NCT03515226

Remote Training in Evidence-based Practices for Clinicians Who Work With Migrant Workers

Terminated NA Results posted Last updated 26 July 2022

What this trial tests

NA trial testing ITS based training in Depression in 25 participants. Terminated before completion.

Timeline

30 June 2018

Primary endpoint
30 June 2020

30 August 2020

Quick facts

Lead sponsor	University of Washington
Phase	NA
Status	Terminated
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	none
Primary purpose	health services research
Enrollment	25
Start date	30 June 2018
Primary completion	30 June 2020
Estimated completion	30 August 2020
Sites	1 location across United States

Drugs / interventions tested

• ITS based training
• Traditional Training

Conditions studied

• Depression — all drugs for Depression →

Sponsor

University of Washington

Who can join

18 and older, any sex, with Depression. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Acceptability of Intervention Measure (AIM) - Goal Setting Primary · This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention acceptability; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill acceptable to use after they complete the training. We administered the AIM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on goal setting.

Pre-Training

Group	Value	95% CI
Traditional Training	17.88	± 0.99
ITS Based Training	17.64	± 1.43

Post-Training

Group	Value	95% CI
Traditional Training	17.63	± 1.69
ITS Based Training	18.27	± 2.61

Acceptability of Intervention Measure (AIM) - Identifying Challenges Primary · This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention acceptability; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill acceptable to use after they complete the training. We administered the AIM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on identifying challenges.

Pre-Training

Group	Value	95% CI
Traditional Training	16.75	± 1.39
ITS Based Training	17.73	± 3.44

Post-Training

Group	Value	95% CI
Traditional Training	16.25	± 1.28
ITS Based Training	17.82	± 1.72

Intervention Appropriateness Measure (IAM) - Goal Setting Primary · This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention appropriateness; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total range for this measure is 4-20. Each group will be compared on the degree they find the specific clinical skill appropriate to use after they complete the training. We administered the IAM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on goal setting.

Pre-Training

Group	Value	95% CI
Traditional Training	18.25	± 1.75
ITS Based Training	18.55	± 1.63

Post-Training

Group	Value	95% CI
Traditional Training	17.88	± 2.23
ITS Based Training	18.82	± 1.54

Intervention Appropriateness Measure (IAM) - Identifying Challenges Primary · This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention appropriateness; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill appropriate to use after they complete the training. We administered the IAM twice asking the students to respond to the acceptability of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on identifying challenges.

Pre-Training

Group	Value	95% CI
Traditional Training	16.38	± 1.19
ITS Based Training	18.82	± 2.27

Post-Training

Group	Value	95% CI
Traditional Training	17.13	± 1.81
ITS Based Training	18.27	± 1.90

Feasibility of Intervention Measure (FIM) - Goal Setting Primary · This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention feasibility; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill feasible to use after they complete the training they participated in. We administered the FIM twice asking the students to respond to the feasibility of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on goal setting.

Pre-Training

Group	Value	95% CI
Traditional Training	16.88	± 2.23
ITS Based Training	17.09	± 2.17

Post-Training

Group	Value	95% CI
Traditional Training	17.13	± 1.46
ITS Based Training	18.91	± 1.64

Feasibility of Intervention Measure - Identifying Challenges Primary · This measure will be administered to participants in each training group after they complete the 25 hours of training.

This is a four item measure of intervention feasibility; where each item is rated on a 1-5 scale, with 1 = not at all appropriate and 5 = very appropriate. The total scale range is 4-20. Each group will be compared on the degree they find the specific clinical skill feasible to use after they complete the training they participated in. We administered the FIM twice asking the students to respond to the feasibility of goal setting as a clinical skill and of identifying challenges as a clinical skill. This section reports on identifying challenges.

Pre-Training

Group	Value	95% CI
Traditional Training	15.88	± 2.30
ITS Based Training	17.73	± 2.45

Post-Training

Group	Value	95% CI
Traditional Training	15.63	± 1.69
ITS Based Training	18.27	± 1.68

Intervention Usability Scale (IUS) - Goal Setting Primary · This measure will be administered to participants in each training group after they complete the 25 hours of training.

The IUS is a 10-item measure with a possible total score ranging from 0 to 100; higher scores indicate a more usable intervention. Although this measure has not yet been normed as a measure of intervention usability, the System Usability Scale upon which the IUS is based defines scores of 70 or above as indicative of acceptable usability.

Pre-Training

Group	Value	95% CI
Traditional Training	28.25	± 3.85
ITS Based Training	28.27	± 3.61

Post-Training

Group	Value	95% CI
Traditional Training	30.13	± 5.03
ITS Based Training	30.82	± 4.02

Intervention Usability Scale (IUS) - Identifying Challenges Primary · This measure will be administered to participants in each training group after they complete the 25 hours of training.

The IUS is a 10-item measure with a possible total score ranging from 0 to 100; higher scores indicate a more usable intervention. Although this measure has not yet been normed as a measure of intervention usability, the System Usability Scale upon which the IUS is based defines scores of 70 or above as indicative of acceptable usability.

Pre-Training

Group	Value	95% CI
Traditional Training	26.75	± 4.30
ITS Based Training	27.91	± 4.55

Post-Training

Group	Value	95% CI
Traditional Training	28.88	± 4.09
ITS Based Training	29.27	± 5.10

Sponsor's own description

This study will compare training as usual to automated training using an intelligent tutoring system in training bachelors (BA) level social workers in cognitive behavioral therapy (CBT). The purpose of the study is to determine if time and cost of training front line clinicians in evidence-based treatments can be shortened, and if this new training model can reduce the need for clinicians to seek advice from experts.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Use of Human-Centered Design to Improve Implementation of Evidence-Based Psychotherapies in Low-Resource Communities: Protocol for Studies Applying a Framework to Assess Usability
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   Lyon AR, Munson SA, Renn BN, Atkins DC, et al · · 2019 · cited 118× · PMID 31599736 · DOI 10.2196/14990