Trial Outcomes & Findings for Remote Training in Evidence-based Practices for Clinicians Who Work With Migrant Workers (NCT NCT03515226)

NCT ID: NCT03515226

Last Updated: 2022-07-26

Results Overview

This is a four item measure of intervention acceptability; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill acceptable to use after they complete the training. We administered the AIM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on goal setting.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

25 participants

Primary outcome timeframe

This measure will be administered to participants in each training group after they complete the 25 hours of training.

Results posted on

2022-07-26

Participant Flow

Participant milestones

Participant milestones
Measure
Traditional Training
25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency. Traditional Training: Training using didactics and role plays
ITS Based Training
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies. ITS based training: Training using computerized adaptive training in addition to role play
Overall Study
STARTED
10
15
Overall Study
COMPLETED
8
11
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Remote Training in Evidence-based Practices for Clinicians Who Work With Migrant Workers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Traditional Training
n=8 Participants
24 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency. Traditional Training: Training using didactics and role plays
ITS Based Training
n=11 Participants
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies. ITS based training: Training using computerized adaptive training in addition to role play
Total
n=19 Participants
Total of all reporting groups
Age, Continuous
26.63 years
STANDARD_DEVIATION 9.61 • n=5 Participants
24.09 years
STANDARD_DEVIATION 8.63 • n=7 Participants
24.74 years
STANDARD_DEVIATION 8.82 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
7 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention acceptability; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill acceptable to use after they complete the training. We administered the AIM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on goal setting.

Outcome measures

Outcome measures
Measure
Traditional Training
n=8 Participants
25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency. Traditional Training: Training using didactics and role plays
ITS Based Training
n=11 Participants
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies. ITS based training: Training using computerized adaptive training in addition to role play
Acceptability of Intervention Measure (AIM) - Goal Setting
Pre-Training
17.88 score on a scale
Standard Deviation 0.99
17.64 score on a scale
Standard Deviation 1.43
Acceptability of Intervention Measure (AIM) - Goal Setting
Post-Training
17.63 score on a scale
Standard Deviation 1.69
18.27 score on a scale
Standard Deviation 2.61

PRIMARY outcome

Timeframe: This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention acceptability; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill acceptable to use after they complete the training. We administered the AIM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on identifying challenges.

Outcome measures

Outcome measures
Measure
Traditional Training
n=8 Participants
25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency. Traditional Training: Training using didactics and role plays
ITS Based Training
n=11 Participants
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies. ITS based training: Training using computerized adaptive training in addition to role play
Acceptability of Intervention Measure (AIM) - Identifying Challenges
Pre-Training
16.75 score on a scale
Standard Deviation 1.39
17.73 score on a scale
Standard Deviation 3.44
Acceptability of Intervention Measure (AIM) - Identifying Challenges
Post-Training
16.25 score on a scale
Standard Deviation 1.28
17.82 score on a scale
Standard Deviation 1.72

PRIMARY outcome

Timeframe: This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention appropriateness; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total range for this measure is 4-20. Each group will be compared on the degree they find the specific clinical skill appropriate to use after they complete the training. We administered the IAM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on goal setting.

Outcome measures

Outcome measures
Measure
Traditional Training
n=8 Participants
25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency. Traditional Training: Training using didactics and role plays
ITS Based Training
n=11 Participants
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies. ITS based training: Training using computerized adaptive training in addition to role play
Intervention Appropriateness Measure (IAM) - Goal Setting
Pre-Training
18.25 score on a scale
Standard Deviation 1.75
18.55 score on a scale
Standard Deviation 1.63
Intervention Appropriateness Measure (IAM) - Goal Setting
Post-Training
17.88 score on a scale
Standard Deviation 2.23
18.82 score on a scale
Standard Deviation 1.54

PRIMARY outcome

Timeframe: This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention appropriateness; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill appropriate to use after they complete the training. We administered the IAM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on identifying challenges.

Outcome measures

Outcome measures
Measure
Traditional Training
n=8 Participants
25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency. Traditional Training: Training using didactics and role plays
ITS Based Training
n=11 Participants
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies. ITS based training: Training using computerized adaptive training in addition to role play
Intervention Appropriateness Measure (IAM) - Identifying Challenges
Pre-Training
16.38 score on a scale
Standard Deviation 1.19
18.82 score on a scale
Standard Deviation 2.27
Intervention Appropriateness Measure (IAM) - Identifying Challenges
Post-Training
17.13 score on a scale
Standard Deviation 1.81
18.27 score on a scale
Standard Deviation 1.90

PRIMARY outcome

Timeframe: This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention feasibility; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill feasible to use after they complete the training they participated in. We administered the FIM twice asking the students to respond to the feasibility of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on goal setting.

Outcome measures

Outcome measures
Measure
Traditional Training
n=8 Participants
25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency. Traditional Training: Training using didactics and role plays
ITS Based Training
n=11 Participants
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies. ITS based training: Training using computerized adaptive training in addition to role play
Feasibility of Intervention Measure (FIM) - Goal Setting
Pre-Training
16.88 score on a scale
Standard Deviation 2.23
17.09 score on a scale
Standard Deviation 2.17
Feasibility of Intervention Measure (FIM) - Goal Setting
Post-Training
17.13 score on a scale
Standard Deviation 1.46
18.91 score on a scale
Standard Deviation 1.64

PRIMARY outcome

Timeframe: This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention feasibility; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill feasible to use after they complete the training they participated in. We administered the FIM twice asking the students to respond to the feasibility of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on identifying challenges.

Outcome measures

Outcome measures
Measure
Traditional Training
n=8 Participants
25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency. Traditional Training: Training using didactics and role plays
ITS Based Training
n=11 Participants
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies. ITS based training: Training using computerized adaptive training in addition to role play
Feasibility of Intervention Measure - Identifying Challenges
Pre-Training
15.88 score on a scale
Standard Deviation 2.30
17.73 score on a scale
Standard Deviation 2.45
Feasibility of Intervention Measure - Identifying Challenges
Post-Training
15.63 score on a scale
Standard Deviation 1.69
18.27 score on a scale
Standard Deviation 1.68

PRIMARY outcome

Timeframe: This measure will be administered to participants in each training group after they complete the 25 hours of training.

The IUS is a 10-item measure with a possible total score ranging from 0 to 100; higher scores indicate a more usable intervention. Although this measure has not yet been normed as a measure of intervention usability, the System Usability Scale upon which the IUS is based defines scores of 70 or above as indicative of acceptable usability.

Outcome measures

Outcome measures
Measure
Traditional Training
n=8 Participants
25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency. Traditional Training: Training using didactics and role plays
ITS Based Training
n=11 Participants
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies. ITS based training: Training using computerized adaptive training in addition to role play
Intervention Usability Scale (IUS) - Goal Setting
Pre-Training
28.25 score on a scale
Standard Deviation 3.85
28.27 score on a scale
Standard Deviation 3.61
Intervention Usability Scale (IUS) - Goal Setting
Post-Training
30.13 score on a scale
Standard Deviation 5.03
30.82 score on a scale
Standard Deviation 4.02

PRIMARY outcome

Timeframe: This measure will be administered to participants in each training group after they complete the 25 hours of training.

The IUS is a 10-item measure with a possible total score ranging from 0 to 100; higher scores indicate a more usable intervention. Although this measure has not yet been normed as a measure of intervention usability, the System Usability Scale upon which the IUS is based defines scores of 70 or above as indicative of acceptable usability.

Outcome measures

Outcome measures
Measure
Traditional Training
n=8 Participants
25 hours of didactic and simulated case role play training in CBT principles, depression assessment and cultural competency. Traditional Training: Training using didactics and role plays
ITS Based Training
n=11 Participants
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies. ITS based training: Training using computerized adaptive training in addition to role play
Intervention Usability Scale (IUS) - Identifying Challenges
Pre-Training
26.75 score on a scale
Standard Deviation 4.30
27.91 score on a scale
Standard Deviation 4.55
Intervention Usability Scale (IUS) - Identifying Challenges
Post-Training
28.88 score on a scale
Standard Deviation 4.09
29.27 score on a scale
Standard Deviation 5.10

Adverse Events

Traditional Training

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

ITS Based Training

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Patricia Arean, Director, UW ALACRITY Center

University of Washington, Department of Psychiatry & Behavioral Sciences

Phone: 206-221-8692

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place