Oregon Supplement: Supporting Sustainable Positive Interactions in the Child Welfare System: The R3 Supervisor Strategy

NCT05475457 | Completed

• 2 other identifiers: R01DA040416-S1R01DA040416
• Study Type: observational
• Target: 404
• Locations: 1 country
• Sites: 1

Brief Summary

This administrative supplement capitalized on the preliminary positive outcomes from the primary parent grant award (R01DA040416), and lessons learned from the implementation of the R3 Supervisor Strategy (R3) throughout the participating four regions (12 counties) in Tennessee. This project aimed to pilot the implementation of R3 with a new sample, a cohort of counties in Oregon particularly affected by the current opioid epidemic, for potential scale-up.

Conditions

Evidence-Based Practice

Outcome Measures

Primary Outcomes (23)

• Mean Changes in Organizational Support of Evidence-Based Practices from Baseline to 18-Months Post-Baseline

  Changes in overall organizational support of evidence-based practices (i.e., R3) as measured through the Implementation Citizenship Behavior Scale's (ICBS) total score. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Organizational Assistance Implementing Evidence-Based Practices from Baseline to 18-Months Post-Baseline

  Changes in the organization helping others implement Evidence-Based Practices (i.e., R3) as measured through the Implementation Citizenship Behavior Scale's (ICBS) "Helping Other's" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in the Organization Keeping Others Informed of Evidence-Based Practices Changes and Needs from Baseline to 18-Months Post-Baseline

  Changes in the organization keeping others informed of changes and needs in evidence-based practices (i.e., R3) as measured through the Implementation Citizenship Behavior Scale's (ICBS) "Keeping Informed" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in the Organizational Climate for Implementing Evidence-Based Practices from Baseline to 18-Months Post-Baseline

  Changes in organizational climate for implementing evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) total score. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in the Organizational Focus on Evidence-Based Practices from Baseline to 18-Months Post-Baseline

  Changes in organizational focus on evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) "Focus on Evidence-Based Practices" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in the Organization's Educational Support for Evidence-Based Practices from Baseline to 18-Months Post-Baseline

  Changes in the organization's educational support for evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) "Educational Support for Evidence-Based Practices" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Organizational Recognition for Evidence-Based Practices from Baseline to 18-Months Post-Baseline

  Changes in the organization's recognition for evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) "Recognition for Evidence-Based Practices" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Organizational Rewards for Evidence-Based Practices from Baseline to 18-Months Post-Baseline

  Changes in the organization's rewards for using evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) "Rewards for Evidence-Based Practices" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in the Organization's Selection for Evidence-Based Practices from Baseline to 18-Months Post-Baseline

  Changes in the organization's selection for evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) "Selection for Evidence-Based Practices" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in the Organization's Selection for Openness to New Practices from Baseline to 18-Months Post-Baseline

  Changes in the organization's selection for openness to implement new practices as measured by the Implementation Climate Scale's (ICS) "Selection for Openness" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Supervisors' Self-Reported Leadership Abilities for Implementation from Baseline to 18-Months Post-Baseline

  Changes in supervisors' self-reported leadership abilities for implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) total score. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Supervisors' Self-Reported Ability to Provide Proactive Leadership from Baseline to 18-Months Post-Baseline

  Changes in supervisors' self-reported ability to provide proactive leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Proactive Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Supervisors' Self-Reported Ability to Provide Knowledgeable Leadership from Baseline to 18-Months Post-Baseline

  Changes in supervisors' self-reported ability to provide knowledgeable leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Knowledgeable Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Supervisors' Self-Reported Ability to Provide Supportive Leadership from Baseline to 18-Months Post-Baseline

  Changes in supervisors' self-reported ability to provide supportive leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Supportive Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Supervisors' Self-Reported Ability to Provide Perseverant Leadership from Baseline to 18-Months Post-Baseline

  Changes in supervisors' self-reported ability to provide perseverant leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Perseverant Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Supervisors' Leadership Ability for Implementation from Baseline to 18-Months Post-Baseline

  Changes in staff perceptions of their supervisors' leadership abilities for implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) total score. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Supervisors' Ability to Provide Proactive Leadership from Baseline to 18-Months Post-Baseline

  Changes in staff perceptions of their supervisors' ability to provide proactive leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Proactive Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Supervisors' Ability to Provide Knowledgeable Leadership from Baseline to 18-Months Post-Baseline

  Changes in staff perceptions of their supervisors' ability to provide knowledgeable leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Knowledgeable Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Supervisors' Ability to Provide Supportive Leadership from Baseline to 18-Months Post-Baseline

  Changes in staff perceptions of their supervisors' ability to provide supportive leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Supportive Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Supervisors' Ability to Provide Perseverant Leadership from Baseline to 18-Months Post-Baseline

  Changes in staff perceptions of their supervisors' ability to provide perseverant leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Perseverant Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Organizational Commitment to Implementing Changes from Baseline to 18-Months Post-Baseline

  Changes in staff perceptions of their organization's commitment to implementing changes as measured by the Organizational Readiness for Implementing Change's (ORIC) "Change Commitment" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Organizational Effectiveness in Implementing Changes from Baseline to 18-Months Post-Baseline

  Changes in staff perceptions of their organization's effectiveness in implementing changes as measured by the Organizational Readiness for Implementing Change's (ORIC) "Change Efficacy" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

• Mean Changes in Organizational Readiness to Implement Changes from Baseline to 18-Months Post-Baseline

  Changes in staff perceptions of their organization's overall readiness in implementing changes as measured by the Organizational Readiness for Implementing Change's (ORIC) total score. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

  Baseline to 18-months Post-Baseline

Study Arms (2)

Oregon County 1

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

Behavioral: R3

Oregon County 2

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

Behavioral: R3

Interventions

R3 BEHAVIORAL

Training, consultation, and fidelity-monitoring to supervisors in the child welfare system to reinforce (1) effort, (2) relationships and roles, and (3) small steps toward goal achievement.

Oregon County 1; Oregon County 2

Eligibility Criteria

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

Study Population

Study participants include casework supervisors in the child welfare system (CWS) from two counties most heavily impacted by the opioid and methamphetamine crisis (Lane and Douglas county).

You may qualify if:

• Oregon Child welfare workforce employee in a participating county.

You may not qualify if:

• \- Contract Workers

Sponsors & Collaborators

• Oregon Social Learning Center: lead
• National Institute on Drug Abuse (NIDA): collaborator

Study Sites (1)

Oregon Social Learning Center

Eugene, Oregon, 97401, United States

Location

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: July 22, 2022
• First Posted: July 27, 2022
• Study Start: April 8, 2019
• Primary Completion: July 16, 2021
• Study Completion: July 16, 2021
• Last Updated: July 27, 2022

Record last verified: 2022-07

Locations

US (1)