Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| UL1TR001857 | U.S. NIH Grant/Contract | View source |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| National Institutes of Health (NIH) | NIH |
Not provided
Not provided
Not provided
Not provided
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.
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.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TeamTRACS (Team Training in Roles, Awareness, Communication, and Support) | Experimental | CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. |
|
| Waitlist Comparison | No Intervention | CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TeamTRACS | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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) |
| 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) |
| 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) |
| 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) |
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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) |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Elizabeth A McGuier, PhD | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pittsburgh | Pittsburgh | Pennsylvania | 15213 | United States |
Deidentified data will be available upon reasonable request as allowed by IRB regulations and after manuscripts reporting the main findings are accepted for publication.
Data will be available after manuscripts reporting the main findings are accepted for publication.
Contact the principal investigator to request access to the deidentified data.
Not provided
Not provided
Only current team members were eligible to participate at each timepoint. Participants who completed baseline data collection but left the team before follow-up were not invited to participate in follow-up data collection. Participants who joined the team after baseline were invited to participate in follow-up data collection.
| ID | Title | Description |
|---|---|---|
| FG000 | TeamTRACS (Team Training in Roles, Awareness, Communication, and Support) | CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. 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. |
| FG001 | Waitlist Comparison | CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Participants Entering at Baseline |
|
| |||||||||||||||||||||||||||
| Participants Entering at Follow-Up |
|
Baseline characteristics are reported for all unique participants
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | TeamTRACS (Team Training in Roles, Awareness, Communication, and Support) | CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. 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. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Age category is unknown for 13 participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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. | Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints | Posted | Mean | Standard Deviation | percentage correct answers | Baseline, 3-month follow-up (Month 7, 3 months after training workshop) |
|
Up to 9 months
All-Cause Mortality among participants was not assessed; therefore the number of participants at risk for All-Cause Mortality is zero.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | TeamTRACS (Team Training in Roles, Awareness, Communication, and Support) | CACs randomized to the intervention condition (n = 4) will participate in TeamTRACS. CACs will receive an implementation guide to assist in preparing for and maximizing the impact of training. 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. |
Not provided
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Elizabeth McGuier | University of Pittsburgh | 412-246-5895 | millerea3@upmc.edu |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 14, 2024 | Mar 14, 2024 | Prot_SAP_001.pdf |
| ICF | No | No | Yes | Informed Consent Form | Jan 18, 2023 | Jun 12, 2023 | ICF_000.pdf |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7) |
| 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) |
| 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) |
| NOT COMPLETED |
|
| BG001 | Waitlist Comparison | CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition. |
| BG002 | Total | Total of all reporting groups |
| Count of Participants |
| Participants |
|
| Age, Continuous | Age is unknown for 15 participants | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Self-reported Gender | Gender is unknown for 13 participants. | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG001 | Waitlist Comparison | CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition. |
|
|
|
| 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. | Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints | Posted | Mean | Standard Deviation | score on a scale | 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. | Only rated by key informants in CACs randomized to TeamTRACS | Posted | Mean | Standard Deviation | score on a scale | 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. | Only rated by key informants in CACs randomized to TeamTRACS | Posted | Mean | Standard Deviation | score on a scale | 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. | Only rated by key informants in CACs randomized to TeamTRACS | Posted | Mean | Standard Deviation | score on a scale | 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. | Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints | Posted | Mean | Standard Deviation | score on a scale | 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. | Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints | Posted | Mean | Standard Deviation | score on a scale | 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. | Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints | Posted | Mean | Standard Deviation | score on a scale | Baseline, 3-month follow-up (Month 7, 3 months after training workshop) |
|
|
|
|
| 0 |
| 0 |
| 0 |
| 117 |
| 0 |
| 117 |
| EG001 | Waitlist Comparison | CACs randomized to the waitlist comparison (n = 2) will participate in TeamTRACS approximately 4 months after CACs in the intervention condition. | 0 | 0 | 0 | 55 | 0 | 55 |
Not provided
Not provided
Not provided
| Unknown or Not Reported |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Follow-up |
|
|
|
|
|
| Follow-up |
|
|
| Follow-up |
|
|
| Follow-up |
|
|