based engagement skills via a 39-item survey with skills utilized ranked on 5-point Likert scale (not at all to extensively); Caregiver report of advocate use of skills via three items on the OMS Survey, rating Advocate use of skills on a 4-point Likert scale (strongly agree to Strongly Disagree)

    Through study completion, up to one year

Study Arms (3)

Webinar only

EXPERIMENTAL

Participants in this arm will attend a webinar training program (3 webinars over the course of 4 to 8 weeks) to receive training in evidence-based engagement strategies, trauma, evidence-based practices, and mental health screening.

Behavioral: Enhancing Early Engagement (E3) webinar

Webinar plus consultation

EXPERIMENTAL

Participants in this arm will receive the same webinar training as subjects in arm 1, but they will also receive 10 consultation calls over the course of four months to further develop their skills in engaging families and screening for mental health services.

Behavioral: Enhancing Early Engagement (E3) webinarBehavioral: Consultation for E3 training

Delayed training group

NO INTERVENTION

This group will not receive any training for the duration of the study year, in order to serve as a waitlist control group. They will be eligible to receive the training after the randomized control trial has been completed.

Interventions

Webinar-based training to provide information regarding evidence-based engagement strategies (e.g., motivational interviewing, McKay's engagement model), trauma, mental health screening, and identifying evidence-based mental health treatments for children.

Webinar onlyWebinar plus consultation

10 consultation calls with experts in engagement, child trauma, and mental health screening to support the webinar training

Webinar plus consultation

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Fully accredited by NCA
  • Directly provides EBP for child mental health or has established and demonstrated linkages for services in the community
  • Participates in OMS
  • Has Memorandum of Understanding (MOU) or data sharing agreements with all referral sources
  • Both CAC directors and Family Advocate(s) must demonstrate commitment to the training and data collection procedures.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

National Children's Alliance

Washington D.C., District of Columbia, 20002, United States

Location

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73117, United States

Location

Related Publications (1)

  • Taylor EK, Dopp AR, Lounsbury K, Thompson Y, Miller M, Jorgensen A, Silovsky JF. Enhancing Early Engagement (E3) in mental health services training for children's advocacy center's victim advocates: feasibility protocol for a randomized controlled trial. Pilot Feasibility Stud. 2021 Dec 6;7(1):212. doi: 10.1186/s40814-021-00949-2.

MeSH Terms

Conditions

Psychological Trauma

Interventions

Referral and Consultation

Condition Hierarchy (Ancestors)

Stress Disorders, TraumaticTrauma and Stressor Related DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Professional PracticeOrganization and AdministrationHealth Services Administration

Study Officials

  • Jane F Silovsky, Ph.D.

    University of Oklahoma

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SCREENING
Intervention Model
PARALLEL
Model Details: The current clinical trial involves three conditions (N=25 each): webinar-training only, webinar training plus consultation, and waitlist control.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 13, 2019

First Posted

January 9, 2020

Study Start

December 11, 2019

Primary Completion

January 4, 2021

Study Completion

October 30, 2021

Last Updated

January 13, 2021

Record last verified: 2021-01

Locations