Evidence map›Paper›PMID 37237302›Full record

ArticleImplementation science communications2023

Team-focused implementation strategies to improve implementation of mental health screening and referral in rural Children's Advocacy Centers: study protocol for a pilot cluster randomized hybrid type 2 trial.

Elizabeth A McGuier, Gregory A Aarons, Jaely D Wright, John C Fortney, Byron J Powell, Scott D Rothenberger, Laurie R Weingart, Elizabeth Miller, David J Kolko

Registry-linked trialAbstract read
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In one paragraph

Article in Implementation science communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05679154 (Implementation of the Care Process Model for Pediatric Traumatic Stress in Rural Child Advocacy Centers), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05679154 nacompletednot on this mapstarted 2024, after this paper: background citation

Implementation of the Care Process Model for Pediatric Traumatic Stress in Rural Child Advocacy Centers: A Pilot Test of Team-focused Implementation

TypeinterventionalSponsorUniversity of PittsburghRan2024 to 2025Enrolled147ConditionsMental Health Issue, TeamworkArmsTeam-focused Implementation, Standard Implementation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

9 authors.

Elizabeth A McGuierDepartment of Psychiatry, School of Medicine, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA. millerea3@upmc.edu.ORCID http://orcid.org/0000-0002-6219-6358
Gregory A AaronsDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Jaely D WrightWestern Psychiatric Hospital, University of Pittsburgh Medical Center, Pittsburgh, USA.
John C FortneyDivision of Population Health, Department of 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, St. Louis, MO, USA.
Scott D RothenbergerDepartment of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Laurie R WeingartTepper School of Business, Carnegie Mellon University, Pittsburgh, PA, USA.
Elizabeth MillerDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
David J KolkoDepartment of Psychiatry, School of Medicine, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA.

Funding

Enhancing team effectiveness for a collaborative school-based intervention for ADHDP50MH126231 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LAUREN BROOKMAN-FRAZEE · 2022 to 2026
$13.9M
Project 3P50MH126219 · NIMH · UNIVERSITY OF WASHINGTON · PI DORSEY, SHANNON · 2021 to 2024
$5.9M
MECHANISMS: The MECHANics of Implementation Strategies and MeasureSR01CA262325 · NCI · UNIVERSITY OF WASHINGTON · PI WEINER, BRYAN J. · 2021 to 2023
$2.2M
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
NCI NIH HHS R01 CA262325NIMH NIH HHS K23 MH123729NIMH NIH HHS MH123729NIMH NIH HHS P50 MH126231
6 · The paper itself

Abstract

backgroundChildren's Advocacy Centers (CACs) use multidisciplinary teams to investigate and respond to maltreatment allegations. CACs play a critical role in connecting children with mental health needs to evidence-based mental health treatment, especially in low-resourced rural areas. Standardized mental health screening and referral protocols can improve CACs' capacity to identify children with mental health needs and encourage treatment engagement. In the team-based context of CACs, teamwork quality is likely to influence implementation processes and outcomes. Implementation strategies that target teams and apply the science of team effectiveness may enhance implementation outcomes in team-based settings.

methodsWe will use Implementation Mapping to develop team-focused implementation strategies to support the implementation of the Care Process Model for Pediatric Traumatic Stress (CPM-PTS), a standardized screening and referral protocol. Team-focused strategies will integrate activities from effective team development interventions. We will pilot team-focused implementation in a cluster-randomized hybrid type 2 effectiveness-implementation trial. Four rural CACs will implement the CPM-PTS after being randomized to either team-focused implementation (n = 2 CACs) or standard implementation (n = 2 CACs). We will assess the feasibility of team-focused implementation and explore between-group differences in hypothesized team-level mechanisms of change and implementation outcomes (implementation aim). We will use a within-group pre-post design to test the effectiveness of the CPM-PTS in increasing caregivers' understanding of their child's mental health needs and caregivers' intentions to initiate mental health services (effectiveness aim).

conclusionsTargeting multidisciplinary teams is an innovative approach to improving implementation outcomes. This study will be one of the first to test team-focused implementation strategies that integrate effective team development interventions. Results will inform efforts to implement evidence-based practices in team-based service settings.

trial registrationClinicaltrials.gov, NCT05679154 . Registered on January 10, 2023.

Indexed as

Child maltreatmentChildren’s Advocacy CentersImplementation mappingImplementation strategiesMental health screeningTeamTeamwork

Identifiers

PMID37237302
PMCPMC10214641

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.