Trial Outcomes & Findings for TeamTRACS Pilot (CTSI) (NCT NCT05370157)

NCT ID: NCT05370157

Last Updated: 2024-04-24

Results Overview

Survey questions assessing knowledge taught in TeamTRACS will be assessed with multiple choice questions. The percent of correct answers (range 0-100%) will be calculated.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

172 participants

Primary outcome timeframe

Baseline, 3-month follow-up (Month 7, 3 months after training workshop)

Results posted on

2024-04-24

Participant Flow

Only current team members were eligible to participate at each timepoint. Participants who completed baseline data collection but left the team before follow-up were not invited to participate in follow-up data collection. Participants who joined the team after baseline were invited to participate in follow-up data collection.

Unit of analysis: Children's Advocacy Centers

Participant milestones

Participant milestones
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Participants Entering at Baseline
STARTED
100 4
50 2
Participants Entering at Baseline
Completed Baseline
87 4
48 2
Participants Entering at Baseline
Started Followup
83 4
46 2
Participants Entering at Baseline
COMPLETED
72 4
35 2
Participants Entering at Baseline
NOT COMPLETED
28 0
15 0
Participants Entering at Follow-Up
STARTED
17 4
5 2
Participants Entering at Follow-Up
COMPLETED
17 4
5 2
Participants Entering at Follow-Up
NOT COMPLETED
0 0
0 0

Reasons for withdrawal

Reasons for withdrawal
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Participants Entering at Baseline
Lost to Follow-up
11
11
Participants Entering at Baseline
Not eligible for followup - no longer member of team
17
4

Baseline Characteristics

Age category is unknown for 13 participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
n=117 Participants
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
n=55 Participants
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Total
n=172 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=107 Participants • Age category is unknown for 13 participants
0 Participants
n=52 Participants • Age category is unknown for 13 participants
0 Participants
n=159 Participants • Age category is unknown for 13 participants
Age, Categorical
Between 18 and 65 years
106 Participants
n=107 Participants • Age category is unknown for 13 participants
50 Participants
n=52 Participants • Age category is unknown for 13 participants
156 Participants
n=159 Participants • Age category is unknown for 13 participants
Age, Categorical
>=65 years
1 Participants
n=107 Participants • Age category is unknown for 13 participants
2 Participants
n=52 Participants • Age category is unknown for 13 participants
3 Participants
n=159 Participants • Age category is unknown for 13 participants
Age, Continuous
39.46 years
STANDARD_DEVIATION 11.41 • n=105 Participants • Age is unknown for 15 participants
45.33 years
STANDARD_DEVIATION 11.46 • n=52 Participants • Age is unknown for 15 participants
41.40 years
STANDARD_DEVIATION 11.72 • n=157 Participants • Age is unknown for 15 participants
Sex: Female, Male
Female
74 Participants
n=107 Participants • Gender is unknown for 13 participants.
39 Participants
n=52 Participants • Gender is unknown for 13 participants.
113 Participants
n=159 Participants • Gender is unknown for 13 participants.
Sex: Female, Male
Male
33 Participants
n=107 Participants • Gender is unknown for 13 participants.
13 Participants
n=52 Participants • Gender is unknown for 13 participants.
46 Participants
n=159 Participants • Gender is unknown for 13 participants.
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=117 Participants
0 Participants
n=55 Participants
12 Participants
n=172 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
94 Participants
n=117 Participants
51 Participants
n=55 Participants
145 Participants
n=172 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
11 Participants
n=117 Participants
4 Participants
n=55 Participants
15 Participants
n=172 Participants
Race (NIH/OMB)
American Indian or Alaska Native
12 Participants
n=117 Participants
0 Participants
n=55 Participants
12 Participants
n=172 Participants
Race (NIH/OMB)
Asian
1 Participants
n=117 Participants
0 Participants
n=55 Participants
1 Participants
n=172 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=117 Participants
0 Participants
n=55 Participants
0 Participants
n=172 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=117 Participants
8 Participants
n=55 Participants
9 Participants
n=172 Participants
Race (NIH/OMB)
White
92 Participants
n=117 Participants
43 Participants
n=55 Participants
135 Participants
n=172 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=117 Participants
0 Participants
n=55 Participants
0 Participants
n=172 Participants
Race (NIH/OMB)
Unknown or Not Reported
11 Participants
n=117 Participants
4 Participants
n=55 Participants
15 Participants
n=172 Participants
Region of Enrollment
United States
117 participants
n=117 Participants
55 participants
n=55 Participants
172 participants
n=172 Participants

PRIMARY outcome

Timeframe: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)

Population: Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints

Survey questions assessing knowledge taught in TeamTRACS will be assessed with multiple choice questions. The percent of correct answers (range 0-100%) will be calculated.

Outcome measures

Outcome measures
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
n=112 Participants
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
n=53 Participants
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Change in Teamwork Knowledge From Baseline to 3-month Follow-up
Baseline
75.60 percentage correct answers
Standard Deviation 10.87
74.72 percentage correct answers
Standard Deviation 10.82
Change in Teamwork Knowledge From Baseline to 3-month Follow-up
Follow-up
80.00 percentage correct answers
Standard Deviation 11.16
75.00 percentage correct answers
Standard Deviation 7.88

PRIMARY outcome

Timeframe: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)

Population: Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints

Frequency of teamwork skill use will be assessed with survey items rated on a 5-point Likert scale (range 1-5). Scores will be averaged; higher scores indicate more frequent skill use.

Outcome measures

Outcome measures
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
n=111 Participants
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
n=52 Participants
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Change in Teamwork Skill Use From Baseline to 3-month Follow-up
Baseline
4.22 score on a scale
Standard Deviation 0.49
4.08 score on a scale
Standard Deviation 0.59
Change in Teamwork Skill Use From Baseline to 3-month Follow-up
Follow-up
4.19 score on a scale
Standard Deviation 0.54
4.20 score on a scale
Standard Deviation 0.55

PRIMARY outcome

Timeframe: Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)

Population: Only rated by key informants in CACs randomized to TeamTRACS

Perceived acceptability of the self-guided implementation process will be assessed with items from the Acceptability of Intervention Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.

Outcome measures

Outcome measures
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
n=4 Participants
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Acceptability of Self-guided Implementation
Baseline (Beginning of self-guided implementation process)
4.38 score on a scale
Standard Deviation 0.48
Acceptability of Self-guided Implementation
Month 5 (midpoint of self-guided implementation process)
4.25 score on a scale
Standard Deviation 0.96
Acceptability of Self-guided Implementation
Month 7 (End of study)
4.25 score on a scale
Standard Deviation 0.50

PRIMARY outcome

Timeframe: Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)

Population: Only rated by key informants in CACs randomized to TeamTRACS

Perceived appropriateness of the self-guided implementation process will be assessed with items from the Intervention Appropriateness Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.

Outcome measures

Outcome measures
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
n=4 Participants
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Appropriateness of Self-guided Implementation
Month 5 (midpoint of self-guided implementation process)
4.25 score on a scale
Standard Deviation 1.50
Appropriateness of Self-guided Implementation
Month 7 (End of study)
4.25 score on a scale
Standard Deviation 0.96
Appropriateness of Self-guided Implementation
Baseline (Beginning of self-guided implementation process)
3.63 score on a scale
Standard Deviation 0.75

PRIMARY outcome

Timeframe: Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)

Population: Only rated by key informants in CACs randomized to TeamTRACS

Perceived feasibility of the self-guided implementation process will be assessed with items from the Feasibility of Intervention Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.

Outcome measures

Outcome measures
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
n=4 Participants
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Feasibility of Self-guided Implementation
Baseline (Beginning of self-guided implementation process)
4.50 score on a scale
Standard Deviation 0.58
Feasibility of Self-guided Implementation
Month 5 (midpoint of self-guided implementation process)
4.00 score on a scale
Standard Deviation 0.82
Feasibility of Self-guided Implementation
Month 7 (End of study)
4.38 score on a scale
Standard Deviation 0.75

SECONDARY outcome

Timeframe: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)

Population: Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints

Psychological safety (affective state) was assessed with Edmondson's (1999) Psychological Safety scale of 7 items rated on a 7-point Likert scale (1-7). Scores were averaged; higher scores indicate more psychological safety.

Outcome measures

Outcome measures
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
n=111 Participants
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
n=52 Participants
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Change in Team Functioning From Baseline to 3-month Follow-up: Psychological Safety
Baseline
5.46 score on a scale
Standard Deviation 1.12
5.59 score on a scale
Standard Deviation 1.04
Change in Team Functioning From Baseline to 3-month Follow-up: Psychological Safety
Follow-up
5.51 score on a scale
Standard Deviation 1.13
5.94 score on a scale
Standard Deviation 0.98

SECONDARY outcome

Timeframe: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)

Population: Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints

Learning behavior (behavioral process) was assessed with Edmondson's (1999) Learning Behavior scale of 7 items rated on a 7-point Likert scale (1-7). Scores were averaged; higher scores indicate more learning behavior.

Outcome measures

Outcome measures
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
n=111 Participants
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
n=52 Participants
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Change in Team Functioning From Baseline to 3-month Follow-up: Learning Behavior
Baseline
4.77 score on a scale
Standard Deviation 1.02
4.96 score on a scale
Standard Deviation 1.02
Change in Team Functioning From Baseline to 3-month Follow-up: Learning Behavior
Follow-up
4.86 score on a scale
Standard Deviation 0.99
5.08 score on a scale
Standard Deviation 0.96

SECONDARY outcome

Timeframe: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)

Population: Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints

The overall quality of work done by the team will be assessed with Edmondson's (1999) Team Performance scale of 5 items rated on a 7-point Likert scale. Scores will be averaged; higher scores indicate better performance.

Outcome measures

Outcome measures
Measure
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)
n=111 Participants
CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. TeamTRACS: TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.
Waitlist Comparison
n=52 Participants
CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition.
Change in Team Performance From Baseline to 3-month Follow-up
Baseline
5.47 score on a scale
Standard Deviation 1.28
5.75 score on a scale
Standard Deviation 1.08
Change in Team Performance From Baseline to 3-month Follow-up
Follow-up
5.63 score on a scale
Standard Deviation 1.14
6.07 score on a scale
Standard Deviation 0.97

Adverse Events

TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)

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

Waitlist Comparison

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. Elizabeth McGuier

University of Pittsburgh

Phone: 412-246-5895

Results disclosure agreements

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