Outcome
| Type |
Measure |
Description |
Time frame |
Safety issue |
| Primary |
Reach: proportion of agencies who accept introductory webinar presentation |
Research staff will document the number of mental health agencies who agree to participate in the introductory webinar presentation out of the total number approached. |
3 months prior to baseline |
|
| Primary |
Reach: proportion of mental health providers who enroll in the study |
Research staff will document the number of mental health providers who enroll in the study out of the total number of providers who attend the introductory webinar at recruitment. |
3 months prior to baseline |
|
| Primary |
Reach: proportion of mental health providers who complete data collection |
Research staff will document the number of mental health providers who complete follow-up data collection out of the total number of providers who enrolled in the study. |
baseline to 6 months |
|
| Primary |
Effectiveness: Percentage of clients screened for prenatal alcohol exposure |
Mental health providers will be asked as part of the Practice Change survey at each time point the percentage of clients they screen for prenatal alcohol exposure. |
baseline to 1 year |
|
| Primary |
Effectiveness: Number of clients diagnosed with a fetal alcohol spectrum disorder |
Mental health providers will be asked at each time point the number of clients they have diagnosed with a fetal alcohol spectrum disorder (using the DSM-5 Neurodevelopmental Disorder Associated with Prenatal Alcohol Exposure criteria). |
baseline to 1 year |
|
| Primary |
Effectiveness: Number of clients enrolled in FMF Connect Pro Dashboard |
FMF Connect Pro Dashboard analytics will be examined to assess the number of clients providers have enrolled in FMF Connect. |
baseline to 1 year |
|
| Primary |
Adoption: Number of ECHO Sessions Completed |
Participant attendance at each ECHO session will be measured for FMF Connect Pro with ECHO implementation group. There are 13 total sessions. |
6 months |
|
| Primary |
Adoption: Number of Self-Directed Sessions Completed |
Participant completion of each self-directed learning module will be measured for the FMF Connect Pro with Self-Directed implementation group. There are 13 total modules. |
6 months |
|
| Primary |
Adoption: Change in Provider FASD-Informed Care Knowledge |
Participant knowledge will be assessed using the Knowledge of FASD-Informed Care survey. This survey assesses the content and principles of FASD-informed care. The survey has 30 questions, with each question worth 1 point. Scores range from 0 to 30, with higher scores reflecting greater knowledge. |
baseline to 6 months |
|
| Primary |
Adoption: Change in FASD-Informed Care Self-Efficacy |
Participant self-efficacy will be assessed using the FASD-Informed Care Self-Efficacy scale. This scale assesses provider self-efficacy in specific FASD- informed care skills in mental health settings. The measure includes 12 items. Items are rated on a 6-point Likert scale from 1 "no confidence" to 6 "highly confident/expert." Scores range from 12 to 72, with higher scores reflecting greater confidence or self-efficacy. |
baseline to 6 months |
|
| Primary |
Implementation: Change in FASD-informed practice |
Participant practice change will be assessed using the FASD- Informed Care Practice Change scale. This measure is aligned with specific FASD-informed care behaviors taught in ECHO and self-directed versions of FMF Connect Pro. This measure includes 15 items rated on a 5-point scale, with scores ranging from 15 to 75. Higher scores reflect clinical practice more consistent with FASD-informed care. |
baseline to 6 months |
|
| Primary |
Maintenance: Change in FASD-informed practice |
Participant practice change will be assessed using the FASD- Informed Care Practice Change scale. This measure is aligned with specific FASD-informed care behaviors taught in ECHO and self-directed versions of FMF Connect Pro. This measure includes 15 items rated on a 5-point scale, with scores ranging from 15 to 75. Higher scores reflect clinical practice more consistent with FASD-informed care. |
6 months to 1 year |
|
| Primary |
Implementation and Maintenance: FMF Connect Pro Dashboard usage |
FMF Connect Pro Dashboard analytics will be extracted to measure the number of times providers accessed the website. |
baseline to 1 year |
|
| Secondary |
Contextual determinants on outcomes: Mean score on the Theoretical Domains Framework (TDF) survey |
Providers will complete an adapted version of the Theoretical Domains Framework (TDF) survey to assess possible barriers and facilitators impacting implementation of the intervention. The survey includes 27 items. Responses are scored from 1(strongly disagree) to 7 (strongly agree). Scores range from 27 to 189, with higher scores reflecting greater agreement. |
baseline to 1 year |
|
