Novel Methods for Implementing Measurement-Based Care for Youth in Low-resource Environments

NCT05644756 | Active Not Recruiting Results

• 2 other identifiers: 1943932-2P50MH126219
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

This study will visit 4 community mental health clinics in Washington state and work with clinic staff to find out if staff are regularly evaluating clinical outcomes using questionnaires (which is also called measurement-based care or MBC). The study team will partner with clinic staff to find out what makes using questionnaires difficult and then plan to improve the use of questionnaires. The study activities will include trainings, interviews, collaborative discussions, and interactive activities.

Conditions

Mental Health

Keywords

Youth Mental Health; Improving Measurement-based Care; Community Mental Health Centers; Implementation Science

Outcome Measures

Primary Outcomes (1)

• Number of Youth Clients Provided Outcome Questionnaires

  Aim 2 Therapists will report on the number of clinical outcome questionnaires administered to youth clients (the total number of outcome questionnaires per client used) before and after engaging in our researcher-driven implementation process.

  We will assess at 6 (pre-implementation), 9 (3 months post-implementation), and 12 (6 months post-implementation) months after enrollment.

Study Arms (1)

Measurement Based Care Implementation

OTHER

Four community mental health clinics located in Washington state will receive trainings on how to implement Measurement Based Care (MBC) in their clinics. We are creating implementation plans to improve therapists' use of measurement-based care.

Behavioral: IMPACT Methods to Identify and Prioritize Determinants (Challenge I), Challenge and Match strategies to Prioritized Determinants (Challenge II)

Interventions

IMPACT Methods to Identify and Prioritize Determinants (Challenge I), Challenge and Match strategies to Prioritized Determinants (Challenge II) BEHAVIORAL

IMPACT Center developed two methods for identifying determinants that involved providers, staff, and youth at community mental health centers in site visit 1: Rapid Ethnographic Assessment, Design Probes. Then, practice partners engage in a facilitated group activity to rate the criticality, chronicity, and ubiquity of the list of determinants in Site Visit 2. Finally, practice partners engage in a third site visit where they create Causal Pathway Diagrams that allow them to match strategies to prioritize determinants and create Implementation Plans.

Measurement Based Care Implementation

Eligibility Criteria

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

You may qualify if:

• Aim 1: Co-create plans for optimizing Measurement Based Care (MBC) implementation for youth with comorbidities. Clinic staff/Therapists (N=180) across 6 CMHCs in Washington state.
• Aged 21+
• Working at a CMHC that is participating in the WA State CBT (Cognitive Behavioral Therapy) + Initiative.
• Aim 2: Compare MBC fidelity post IMPACT Center methods deployment (3-months and 6-months) versus pre-implementation. Clinic staff/Therapists (N=30) across 6 CMHCs in Washington.
• Must be aged 21+
• Working at a CMHC that is participating in the Washington State CBT (Cognitive Behavioral Therapy) + Initiative.

You may not qualify if:

• Aim 1: Clinic staff/Therapists: Unwilling to participate in study activities.
• Aim 2: Clinic staff/Therapists:
• Unwilling to respond to fidelity measure over REDCap

Sponsors & Collaborators

• Kaiser Permanente: lead
• National Institute of Mental Health (NIMH): collaborator
• Brown University: collaborator

Study Sites (1)

KPWHRI

Seattle, Washington, 98101, United States

Location

Related Publications (2)

• Martinez RG, Weiner BJ, Meza RD, Dorsey S, Palazzo LG, Matson A, Bain C, Mettert KD, Pullmann MD, Lewis CC. Study protocol: Novel Methods for Implementing Measurement-Based Care with youth in Low-Resource Environments (NIMBLE). Implement Sci Commun. 2023 Nov 28;4(1):152. doi: 10.1186/s43058-023-00526-z.

  PMID: 38017522 BACKGROUND

• Martinez RG, Cramer ER, Norris LA, Matson A, Lang C, Henrikson NB, Blasi PR, Palazzo LG, Hoopes AJ, Dorsey S, Weiner BJ. Short Report: Comparison of three methods for identifying implementation determinants to measurement-based care. Res Sq [Preprint]. 2025 Nov 19:rs.3.rs-7973723. doi: 10.21203/rs.3.rs-7973723/v1.

  PMID: 41333394 DERIVED

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Results Point of Contact

• Title: Dr. Ruben Martinez
• Organization: Brown University

ruben_martinez@brown.edu

4014441915

Study Officials

• Ruben G Martinez, PhD

  Kaiser Permanente

  STUDY DIRECTOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 18, 2022
• First Posted: December 9, 2022
• Study Start: October 25, 2022
• Primary Completion: July 31, 2024
• Study Completion: August 31, 2025
• Last Updated: July 2, 2025
• Results First Posted: July 2, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)