Evidence map›Paper›PMID 34225817›Full record

ArticleImplementation science communications2021

Adapting coordinated specialty care in the post-COVID-19 era: study protocol for an integrative mixed-methods study.

Sapana R Patel, Iruma Bello, Leopoldo J Cabassa, Ilana R Nossel, Melanie M Wall, Elaina Montague, Reanne Rahim, Chacku M Mathai, Lisa B Dixon

Registry-linked trialAbstract read
In one paragraph

Article in Implementation science communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04021719 (OnTrackNY's Learning Healthcare System), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04021719 suspendednot on this map

OnTrackNY's Learning Healthcare System

TypeobservationalSponsorNew York State Psychiatric InstituteRan2019 to 2026Enrolled2,100ConditionsFirst Episode PsychosisArmsStakeholder feedback, Data infrastructure
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Sapana R PatelNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 100, New York, NY, 10032, USA. Sapana.Patel@nyspi.columbia.edu.ORCID http://orcid.org/0000-0003-4498-4294
Iruma BelloNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 100, New York, NY, 10032, USA.
Leopoldo J CabassaBrown School of Social Work at Washington University in St. Louis, St. Louis, MO, 63130, USA.
Ilana R NosselNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 100, New York, NY, 10032, USA.
Melanie M WallColumbia University Vagelos College of Physicians and Surgeons, 630 W 168th St, New York, NY, 10032, USA.
Elaina MontagueNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 100, New York, NY, 10032, USA.
Reanne RahimNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 100, New York, NY, 10032, USA.
Chacku M MathaiNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 100, New York, NY, 10032, USA.
Lisa B DixonNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 100, New York, NY, 10032, USA.

Funding

OnTrackNY's LearningHealthcareSystemR01MH120597 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BELLO, IRUMA, DIXON, LISA B. · 2019 to 2022
$7.0M
NIMH NIH HHS 3R01MH120597-02S1NIMH NIH HHS R01 MH120597
6 · The paper itself

Abstract

backgroundCoordinated Specialty Care (CSC) programs provide evidence-based services for young people with a recent onset of a psychotic disorder. OnTrackNY is a nationally recognized model of CSC treatment in New York state. In 2019, OnTrackNY was awarded a hub within the Early Psychosis Intervention Network (EPINET) to advance its learning health care system (LHS). The OnTrackNY network is comprised of 23 CSC teams across New York state. OnTrack Central, an intermediary organization, provides training and implementation support to OnTrackNY teams. OnTrack Central coordinates a centralized data collection protocol for quality improvement and evaluation of program fidelity and a mechanism to support practice based-research. OnTrackNY sites' breadth coupled with OnTrack Central oversight provides an opportunity to examine the impacts of the COVID-19 crisis in New York State, and supplementary funding was awarded to the OnTrackNY EPINET hub in 2021 for that purpose.

methodsThis project will examine the implications of modifications to service delivery within the OnTrackNY LHS during and after the COVID-19 crisis. We will use the Framework for Reporting Adaptations and Modification-Enhanced (FRAME) to classify systematically, code, and analyze modifications to CSC services and ascertain their impact. We will utilize integrative mixed methods. Qualitative interviews with multi-level stakeholders (program participants, families, providers, team leaders, agency leaders, trainers (OnTrack Central), and decision-makers at the state and local levels) will be used to understand the process of making decisions, information about modifications to CSC services, and their impact. Analysis of OnTrackNY program data will facilitate examining trends in team staffing and functioning, and participant service utilization and outcomes. Study findings will be summarized in a CSC Model Adaptation Guide, which will identify modifications as fidelity consistent or not, and their impact on service utilization and care outcomes. DISCUSSION: A CSC Model Adaptation Guide will inform CSC programs, and the state and local mental health authorities to which they are accountable, regarding modifications to CSC services and the impact of these changes on care process, and participant service utilization and outcomes. The guide will also inform the development of tailored technical assistance that CSC programs may need within OnTrackNY, the EPINET network, and CSC programs nationally.

trial registrationNCT04021719 , July 16th, 2019.

Indexed as

Coordinated specialty careCOVID-19Early psychosisFidelityFirst episode psychosisFramework for reporting adaptations and modification-enhancedLearning healthcare systemSpecialized treatmentTelehealthYouth and young adults

Identifiers

PMID34225817
PMCPMC8256216

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.