Brief Online Training (BOLT) for Routine Outcome Monitoring

NCT05041517 | Completed

• 2 other identifiers: 52550R34MH109605
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this project is to improve school-based services by developing and testing an online training and consultation system to facilitate the use of measurement-based care (also known and referenced in original grant as routine outcome monitoring). Measurement-based care (MBC) is the target intervention because it is an EBP with extensive empirical support for its ability to improve mental health service outcomes and is a feasible and cost-effective option. Following the iterative development of the BOLT training and consultation package (phases 1-4), the investigators will conduct a randomized control pilot trial (phase 5) to test the (1) impact of the package on MBC knowledge, attitudes and use, (2) impact of varying degrees of consultation dosage on weekly assessments of MBC use, and (3) moderators and mechanisms of impact.

Conditions

Mental Health Issue; Adoption of Measurement-Based Care (MBC)

Outcome Measures

Primary Outcomes (4)

• Current Assessment Practice Evaluation - Revised (CAPER) - Change of use of MBC

  The CAPER includes the original four-item CAPE measure plus three new items to assess use of individualized assessment. It assesses clinician self-reported use of the full range of MBC practices including administration of individualized/standardized assessments at different points during treatment, client feedback on assessment results, and using assessment results to inform treatment. All items are scored on a 1-4 scale, with anchors signifying percent of clients they used the practice with: 1 = None (0%), 2 = Some (1-39%), 3 = Half (40-60%), 4 = Most (61-100%).

  Baseline, Weeks 2-32

• Monitoring & Feedback Attitudes Scale (MFAS) - Change of attitudes about MBC use

  The purpose of this measure is to collect information on attitudes on routine progress monitoring (or measurement-based care). Monitoring and Feedback Attitudes Scale (MFA; Jensen-Doss, Becker, Smith, Lyon, Lewis, Stanick, \& Hawley, 2018) responses range from 1 ("Strongly Disagree") to 5 ("Strongly Agree"). The MFA has two subscales: (1) Benefit (i.e., facilitating collaboration with clients) and (2) Harm (i.e., harmful for therapeutic alliance, misuse by administrators).

  Baseline, Weeks: 2,4,6,8,10,16,20,24,28,32

• MBC Knowledge Questionnaire (MBCKQ) - Change of knowledge about MBC

  The purpose of this questionnaire is to measure MBC knowledge. The 28-item, multiple-choice MBCKQ was iteratively developed based on the key content and learning objectives of the MBC training modules.

  Baseline, Weeks: 2,4,6,8,10,16,20,24,28,32

• Routine-Outcome Monitoring Skill - Change of skill of MBC use

  The purpose of this measure is to collect information on clinician familiarity and use of routine outcome monitoring (both individualized and standardized assessment tools). Items address selection of clients for administration as well as tool selection, administration, scoring, interpretation, integration into treatment, feedback, and progress monitoring. In previous samples, the scale had good internal consistency (Cronbach's α = .85). Responses are ratings about skill level and practice, ranging from 1 (''Minimal'') to 5 (''Advanced''). Items are averaged to create a total assessment skill score.

  Baseline, Weeks: 2,4,6,8,10,16,20,24,28,32

Study Arms (4)

Control

NO INTERVENTION

No intervention

BOLT + 1 PTC

EXPERIMENTAL

BOLT Training + 1 PTC Call

Behavioral: BOLT + PTC

BOLT + 2 PTC

EXPERIMENTAL

BOLT Training + 2 PTC Calls

Behavioral: BOLT + PTC

BOLT + 4 PTC

EXPERIMENTAL

BOLT Training + 4 PTC Calls

Behavioral: BOLT + PTC

Interventions

BOLT + PTC BEHAVIORAL

BOLT is a Brief Online Training (BOLT) for Measurement-Based Care (MBC). Participants in the BOLT condition were subsequently randomized into varying amounts of post-training consultation (PTC).

BOLT + 1 PTC; BOLT + 2 PTC; BOLT + 4 PTC

Eligibility Criteria

• Age: 22 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Between 22-80 years of age
• Employed as a School-Based Mental Health provider
• Must routinely provide individual-level interventions or therapy to students and spend \>50% of their time providing services in schools

You may not qualify if:

• Being younger than 22 or older than 80
• Not being employed as a School-Based Mental Health provider
• Don't provide individual-level interventions or therapy to students nor spend \>50% of their time providing services in schools.

Sponsors & Collaborators

• University of Washington: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

University of Washington

Seattle, Washington, 98115, United States

Location

Related Publications (1)

• Lyon AR, Liu FF, Connors EH, King KM, Coifman JI, Cook H, McRee E, Ludwig K, Law A, Dorsey S, McCauley E. How low can you go? Examining the effects of brief online training and post-training consultation dose on implementation mechanisms and outcomes for measurement-based care. Implement Sci Commun. 2022 Jul 22;3(1):79. doi: 10.1186/s43058-022-00325-y.

  PMID: 35869500 DERIVED

Study Officials

• Aaron Lyon, PhD

  University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor, School of Medicine: Psychiatry

Study Record Dates

• First Submitted: August 26, 2021
• First Posted: September 13, 2021
• Study Start: February 16, 2017
• Primary Completion: July 16, 2019
• Study Completion: December 31, 2020
• Last Updated: September 13, 2021

Record last verified: 2021-09

Locations

US (1)