nctId: NCT06375551 id: 1171-0623 id: K01MH128761 type: NIH link: https://reporter.nih.gov/quickSearch/K01MH128761 briefTitle: K-ORCA: Testing a Decision Support Tool and Group Process for Selecting Interventions acronym: K-ORCA overallStatus: NOT_YET_RECRUITING date: 2024-07-31 date: 2027-07-31 date: 2027-07-31 date: 2024-04-19 date: 2024-04-19 name: Chestnut Health Systems class: OTHER name: National Institute of Mental Health (NIMH) briefSummary: This proposal responds to NIMH Objective 4.2.c to develop "decision-support tools and technologies that increase the effectiveness and continuous improvement of mental health interventions" by leveraging the Family First Prevention Services Act (FFPSA) policy opportunity. First, a web-based platform to host (a) a decision-support tool and (b) automated facilitation for group decisions with the tool will be developed with state partners' feedback. Next, decision makers leading their states' FFPSA quality improvement efforts will be engaged to pilot a decision-support intervention comprised of the tool and live or automated facilitation, and to evaluate the implementation quality of evidence-based programs adopted with the decision-support intervention. conditions: Child Abuse conditions: Decision Making conditions: Child Welfare conditions: Decision Making, Shared conditions: Decision Support Technique conditions: Social Facilitation conditions: Implementation Science conditions: Policy conditions: Organizations conditions: Consensus conditions: Mental Health conditions: Family studyType: INTERVENTIONAL phases: NA allocation: RANDOMIZED interventionModel: PARALLEL primaryPurpose: HEALTH_SERVICES_RESEARCH masking: NONE count: 80 type: ESTIMATED name: Optimizing Responses with Collaborative Assessments-Automated (ORCA-A) name: Optimizing Responses with Collaborative Assessments-Live (ORCA-L) measure: Mean changes in decision assumptions, decision goals Pre and Immediately Post-intervention measure: Mean changes in decision experience quality pre-post intervention measure: Mean changes in decision commitment pre-post intervention measure: Mean changes in perceived potential community health impact pre-post intervention measure: Descriptive changes in ordinal intervention rankings assisted (with ORCA) compared to unassisted (no ORCA) measure: Qualitatively described rationale for program adoption from pre-post intervention measure: Descriptive, mean group-level changes in perceived feasibility of intervention Pre-post intervention measure: Descriptive, mean group-level changes in perceived acceptability of intervention for implementation measure: Descriptive, mean group-level changes in perceived appropriateness of intervention for implementation measure: Descriptive differences in implementation process fidelity (activities completed) for interventions adopted with ORCA measure: Descriptive differences in implementation process fidelity (timing) for interventions adopted with ORCA measure: Qualitative changes in decision reasoning pre- post-intervention measure: Qualitative changes in decision goals pre- post-intervention measure: Qualitative changes in decision consensus pre- post-intervention measure: Time to adoption or re-adoption of interventions with ORCA sex: ALL minimumAge: 18 Years stdAges: ADULT stdAges: OLDER_ADULT hasResults: False