Clinical trial NCT03515226: Remote Training in Evidence-based Practices for Clinicians Who Work With Migrant Workers
Official title: Remote Training in Evidence-based Practices for Clinicians Who Work With Migrant Workers
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Depression
Keywords: workforce development
intelligent tutoring systems
Lead sponsor: University of Washington
Sponsor class: OTHER
Collaborators: name: National Institute of Mental Health (NIMH)
First posted: 2018-05-03
Enrollment: 25
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized clinical trial
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This study will compare training as usual to automated training using an intelligent tutoring system in training bachelors (BA) level social workers in cognitive behavioral therapy (CBT). The purpose of the study is to determine if time and cost of training front line clinicians in evidence-based treatments can be shortened, and if this new training model can reduce the need for clinicians to seek advice from experts.

Detailed description: The University of Washington (UW) School of Social Work, in partnership with Heritage University's School of Social Work in Yakima Valley recently partnered to develop a training program for bachelors (BA) level Social Workers to address limited clinician capacity in rural primary care settings. Currently the curriculum is a combination of didactic training in telephone based cognitive behavioral therapy (CBT; 20 hours), role play training (25 hours), and guided supervision. The scalability of these programs is limited, however, by expert time to conduct training activities, clinician time away from work to engage in training activities, and the fact that even when clinicians participate in training, there is no guarantee they will certify. Adaptive learning, an educational method that uses adaptive algorithms to may be a potential solution to these problems in capacity building. These programs can tailor the educational experience to the needs of the trainee, reduce time in training, improve competence in complex decision-making and standardize training. This study builds on the existing research base on clinical training, and adds to it by designing and testing an intelligent tutoring system (ITS) based on adaptive learning algorithms. Both CBT experts (Aisenberg) and past CBT trainees (Heritage University School of Social Work) will partner with experts in educational software development (Popovic) to create the ITS, which will be compared to training as usual on time to training, competence and skill drift. The investigators hypothesize that capacity building through improved learnability (target mechanism) will result in enhanced clinical ability to deliver CBT elements competently, and in a shorter time-period, and that greater competence will result in better quality of care.

Eligibility criteria: Inclusion Criteria:

* BA level social work student
* Bilingual Spanish Speaking

Exclusion Criteria:

* none

Primary outcomes:
measure: Acceptability of Intervention Measure (AIM) - Goal Setting
timeFrame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
measure: Acceptability of Intervention Measure (AIM) - Identifying Challenges
timeFrame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
measure: Intervention Appropriateness Measure (IAM) - Goal Setting
timeFrame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
measure: Intervention Appropriateness Measure (IAM) - Identifying Challenges
timeFrame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
measure: Feasibility of Intervention Measure (FIM) - Goal Setting
timeFrame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
measure: Feasibility of Intervention Measure - Identifying Challenges
timeFrame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
measure: Intervention Usability Scale (IUS) - Goal Setting
timeFrame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
measure: Intervention Usability Scale (IUS) - Identifying Challenges
timeFrame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
Secondary outcomes:
Other outcomes:
Locations:
city: Seattle
country: United States
facility: University of Washington Department of Psychiatry and Behavioral Sciences
state: Washington
Study officials:
affiliation: UWMC Psychiatry
name: Patricia Arean
role: PRINCIPAL_INVESTIGATOR
affiliation: UWMC Psychiatry
name: Brenna Renn, PhD
role: STUDY_DIRECTOR
References:
citation: Lyon AR, Munson SA, Renn BN, Atkins DC, Pullmann MD, Friedman E, Arean PA. Use of Human-Centered Design to Improve Implementation of Evidence-Based Psychotherapies in Low-Resource Communities: Protocol for Studies Applying a Framework to Assess Usability . JMIR Res Protoc. 2019 Oct 9;8(10):e14990. doi: 10.2196/14990.