Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS)

The Washington University

Status: Completed

Conditions: Psychological Trauma; Mental Health

Treatments: Other: TF-CBT Learning Collaborative; Other: COAST-IS

Study type: Interventional

Funder types: Other; NETWORK; NIH

Identifiers

NCT03799432

17-0978

1K01MH113806-01 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to partner with the North Carolina Child Treatment Program (NC CTP) and the SAMHSA-funded National Child Traumatic Stress Network (NCTSN) to develop and pilot the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS). The COAST-IS intervention will involve coaching organizational leaders and therapists to use Intervention Mapping to select and tailor strategies. Intervention Mapping is a multistep process that is inherently ecological and incorporates theory, evidence, and stakeholder perspectives to ensure that intervention components effectively address key determinants of change. After collaboratively developing COAST-IS in Year 1, the investigators will conduct a randomized pilot trial of the intervention within an NC CTP learning collaborative, randomly assigning eight organizations to the learning collaborative-only condition or the learning collaborative plus COAST-IS condition. Participants will include organizational leaders (e.g., CEOs/Directors, Clinical Directors, Supervisors) and therapists (e.g., Licensed Clinical Social Workers, Licensed Psychologists, Licensed Professional Counselors). The investigators will evaluate COAST-IS in the following aims: 1) to assess the acceptability, appropriateness, feasibility, and utility of COAST-IS; 2) to evaluate organizational stakeholders' fidelity to the core elements of Intervention Mapping; and 3) to demonstrate the feasibility of testing COAST-IS in a larger effectiveness trial. This work is significant because it will yield a systematic method that integrates theory, evidence, and stakeholder perspectives to improve the effectiveness and precision of implementation strategies. Ultimately, COAST-IS may have the potential to improve implementation and sustainment of a wide-range of EBPs in mental health and other health sectors.

Enrollment: 62 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

• Employed at an organization participating in a North Carolina Child Treatment Program TF-CBT learning collaborative
• Working as an organizational leader (e.g., senior leaders and clinical supervisors) or therapist
• Direct involvement in the organization's implementation of TF-CBT

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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62 participants in 2 patient groups

TF-CBT Learning collaborative + COAST-IS

Experimental group

Description:

In addition to participating in a learning collaborative for implementing trauma-focused cognitive behavioral therapy (TF-CBT) with periodic coaching calls, organizations will receive additional training and tailored implementation support.

Treatment:

Other: COAST-IS

Other: TF-CBT Learning Collaborative

TF-CBT Learning collaborative

Active Comparator group

Description:

Organizations will participate in a learning collaborative for implementing trauma-focused cognitive behavioral therapy (TF-CBT) with periodic coaching calls.

Treatment:

Other: TF-CBT Learning Collaborative