Clinical trial NCT01308879: Effects of Routine Feedback to Clinicians on Youth Mental Health Outcomes: A Randomized Cluster Design
Official title: Effects of Routine Feedback to Clinicians on Youth Mental Health Outcomes: A Randomized Cluster Design
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Health Wellness 1
Psychosocial Problem
Keywords: Contextualized Feedback System (CFS)
Mental health outcomes
Quality improvement
Feedback
Clinical trial
Lead sponsor: Vanderbilt University
Sponsor class: OTHER
Collaborators: name: National Institute of Mental Health (NIMH)
name: Leon Lowenstein Foundation Inc.
First posted: 2011-03-04
Enrollment: 356
Sex: ALL
Minimum age (years): 11
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The purpose of this clinical trial was to test the hypothesis that clients of clinicians who were scheduled to receive weekly feedback on their clients' progress would improve faster than clients of clinicians who were not scheduled to receive weekly feedback.

Detailed description: The primary approach to improving psychosocial treatment for youths has been to implement evidence-supported treatments (ESTs) in community services. However, this approach has not produced clear cut results of effectiveness. A recently developed alternative is to improve outcomes through routine measurement and feedback to clinicians and supervisors. The investigators used a cluster randomized experiment with 28 sites affiliated with a national behavioral health organization to assess whether clients of clinicians who were scheduled to receive weekly feedback on their clients' progress would improve faster than clients of clinicians who were not scheduled to receive weekly feedback.

Eligibility criteria: Inclusion Criteria:

* all youths 11-18 years old, entering treatment as usual, home-based services through the service provider. Youths' primary caregiver and clinician also participate.

Primary outcomes:
measure: Symptoms and Functioning Severity Scale
timeFrame: The SFSS is completed at intake by youths and caregivers, then by youths, caregivers, and clinicians at the 1st treatment session and every other session (week) thereafter for as long as the youth is enrolled in the intervention (CFS).
Secondary outcomes:
measure: Brief Multidimensional Students' Life Satisfaction Scale-CEPI (BMSLSS-CEPI)
timeFrame: The BMSLSS-CEPI is completed by the youth at intake, at the 2nd treatment session, and every 8 weeks thereafter for as long as the youth is enrolled in the intervention (CFS).
measure: The Children's Hope Scale (CHS)
timeFrame: The CHS is completed by the youth at intake and every 8 weeks thereafter for as long as the youth is enrolled in the intervention (CFS).
Other outcomes:
Locations:
city: Tucson
country: United States
facility: 28 sites in 10 states affiliated with Providence Service Corporation (location info is for corporate office)
state: Arizona
Study officials:
affiliation: Center for Evaluation and Program Improvement, Vanderbilt University
name: Leonard Bickman, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: