RECRUITING

Enhancing Team Effectiveness for a Collaborative School-based Intervention for ADHD

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The proposed project aims to integrate team-based implementation strategies with an established school-based intervention for children with ADHD, the Collaborative Life Skills Program (CLS), to enhance its implementation and optimize its effectiveness. The investigators will tailor three empirically-supported team development interventions, Team Charters, Team Communication Training (Student Handoff Protocols), and Team Performance Monitoring, and integrate them into a team-enhanced CLS implementation protocol (CLS-T). Team Charters are a written document developed collaboratively by the team at the outset of their work together outlining expectations, goals, roles and responsibilities, and relevant policies and procedures for team collaborative operations. Research shows that Team Charters strengthen affective emergent states, such as trust and cohesion among team members, as well as cognitive emergent states, such as shared mental models. They also strengthen team processes, such as goal specification, communication, and coordination to optimize team effectiveness. Handoff protocols are widely used interventions for ensuring continuity in patient care and minimizing errors in medical settings. They have also been found to improve affective (e.g., trust, cohesion) and cognitive (e.g., shared mental models, situation awareness) emergent states among team members, enhancing team communication and coordination. Finally, Team Performance Monitoring provides feedback to teams that can motivate performance, provide opportunities for adaptation in the event of challenges, and prompt communication among team members. The investigators will conduct a Hybrid Type III cluster randomized trial in 24 schools in two large urban school districts, to evaluate whether CLS-T implementation results in improved implementation outcomes and child outcomes in comparison to standard CLS implementation.

Official Title

Enhancing Team Effectiveness for a Collaborative School-based Intervention for ADHD

Quick Facts

Study Start:2024-01-01
Study Completion:2027-05-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06180681

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.

Ages Eligible for Study:7 Years to 11 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:CHILD
Inclusion CriteriaExclusion Criteria
  1. 1. Youth ages of 7-11 years (2-5th grade) who are attending a participating school
  2. 2. Child referred by a school mental health provider (SMHP) with apparent ADHD-related problems,
  3. 3. ≥6 symptoms (item score ≥2) of Inattention or Hyperactivity-Impulsivity on the pooled parent and teacher Child Symptom Inventory
  4. 4. ≥3 on the Impairment Rating Scale by parent and teacher (cross-situational impairment)
  5. 5. Caretaker and teacher consent to participate in treatment and child provides assent.
  1. 1. No presence of conditions that are incompatible with this study's treatment including: severe visual or hearing impairment, severe language delay or intellectual impairment, psychosis, pervasive developmental disorder
  2. 2. Child is in an all-day special education classroom (children in these classrooms are frequently receiving intensive behavior modification programs such that the intervention would be expected to require modification for use in these settings)
  3. 3. Parent/primary caregiver or child does not read or speak English. Note: Participats will need to be able to read/speak English because all measures are in English, and the intervention will be conducted in English. Parents will be given the option of having a research staff member assist them in completing the assessment measures.
  4. 4. Children planning to change (start or stop) psychotropic medication Note: Children taking medication will be required to meet all entry criteria, including impairment criteria, thus indicating a need for the intervention. Children taking medication for attention or behavior are eligible as long as their medication regimens are stable.

Contacts and Locations

Study Contact

Lilliana Conradi, BA
CONTACT
16196513154
lconradi@health.ucsd.edu

Principal Investigator

Miguel Villodas, Ph.D.
PRINCIPAL_INVESTIGATOR
San Diego State University
Linda Pfiffner, Ph.D.
PRINCIPAL_INVESTIGATOR
University of California, San Francisco

Study Locations (Sites)

IN STEP Children's Mental Health Center
San Diego, California, 92123
United States

Collaborators and Investigators

Sponsor: University of California, San Diego

  • Miguel Villodas, Ph.D., PRINCIPAL_INVESTIGATOR, San Diego State University
  • Linda Pfiffner, Ph.D., PRINCIPAL_INVESTIGATOR, University of California, San Francisco

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 Registration Dates

Study Start Date2024-01-01
Study Completion Date2027-05-31

Study Record Updates

Study Start Date2024-01-01
Study Completion Date2027-05-31

Terms related to this study

Additional Relevant MeSH Terms

  • Team-effectiveness Research
  • School-based Interventions
  • Attention Deficit/ Hyperactivity Disorder
  • Implementation Science