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ArticleTrials2025

FAMily Motivational Engagement Strategy (FAMES) for coordinated specialty care programs: study protocol to evaluate a culturally responsive engagement intervention and equity focused implementation strategies in a hybrid type 2 randomized stepped-wedge trial.

Oladunni Oluwoye, Bryony Stokes, Annette S Crisanti, Karina Silva Garcia, Liat Kriegel, Megan Puzia, Amanda L Sanchez, Rachel C Shelton, Douglas L Weeks

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06945055 (Integration of a Culturally Responsive Family Peer Delivered Engagement Strategy in Coordinated Specialty Care), which is not on this map. Not yet cited in PubMed.

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

NCT06945055 narecruitingnot on this map

Integration of a Culturally Responsive Family Peer Delivered Engagement Strategy in Coordinated Specialty Care

TypeinterventionalSponsorWashington State UniversityRan2025 to 2029Enrolled900ConditionsFamily Members, ImplementationArmsFAMES, Control
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Oladunni OluwoyeDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, 99210-1495, USA. Oladunni.oluwoye@wsu.edu.ORCID http://orcid.org/0000-0003-2743-1620
Bryony StokesDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, 99210-1495, USA.
Annette S CrisantiDepartment of Psychiatry, University of New Mexico, Albuquerque, NM, USA.
Karina Silva GarciaDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, 99210-1495, USA.
Liat KriegelDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, 99210-1495, USA.
Megan PuziaDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, 99210-1495, USA.
Amanda L SanchezDepartment of Psychology, George Mason University, Fairfax, USA.
Rachel C SheltonMailman School of Public Health, Columbia University, New York, NY, USA.
Douglas L WeeksDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, 99210-1495, USA.

Funding

Integration of a Culturally Responsive Family Peer Delivered Engagement Strategy in Coordinated Specialty CareR01MH136132 · NIMH · WASHINGTON STATE UNIVERSITY · PI Oladunni Oluwoye · 2025 to 2026
$1.6M
NIMH NIH HHS R01 MH136132NIMH NIH HHS R01MH136132
6 · The paper itself

Abstract

backgroundCoordinated specialty care (CSC) models for first episode psychosis include evidence-informed family education and support as a core component of care. Evidence suggests low rates of family engagement in many CSC programs. To address this gap, the FAMily Motivational Engagement Strategy (FAMES), a culturally responsive intervention, was previously developed, pilot-tested, and found to positively impact family engagement in CSC. The goals of this Hybrid Type 2 Effectiveness-Implementation study are to investigate whether FAMES improves family engagement in CSC, assess activation of target mechanisms, and evaluate a Culturally Responsive Approach to Targeting Equity (CURATE) implementation package used to support the integration of FAMES in CSC.

methodsA stepped-wedge trial will be conducted with nine CSC sites, each randomized to one of three waves. CSC sites will initially recruit participant dyads into an attention control condition (n = 225) followed by a separate cohort of dyads who will receive FAMES (n = 225). Primary (engagement) and secondary (perceived stress, anxiety) outcomes, as well as mechanisms (self-efficacy, connectedness, motivation) among family members will be assessed. Secondary outcomes will also include client-level outcomes such as symptoms and engagement. Guided by the Reach, Effectiveness, Adoption, Implementation, Maintenance/Sustainability extension framework for sustainability, implementation outcomes (reach, adoption, implementation, sustainability) will be evaluated using mixed methods. DISCUSSION: This study represents one of the first studies to test the effectiveness of a culturally responsive family engagement intervention in CSC settings, where service utilization disparities among families are present. Findings from this study have the potential to improve the impact of CSC for families and advance understanding of equity-focused implementation approaches to facilitate the provision of culturally responsive care in mental health settings.

trial registrationClinicalTrials.gov NCT06945055. Registered on March 24, 2025. https://clinicaltrials.gov/study/NCT06945055 .

Indexed as

Culturally Competent CareFamilyMotivationFamily TherapyHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicCoordinated specialty careEngagementEquityFamily membersFamily peersMental health servicesPsychosis

Identifiers

PMID41402877
PMCPMC12709835

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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.