- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03515226
Remote Training in Evidence-based Practices for Clinicians Who Work With Migrant Workers
July 19, 2022 updated by: Pat Arean, University of Washington
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.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
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.
Study Type
Interventional
Enrollment (Actual)
25
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Washington
-
Seattle, Washington, United States, 98105
- University of Washington Department of Psychiatry and Behavioral Sciences
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- BA level social work student
- Bilingual Spanish Speaking
Exclusion Criteria:
- none
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Traditional Training
20 hours of didactic education and training in CBT principles, depression assessment and cultural competency and 25 hours in dyad role playing of CBT manualized treatment sessions with supervision.
|
Training using didactics and role plays
|
Experimental: ITS based training
Traditional training plus the addition of an algorithmic based training computer program that trains clinicians in clinical micro-competencies.
|
Training using computerized adaptive training in addition to role play
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acceptability of Intervention Measure (AIM) - Goal Setting
Time Frame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
This is a four item measure of intervention acceptability; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate.
The total scale range is 4-20.
Each group will be compared on the degree they find the specific clinical skill acceptable to use after they complete the training.
We administered the AIM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill.
This section reports on goal setting.
|
This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
Acceptability of Intervention Measure (AIM) - Identifying Challenges
Time Frame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
This is a four item measure of intervention acceptability; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate.
The total scale range is 4-20.
Each group will be compared on the degree they find the specific clinical skill acceptable to use after they complete the training.
We administered the AIM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill.
This section reports on identifying challenges.
|
This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
Intervention Appropriateness Measure (IAM) - Goal Setting
Time Frame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
This is a four item measure of intervention appropriateness; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate.
The total range for this measure is 4-20.
Each group will be compared on the degree they find the specific clinical skill appropriate to use after they complete the training.
We administered the IAM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill.
This section reports on goal setting.
|
This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
Intervention Appropriateness Measure (IAM) - Identifying Challenges
Time Frame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
This is a four item measure of intervention appropriateness; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate.
The total scale range is 4-20.
Each group will be compared on the degree they find the specific clinical skill appropriate to use after they complete the training.
We administered the IAM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill.
This section reports on identifying challenges.
|
This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
Feasibility of Intervention Measure (FIM) - Goal Setting
Time Frame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
This is a four item measure of intervention feasibility; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate.
The total scale range is 4-20.
Each group will be compared on the degree they find the specific clinical skill feasible to use after they complete the training they participated in.
We administered the FIM twice asking the students to respond to the feasibility of goal setting as a clinical skill and of identifying challenges as a clinical skill.
This section reports on goal setting.
|
This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
Feasibility of Intervention Measure - Identifying Challenges
Time Frame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
This is a four item measure of intervention feasibility; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate.
The total scale range is 4-20.
Each group will be compared on the degree they find the specific clinical skill feasible to use after they complete the training they participated in.
We administered the FIM twice asking the students to respond to the feasibility of goal setting as a clinical skill and of identifying challenges as a clinical skill.
This section reports on identifying challenges.
|
This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
Intervention Usability Scale (IUS) - Goal Setting
Time Frame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
The IUS is a 10-item measure with a possible total score ranging from 0 to 100; higher scores indicate a more usable intervention.
Although this measure has not yet been normed as a measure of intervention usability, the System Usability Scale upon which the IUS is based defines scores of 70 or above as indicative of acceptable usability.
|
This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
Intervention Usability Scale (IUS) - Identifying Challenges
Time Frame: This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
The IUS is a 10-item measure with a possible total score ranging from 0 to 100; higher scores indicate a more usable intervention.
Although this measure has not yet been normed as a measure of intervention usability, the System Usability Scale upon which the IUS is based defines scores of 70 or above as indicative of acceptable usability.
|
This measure will be administered to participants in each training group after they complete the 25 hours of training.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Patricia Arean, UWMC Psychiatry
- Study Director: Brenna Renn, PhD, UWMC Psychiatry
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 30, 2018
Primary Completion (Actual)
June 30, 2020
Study Completion (Actual)
August 30, 2020
Study Registration Dates
First Submitted
March 15, 2018
First Submitted That Met QC Criteria
May 1, 2018
First Posted (Actual)
May 3, 2018
Study Record Updates
Last Update Posted (Actual)
July 26, 2022
Last Update Submitted That Met QC Criteria
July 19, 2022
Last Verified
July 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- STUDY00004268
- 1P50MH115837-01 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Yes
IPD Plan Description
We will be creating a register of study outcomes for all projects under the UW ALACRITY center that researchers and request permission to access.
IPD Sharing Time Frame
Data for this study will be made available in January of 2021
IPD Sharing Access Criteria
Any interested party who wishes to use our data for research or educational purposes may contact Dr. Renn who will review the request and provide access to information requested.
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
- Informed Consent Form (ICF)
- Clinical Study Report (CSR)
- Analytic Code
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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