protocolSection identificationModule nctId: NCT06375551, orgStudyIdInfo id: 1171-0623, secondaryIdInfos 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, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-07-31, primaryCompletionDateStruct date: 2027-07-31, completionDateStruct date: 2027-07-31, studyFirstPostDateStruct date: 2024-04-19, lastUpdatePostDateStruct date: 2024-04-19, sponsorCollaboratorsModule leadSponsor name: Chestnut Health Systems, class: OTHER, collaborators name: National Institute of Mental Health (NIMH), descriptionModule 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., conditionsModule 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, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: HEALTH_SERVICES_RESEARCH, maskingInfo masking: NONE, enrollmentInfo count: 80, type: ESTIMATED, armsInterventionsModule interventions name: Optimizing Responses with Collaborative Assessments-Automated (ORCA-A), interventions name: Optimizing Responses with Collaborative Assessments-Live (ORCA-L), outcomesModule primaryOutcomes measure: Mean changes in decision assumptions, decision goals Pre and Immediately Post-intervention, primaryOutcomes measure: Mean changes in decision experience quality pre-post intervention, primaryOutcomes measure: Mean changes in decision commitment pre-post intervention, primaryOutcomes measure: Mean changes in perceived potential community health impact pre-post intervention, primaryOutcomes measure: Descriptive changes in ordinal intervention rankings assisted (with ORCA) compared to unassisted (no ORCA), primaryOutcomes measure: Qualitatively described rationale for program adoption from pre-post intervention, primaryOutcomes measure: Descriptive, mean group-level changes in perceived feasibility of intervention Pre-post intervention, primaryOutcomes measure: Descriptive, mean group-level changes in perceived acceptability of intervention for implementation, primaryOutcomes measure: Descriptive, mean group-level changes in perceived appropriateness of intervention for implementation, primaryOutcomes measure: Descriptive differences in implementation process fidelity (activities completed) for interventions adopted with ORCA, primaryOutcomes measure: Descriptive differences in implementation process fidelity (timing) for interventions adopted with ORCA, secondaryOutcomes measure: Qualitative changes in decision reasoning pre- post-intervention, secondaryOutcomes measure: Qualitative changes in decision goals pre- post-intervention, secondaryOutcomes measure: Qualitative changes in decision consensus pre- post-intervention, secondaryOutcomes measure: Time to adoption or re-adoption of interventions with ORCA, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule, hasResults: False