Statewide System and Organizational Strategy for EBP Implementation

NCT05344534 | Completed

• 1 other identifier: 200855
• Study Type: interventional
• Target: 479
• Locations: 1 country
• Sites: 1

Brief Summary

This project will test an implementation strategy that seeks to align system, organization, and clinic leadership strategies to implement and sustain the Lyssn artificial intelligence (AI) quality assurance platform to support implementation of Motivational Interviewing (MI) and evidence-based practice (EBP) for substance use disorders. The Leadership and Organizational Change for Implementation - System Level (LOCI-SL) strategy seeks to engage policymakers and funders at the system level to improve implementation leadership, climate, provider attitudes and behaviors at the provider organization level to enhance implementation climate for EBP. LOCI-SL will be tested in a statewide addiction service system through clinics in community based behavioral health organizations.

Conditions

Control; Experimental

Outcome Measures

Primary Outcomes (2)

• Change on Implementation Leadership Scale

  Assesses four dimensions of implementation leadership: knowledge, proactive, perseverent, supportive, scale of 0-4 where higher scores are more positive

  Change from Baseline through study completion, an average of 9 months

• Change on Implementation Climate Scale

  6 dimensions of implementation climate: focus, education, recruitment, selection, recognition, rewards scale of 0-4 where higher scores are more positive

  Change from Baseline through study completion, an average of 9 months

Secondary Outcomes (2)

• Change on Evidence-based Practice Attitudes Scale

  Change from Baseline through study completion, an average of 9 months

• Change on Implementation Citizenship Behavior Scale

  Change from Baseline through study completion, an average of 9 months

Study Arms (2)

Control

NO INTERVENTION

assessment only through online survey

LOCI

EXPERIMENTAL

Leadership and Organizational Change for Implementation strategy

Behavioral: Leadership and Organizational Change for Implementation

Interventions

Leadership and Organizational Change for Implementation BEHAVIORAL

LOCI is data driven leadership development and coaching for clinic managers and working with agency executives and middle managers to foster a strategic implementation climate

LOCI

Eligibility Criteria

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

1. Stakeholders from Oregon Health Authority (OHA), Oregon Alcohol and Drug Policy Commission (ADPC), staff at provider/payer advocacy organizations (e.g., CCO Oregon, Oregon Council for Behavioral Health), and relevant managed care organizations (Coordinated Care Organizations, CCOs), Indiana Department of Mental Health and Addiction (DMHA), or Indiana Department of Child Services (DCS). 2. Executives and/or managers at participating substance use disorder and/or mental health treatment agencies. 3. Clinic managers/supervisors in clinics that provide substance use disorder and/or mental health treatment. 4. Counselors (i.e., service providers) employed at participating agencies that provide substance use disorder and/or mental health treatment.

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

• University of California, San Diego: lead
• University of Central Florida: collaborator
• Pacific Institute for Research and Evaluation: collaborator
• Chestnut Health Systems: collaborator

Study Sites (1)

UC San Diego

La Jolla, California, 92093, United States

Location

MeSH Terms

Interventions

Leadership; Organizational Innovation

Intervention Hierarchy (Ancestors)

Personnel Management; Organization and Administration; Health Services Administration

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Stepped-wedge

Study Record Dates

• First Submitted: April 18, 2022
• First Posted: April 25, 2022
• Study Start: August 30, 2021
• Primary Completion: January 30, 2025
• Study Completion: January 30, 2025
• Last Updated: January 15, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)