Implementation support for collaborative care in pediatric practices

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of implementation strategies aimed at enhancing the uptake of an evidence-based intervention called Doctor Office Collaborative Care (DOCC) for managing child behavior problems and ADHD in pediatric primary care settings. It employs a randomized, hybrid effectiveness-implementation design involving up to 24 primary care practices. The study tests two levels of implementation support: strategies directed at the care team and those aimed at practice leadership. By assessing the separate and combined effects of these strategies, the research aims to optimize the delivery of DOCC in diverse pediatric practices.

Why it matters

Who can join: the full rules

The investigators propose to recruit 4 types of practice provider participants (PCP = primary care provider, CM = care manager, SL = Senior Leader, PM = practice manager) as well as caregiver participants.

Inclusion Criteria:

* PCP Participants:

  * Employed at one of the up to twenty-four (24) pediatric primary care practices identified by the PA Medical Home Program at the PA AAP or by the University of Pittsburgh research team.
  * Identified by the practice as a Primary Care Provider
* CM Participants:

  * Employed at one of the up to twenty-four (24) pediatric primary care practices identified by the PA Medical Home Program at the PA AAP or by the University of Pittsburgh research team.
  * Identified by the practice as a Behavioral Health Resource who delivers and coordinates behavioral health care in the practice, who will function in the study as a care manager.
* SL Participants:

  * Employed at one of the up to twenty-four (24) pediatric primary care practices identified by the PA Medical Home Program at the PA AAP or by the University of Pittsburgh research team.
  * Identified by the practice as the Senior Leader.
  * Have a practice-level leadership role such as Medical Director or a clinical/practice leader
  * Have administrative responsibilities related to patient care and/or the operations/management of the practice
* PM Participants:

  * Employed at one of the up to twenty-four (24) pediatric primary care practices identified by the PA Medical Home Program at the PA AAP or by the University of Pittsburgh research team.
  * Identified by the practice as the Practice Manager or equivalent position
  * Are responsible for day-to-day practice operations, such as personnel management, billing, and compliance with regulations, in the pediatric practice.
* Caregiver Participants:

  * Have a child age 5-12 years old who exhibits at least a modest level of behavior problems (Caregiver Participants)
  * Are at least 18 years of age (Caregiver participants)
  * Have parental rights for this child (Caregiver participants)

Exclusion Criteria:

* Caregivers

  * Already enrolled in the study as the caregiver to a different child (e.g., sibling) (Caregiver participants)

Where it's running

• University of Pittsburgh
  Pittsburgh, Pennsylvania, United States Recruiting
• Drexel University
  Philadelphia, Pennsylvania, United States Not yet recruiting

Study contacts

• Principal investigator: David J Kolko, PhD — University of Pittsburgh
• Study coordinator: Kevin M Rumbarger, BA
• Email: rumbargerkm@upmc.edu
• Phone: 4128867539

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.