Clinical trial NCT06527196: TEAMS R34 #3: Team Communication Training for Pediatric Depression Screening
Official title: TEAMS R34 #3: Developing and Testing a Team Communication Training Implementation Strategy for Depression Screening in a Pediatric Health Care System
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Depression
Children
Keywords: Depression Screening
Team Communication
Team Effectiveness
Lead sponsor: University of California, San Diego
Sponsor class: OTHER
Collaborators: name: National Institute of Mental Health (NIMH)
First posted: 2024-07-30
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Pediatric depression is a global concern that has fueled efforts for enhanced detection and treatment engagement. While many health systems have implemented components of depression screening protocols, there is limited evidence of effective follow-up for pediatric depression. A key barrier to prompt service linkage is timely team communication and coordination between clinicians and staff across service areas. This project aims to refine and test a team communication training implementation strategy to improve implementation of an existing pediatric depression screening protocol in a large pediatric healthcare system. The implementation strategy will target team mechanisms at the organizational-level and provider-level. Team communication training is hypothesized to lead to improved, efficient, and effective decision-making to increase the frequency of depression screening and timely service linkage. Findings are expected to yield better understanding of how to optimize team communication activities and patterns in the pediatric depression screening to treatment cascade. This should also culminate in improved patient engagement and outcomes, which are critical to address the youth mental health crisis.

Detailed description: Aim 1: Use mixed methods to refine a team communication training implementation strategy to improve implementation of an existing health system universal depression screening protocol (clinical intervention)

Aim 2: Use a two-arm hybrid type 3 implementation-effectiveness pilot trial to assess the initial effectiveness of the team communication training strategy on implementation of the depression screening protocol.

Aim 3: Use mixed methods to assess team/organizational (intra-organizational alignment, implementation climate) and team member/provider (communication, coordination, psychological safety, shared cognitions) mechanisms of the team communication training implementation strategy and a novel application of natural language processing methods.

Eligibility criteria: Inclusion Criteria:

Inclusion criteria for all groups of participants are intentionally broad to ensure valid analyses:

1. Employed as medical staff and/or a medical or health provider at Rady Children's Hospital San Diego.
2. Experience providing or supporting care to children and adolescents with mental health care needs.

Exclusion Criteria:

Any individual that does not meet the inclusion criteria will be excluded from study participation.

Primary outcomes:
measure: Acceptability, Feasibility, and Appropriateness of Intervention Measure
timeFrame: 6 months
measure: Referral Processing Time
timeFrame: 6 months
measure: Provider Response Based on Patient Health Questionnaire (PHQ-9) Score
timeFrame: Baseline, 3 months, 6 months
measure: Mental Health Service Linkage (Caregiver Report of Successful Mental Health Service Linkage)
timeFrame: 3 months, 6 months
measure: Referral Quality (Provider Report of Successful Mental Health Service Referrals)
timeFrame: 6 months
measure: Time to Mental Health Service Linkage
timeFrame: Baseline, 3 months, 6 months
Secondary outcomes:
measure: Implementation Climate Measure
timeFrame: Baseline, 3 months, 6 months
measure: Collaboration and Satisfaction About Care Decisions (CSACD)
timeFrame: Baseline, 3 months, 6 months
measure: Card Sorting Activity
timeFrame: Baseline, 3 months, 6 months
measure: Edmonson's Psychological Safety (Interpersonal Risk Taking) Climate Measure
timeFrame: Baseline, 3 months, 6 months
measure: Family Demographics Questionnaire
timeFrame: Baseline, 3 months, 6 months
Other outcomes:
Locations:
city: San Diego
country: United States
facility: UC San Diego: IN STEP Children's Mental Health Research Center
state: California
Study officials:
affiliation: UCSD Associate Professor
name: Nicole A Stadnick, PhD, MPH
role: PRINCIPAL_INVESTIGATOR
References: