Evidence map›Paper›PMID 35193619›Full record

ArticleImplementation science : IS2022

Care team and practice-level implementation strategies to optimize pediatric collaborative care: study protocol for a cluster-randomized hybrid type III trial.

David J Kolko, Elizabeth A McGuier, Renee Turchi, Eileen Thompson, Satish Iyengar, Shawna N Smith, Kimberly Hoagwood, Celeste Liebrecht, Ian M Bennett, Byron J Powell and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science : IS, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04946253 (Care Team and Practice Level Implementation Strategies to Optimize Pediatric Collaborative Care), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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.

NCT04946253 narecruitingnot on this map

Care Team and Practice Level Implementation Strategies to Optimize Pediatric Collaborative Care: A Cluster-Randomized Trial

TypeinterventionalSponsorUniversity of PittsburghRan2021 to 2026Enrolled450ConditionsChild Behavior Problem, Attention Deficit and Disruptive Behavior DisordersArmsDOCC: Evidence-based treatment for disruptive behavior and ADHD, TEAM: Implementation support strategies at the care team level following standard implementation of DOCC, Implementation support strategies at the leadership level following standard implementation of DOCC
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

David J KolkoDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. kolkodj@upmc.edu.ORCID 0000-0003-4076-8287
Elizabeth A McGuierDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Renee TurchiDepartment of Pediatrics, Drexel University College of Medicine and St. Christopher's Hospital for Children, Philadelphia, PA, USA.
Eileen ThompsonPA Medical Home Program, PA Chapter, American Academy of Pediatrics, Media, PA, USA.
Satish IyengarDepartment of Statistics, University of Pittsburgh, Pittsburgh, PA, USA.
Shawna N SmithDepartment of Health Management & Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Kimberly HoagwoodDepartment of Child and Adolescent Psychiatry, New York University Langone Health, New York, NY, USA.
Celeste LiebrechtDepartment of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, USA.
Ian M BennettDepartments of Family Medicine and Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Byron J PowellCenter for Mental Health Services Research, Brown School, Washington University in St. Louis, One Brookings Drive, St. Louis, MO, 63130, USA.
Kelly KelleherDepartment of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA.
Maria SilvaAllegheny Family Network, Pittsburgh, PA, USA.
Amy M KilbourneDepartment of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, USA.

Funding

Care Team and Practice Level Implementation Strategies to Optimize Pediatric Collaborative Care: A Cluster-Randomized TrialR01MH124914 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KOLKO, DAVID · 2021 to 2025
$4.0M
Improving access to mental health services for rural youth: Leveraging multidisciplinary teams to enhance implementation of a screening and referral protocol in rural Child Advocacy CentersK23MH123729 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MCGUIER, ELIZABETH ANN · 2021 to 2025
$907k
NIMH NIH HHS K23 MH123729NIMH NIH HHS R01 MH124914
6 · The paper itself

Abstract

backgroundImplementation facilitation is an effective strategy to support the implementation of evidence-based practices (EBPs), but our understanding of multilevel strategies and the mechanisms of change within the "black box" of implementation facilitation is limited. This implementation trial seeks to disentangle and evaluate the effects of facilitation strategies that separately target the care team and leadership levels on implementation of a collaborative care model in pediatric primary care. Strategies targeting the provider care team (TEAM) should engage team-level mechanisms, and strategies targeting leaders (LEAD) should engage organizational mechanisms.

methodsWe will conduct a hybrid type 3 effectiveness-implementation trial in a 2 × 2 factorial design to evaluate the main and interactive effects of TEAM and LEAD and test for mediation and moderation of effects. Twenty-four pediatric primary care practices will receive standard REP training to implement Doctor-Office Collaborative Care (DOCC) and then be randomized to (1) Standard REP only, (2) TEAM, (3) LEAD, or (4) TEAM + LEAD. Implementation outcomes are DOCC service delivery and change in practice-level care management competencies. Clinical outcomes are child symptom severity and quality of life. DISCUSSION: This statewide trial is one of the first to test the unique and synergistic effects of implementation strategies targeting care teams and practice leadership. It will advance our knowledge of effective care team and practice-level implementation strategies and mechanisms of change. Findings will support efforts to improve common child behavioral health conditions by optimizing scale-up and sustainment of CCMs in a pediatric patient-centered medical home.

trial registrationClinicalTrials.gov, NCT04946253 . Registered June 30, 2021.

Indexed as

Patient-Centered CareQuality of LifeChildClinical Trials, Phase III as TopicDelivery of Health CareEvidence-Based PracticeHumansPatient Care TeamRandomized Controlled Trials as TopicCollaborative care modelFacilitationImplementation strategiesLeadershipMechanismsTeam

Identifiers

PMID35193619
PMCPMC8862323

What OpenQuestion holds

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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.