CSC OnDemand: An Innovative Online Learning Platform for Implementing Coordinated Specialty Care
NCT ID: NCT03465371
Last Updated: 2022-05-02
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
349 participants
INTERVENTIONAL
2018-10-01
2022-01-31
Brief Summary
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Detailed Description
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During Phases I and II of this Fast Track SBIR, the investigators prototyped, pilot tested, built out, and evaluated the product through a cluster randomized study comparing it with InPerson training (and due to the global pandemic, a "virtual" in person training, using Zoom to train with the same curriculum as in-person, creating (unexpectedly) three study arms).
Phase I built a robust prototype of the online platform and tested it with 16 providers from three sites. This phase explored feasibility, acceptability, and preliminary effectiveness of the product, and examined which components of the online platform providers found most useful.
Based on our findings from Phase I, the investigators refined and fully built out the product to test in a larger randomized trial. Phase II used a cluster randomized non-inferiority design to assess if OnDemand training (n = 20 sites) was comparable to InPerson training (n = 10 sites). Using a mixed-methods approach, the investigators examined provider (n enrolled was 239; after attrition 206) outcomes (satisfaction; knowledge gains/retention; attitudes toward shared decision making) and client (n = 110) outcomes (work/school participation; engagement in CSC services; inpatient psychiatric hospitalizations).
The study was guided by the following specific aims:
Phase II AIM 1: To refine, expand, and finalize CSC OnDemand based on Phase I findings.
AIM 2: To examine the differences in outcomes of OnDemand training intervention as compared to the InPerson and Virtual In Person interventions as it related to CSC providers knowledge and shared decision making (SDM). Hypothesis: Providers in the OnDemand condition will achieve increases in knowledge, SDM and satisfaction at post training and nine months that will be no more than .5 standard deviations less than the InPerson or Virtual InPerson condition.
AIM 3: To determine if the OnDemand training intervention is as successful as the InPerson or Virtual InPerson training in increasing participation in work or school, improving engagement in treatment, and decreasing relapse rates for participating clients. Hypothesis: Clients being served by the providers in the OnDemand condition will have work/school participation rates, levels of engagement and rates of hospitalization nine months after admission that are no more than 10 percent higher (hospitalization) or lower (work/school, engagement) than clients served by providers in the InPerson or Virtual InPerson condition.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Virtual InPerson Intervention
Participants receiving the Virtual InPerson Intervention (the InPerson training via Zoom)
Virtual InPerson Intervention
Level 1: Readiness
Telephone conversations with program leaders to determine structures, roles, staffing, recruitment
Level 2: Core Knowledge
1 day of virtual (via Zoom) in-person training on FEP basics and CSC components
Level 3: Going Deeper
1.5 days of virtual (via Zoom) in-person training on how the team works, followed by breakout sessions by role
Level 4: Sustainability
9 months of monthly implementation coaching calls with team leads; monthly telephone case conferences; monthly care coordination calls split out by role
OnDemand Training Intervention
Participants receiving the OnDemand Training Intervention
CSC OnDemand Training Intervention
Level 1: Readiness
Online readiness tool
Level 2: Core Knowledge
Week 1-self-paced core curriculum, totaling 8 hours of instruction
Level 3: Going Deeper
Week 2-instructor-led, role-specific, and advanced topics, totaling 12 hours of instruction
Level 4: Sustainability
9 months of online community of practice support; a discussion forum; open office hours with experts; multisite case conferencing; access to online materials
InPerson Intervention
Participants receiving the InPerson Intervention
InPerson Intervention
Level 1: Readiness
Telephone conversations with program leaders to determine structures, roles, staffing, recruitment
Level 2: Core Knowledge
1 day of in-person training on FEP basics and CSC components
Level 3: Going Deeper
1.5 days of in-person training on how the team works, followed by breakout sessions by role
Level 4: Sustainability
9 months of monthly implementation coaching calls with team leads; monthly telephone case conferences; monthly care coordination calls split out by role
Interventions
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CSC OnDemand Training Intervention
Level 1: Readiness
Online readiness tool
Level 2: Core Knowledge
Week 1-self-paced core curriculum, totaling 8 hours of instruction
Level 3: Going Deeper
Week 2-instructor-led, role-specific, and advanced topics, totaling 12 hours of instruction
Level 4: Sustainability
9 months of online community of practice support; a discussion forum; open office hours with experts; multisite case conferencing; access to online materials
InPerson Intervention
Level 1: Readiness
Telephone conversations with program leaders to determine structures, roles, staffing, recruitment
Level 2: Core Knowledge
1 day of in-person training on FEP basics and CSC components
Level 3: Going Deeper
1.5 days of in-person training on how the team works, followed by breakout sessions by role
Level 4: Sustainability
9 months of monthly implementation coaching calls with team leads; monthly telephone case conferences; monthly care coordination calls split out by role
Virtual InPerson Intervention
Level 1: Readiness
Telephone conversations with program leaders to determine structures, roles, staffing, recruitment
Level 2: Core Knowledge
1 day of virtual (via Zoom) in-person training on FEP basics and CSC components
Level 3: Going Deeper
1.5 days of virtual (via Zoom) in-person training on how the team works, followed by breakout sessions by role
Level 4: Sustainability
9 months of monthly implementation coaching calls with team leads; monthly telephone case conferences; monthly care coordination calls split out by role
Eligibility Criteria
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Inclusion Criteria
* direct care to individuals with early psychosis;
* administrative-level support for training and use of the CSC model;
* an entire treatment team that is willing to participate in this team-based intervention;
* contact information for direct service staff;
* support for the study, including a staff person to serve as a liaison to work with the research team;
* access to the Internet during the intervention period; and
* a willingness to provide data and participate in the evaluation.
Exclusion Criteria
18 Years
ALL
Yes
Sponsors
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Dartmouth College
OTHER
University of Maryland
OTHER
New York State Psychiatric Institute
OTHER
Center for Social Innovation, Massachusetts
OTHER
Responsible Party
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Principal Investigators
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Kathleen Ferreira, PhD
Role: PRINCIPAL_INVESTIGATOR
C4 Innovations
Locations
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Center for Social Innovation
Needham, Massachusetts, United States
Countries
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Other Identifiers
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