TeamTRACS Pilot (CTSI)

Implementation Clinical Trial

Official title:

Improving Teamwork in Rural Child Advocacy Centers: A Hybrid-Effectiveness Implementation Trial of TeamTRACS

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05370157
• Other study ID #: STUDY21110090
• Secondary ID: UL1TR001857
• Status: Completed
• Phase: N/A
• Start date: June 8, 2022
• Est. completion date: March 22, 2023

Study information

• Verified date: April 2024
• Source: University of Pittsburgh
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In a previous research study, the investigators adapted an evidence-based team training intervention for healthcare settings (TeamSTEPPS) to fit the needs and context of Child Advocacy Center multidisciplinary teams. This study is a cluster-randomized controlled trial of the adapted training, TeamTRACS (Team Training in Roles, Awareness, Communication, and Support). This hybrid type 2 effectiveness-implementation study will test the effectiveness of TeamTRACS and pilot a self-guided approach to implementing TeamTRACS in low-resource settings.

Description:

This study is designed to test the effects of TeamTRACS on knowledge, skill use, and team functioning. It will also evaluate the acceptability, appropriateness, and feasibility of a self-guided implementation approach that requires few resources and builds local capacity for change. Six rural Child Advocacy Centers (CACs) will be randomized to TeamTRACS (4 CACs) or a waitlist comparison (2 CACs). The long-term goal of this research is to create an effective team training that can be rapidly scaled up and disseminated to rural CACs nationwide. Supporting rural teams can improve team performance, strengthen the workforce, and ultimately improve service quality and outcomes for rural children who experience child abuse.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 172
• Est. completion date: March 22, 2023
• Est. primary completion date: March 22, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Individuals at least 18 years of age who are members of the multidisciplinary team at the participating CACs.

Exclusion Criteria:

• Under 18 years old

Related Conditions & MeSH terms

• Implementation

Intervention

Behavioral:
• TeamTRACS
TeamTRACS is a team training intervention adapted from TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a widely used evidence-based team training developed by the Agency for Healthcare Research and Quality. TeamTRACS targets knowledge, skills, and attitudes related to team member roles, shared awareness, communication, mutual support, and goal-setting. TeamTRACS is structured, easy to use, flexible in length and intensity, and requires few resources. It incorporates didactic instruction, discussion, and interactive activities and can be delivered virtually or in-person.

Locations

Country	Name	City	State
United States	University of Pittsburgh	Pittsburgh	Pennsylvania

Sponsors (2)

Lead Sponsor	Collaborator
University of Pittsburgh	National Institutes of Health (NIH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Teamwork Knowledge From Baseline to 3-month Follow-up	Survey questions assessing knowledge taught in TeamTRACS will be assessed with multiple choice questions. The percent of correct answers (range 0-100%) will be calculated.	Baseline, 3-month follow-up (Month 7, 3 months after training workshop)
Primary	Change in Teamwork Skill Use From Baseline to 3-month Follow-up	Frequency of teamwork skill use will be assessed with survey items rated on a 5-point Likert scale (range 1-5). Scores will be averaged; higher scores indicate more frequent skill use.	Baseline, 3-month follow-up (Month 7, 3 months after training workshop)
Primary	Acceptability of Self-guided Implementation	Perceived acceptability of the self-guided implementation process will be assessed with items from the Acceptability of Intervention Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.	Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)
Primary	Appropriateness of Self-guided Implementation	Perceived appropriateness of the self-guided implementation process will be assessed with items from the Intervention Appropriateness Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.	Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)
Primary	Feasibility of Self-guided Implementation	Perceived feasibility of the self-guided implementation process will be assessed with items from the Feasibility of Intervention Measure. Each item is rated on a 1-5 Likert scale. Scores will be averaged; higher scores indicate more positive perceptions.	Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)
Secondary	Change in Team Functioning From Baseline to 3-month Follow-up: Psychological Safety	Psychological safety (affective state) was assessed with Edmondson's (1999) Psychological Safety scale of 7 items rated on a 7-point Likert scale (1-7). Scores were averaged; higher scores indicate more psychological safety.	Baseline, 3-month follow-up (Month 7, 3 months after training workshop)
Secondary	Change in Team Functioning From Baseline to 3-month Follow-up: Learning Behavior	Learning behavior (behavioral process) was assessed with Edmondson's (1999) Learning Behavior scale of 7 items rated on a 7-point Likert scale (1-7). Scores were averaged; higher scores indicate more learning behavior.	Baseline, 3-month follow-up (Month 7, 3 months after training workshop)
Secondary	Change in Team Performance From Baseline to 3-month Follow-up	The overall quality of work done by the team will be assessed with Edmondson's (1999) Team Performance scale of 5 items rated on a 7-point Likert scale. Scores will be averaged; higher scores indicate better performance.	Baseline, 3-month follow-up (Month 7, 3 months after training workshop)