TeamworkNCT05370157

TeamTRACS Pilot (CTSI)

A study testing TeamTRACS in people with Teamwork and Implementation, run by University of Pittsburgh at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

Who is it for?: Ages 18 years and older
Conditions the study is for: Teamwork, Implementation
What is being tested?: TeamTRACS
Type of treatment: Lifestyle or therapy programme
Could I receive a placebo?: No, everyone receives an active treatment
How many people: 172 participants
Where: 1 siteUnited States
Study dates: 8 Jun 2022to 22 Mar 2023
Phase: Interventional
Are there results?: Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

Ages 18 years and older
All sexes
No healthy volunteers
Adult, Older adult

Who may be able to join

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

Who cannot join

Under 18 years old

Trial locations and contacts

1 site in 1 country.

United States1 site

University of Pittsburgh
Pittsburgh, Pennsylvania, 15213

Other trials in United States

About this study

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

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.

Read the detailed 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.

Conditions: Teamwork, Implementation
Being tested: TeamTRACS
Keywords: multidisciplinary teamwork, implementation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

TeamTRACSBehavioural
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.

Study groups in NCT05370157
Study group	Role	What they receive
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. Receives: Behavioral: TeamTRACS
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.

What is being measured

The primary outcome is the main question the study is designed to answer.

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.
Measured: 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.
Measured: 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.
Measured: 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.
Measured: 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.
Measured: Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)

Secondary outcomes (3)

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.
Measured: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)
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.
Measured: 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.
Measured: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

8 Jun 202222 Mar 2023

First posted11 May 2022
Study start8 Jun 2022
Primary completion22 Mar 2023
Study completion22 Mar 2023

Resources

Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
Other trials for TeamworkStudies of the same condition, open and under way.
More trials run by University of PittsburghThe sponsor's other registered studies.
What the trial phases meanHow a treatment moves from first tests in people to approval.

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design

Study type: Interventional
Phase: Phase N/A
Primary purpose: Health services research
Allocation: Randomised
Intervention model: Parallel groups
Masking: None (open label)
Enrolment: 172 participants (actual)

IDs, dates and publications

ClinicalTrials.gov ID: NCT05370157
Sponsor's protocol ID: STUDY21110090
Other IDs: UL1TR001857
Status last verified: Apr 2024
First submitted: 26 Apr 2022
Last updated: 24 Apr 2024
Results posted: Yes, on ClinicalTrials.gov
Data monitoring committee: No
FDA-regulated drug: No
FDA-regulated device: No
Individual data sharing: Yes: Deidentified data will be available upon reasonable request as allowed by IRB regulations and after manuscripts reporting the main findings are accepted for publication.

Want to know more?

The sponsor has not listed a contact. The official record may have more details.

Talk to your doctor first and take this page with you. Only the study team can confirm whether you can join.

Questions to ask the study team

What is the study trying to find out?
What would I need to do, and how often would I visit?
Could I receive a placebo instead of the treatment?
What are the possible risks and benefits for me?
Will it cost me anything? Are travel or time paid for?
Can I keep seeing my own doctor during the study?
What happens when the study ends?

See locations

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Study at a glance

From the registry record, last updated by the sponsor on 24 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.

Official title: Improving Teamwork in Rural Child Advocacy Centers: A Hybrid-Effectiveness Implementation Trial of TeamTRACS
ClinicalTrials.gov ID: NCT05370157
Acronym / sponsor ID: STUDY21110090
Conditions: Teamwork, Implementation
Keywords: multidisciplinary teamwork, implementation
Study type: Interventional
Recruitment status: Completed
Enrolment: 172 participants (actual)
Lead sponsor: University of PittsburghUniversity, hospital or other
Collaborators: National Institutes of Health (NIH)
Study start: 8 Jun 2022 (actual)
Primary completion: 22 Mar 2023 (actual)
Study completion: 22 Mar 2023 (actual)
First posted: 11 May 2022 (actual)
Results: Posted 24 Apr 2024

Clinical summary

The research question as the sponsor registered it. This describes what the study plans to test, not what it found.

Detailed description

Study design

Primary purpose: Health services research
Allocation: Randomised
Intervention model: Parallel groups
Masking: None (open label)
Number of arms: 2

Arm	Type	Receives
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)	Experimental	Behavioral: TeamTRACSCACs 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.

Who may qualify

Ages: 18 years and older
Sex: All
Healthy volunteers: Not accepted
Age groups: Adult, Older adult

Key inclusion criteria (1 listed)

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

Key exclusion criteria (1 listed)

Under 18 years old

Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.

Interventions

Intervention	Type	Arms
TeamTRACSTeamTRACS 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.	Behavioural	TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)

Primary outcome

Change in Teamwork Knowledge From Baseline to 3-month Follow-up
Time frame: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)
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.
Change in Teamwork Skill Use From Baseline to 3-month Follow-up
Time frame: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)
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.
Acceptability of Self-guided Implementation
Time frame: Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)
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.
Appropriateness of Self-guided Implementation
Time frame: Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)
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.
Feasibility of Self-guided Implementation
Time frame: Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7)
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.

3 secondary outcomes

Change in Team Functioning From Baseline to 3-month Follow-up: Psychological Safety
Time frame: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)
Change in Team Functioning From Baseline to 3-month Follow-up: Learning Behavior
Time frame: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)
Change in Team Performance From Baseline to 3-month Follow-up
Time frame: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)

Results and safety

Results posted to the registry on 24 Apr 2024, as reported by the sponsor. Figures are copied from the record, not re-analysed. Full results on ClinicalTrials.gov.

Participant flow

Group	Started	Completed
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)	100	72
Waitlist Comparison	50	35

Primary outcome: Change in Teamwork Knowledge From Baseline to 3-month Follow-up

Time frame: Baseline, 3-month follow-up (Month 7, 3 months after training workshop). Mean (Standard Deviation). Unit: percentage correct answers

Measure	TeamTRACS (Team Training in Roles, Awareness, Communication, and Support) n = 112	Waitlist Comparison n = 53
Baseline	75.60 (10.87)	74.72 (10.82)
Follow-up	80.00 (11.16)	75.00 (7.88)

TeamTRACS (Team Training in Roles, Awareness, Communication, and Support) vs Waitlist Comparison: Mean Difference (Net): 4.25 (95% CI 0.76 to 7.74), p = .03, Regression, Linear

Population analysed: Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints

Primary outcome: Change in Teamwork Skill Use From Baseline to 3-month Follow-up

Time frame: Baseline, 3-month follow-up (Month 7, 3 months after training workshop). Mean (Standard Deviation). Unit: score on a scale

Measure	TeamTRACS (Team Training in Roles, Awareness, Communication, and Support) n = 111	Waitlist Comparison n = 52
Baseline	4.22 (0.49)	4.08 (0.59)
Follow-up	4.19 (0.54)	4.20 (0.55)

TeamTRACS (Team Training in Roles, Awareness, Communication, and Support) vs Waitlist Comparison: Mean Difference (Net): -0.10 (95% CI -0.40 to 0.20), p = .30, Regression, Linear

Population analysed: Descriptive data: Team members with data for that timepoint. Intent-to-treat analysis: All team members with data at 1 or more timepoints

Primary outcome: Acceptability of Self-guided Implementation

Time frame: Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7). Mean (Standard Deviation). Unit: score on a scale

Measure	TeamTRACS (Team Training in Roles, Awareness, Communication, and Support) n = 4	Waitlist Comparison n = 0
Baseline (Beginning of self-guided implementation process)	4.38 (0.48)	–
Month 5 (midpoint of self-guided implementation process)	4.25 (0.96)	–
Month 7 (End of study)	4.25 (0.50)	–

Population analysed: Only rated by key informants in CACs randomized to TeamTRACS

Primary outcome: Appropriateness of Self-guided Implementation

Time frame: Beginning, midpoint, and end of self-guided implementation process (Months 0, 5, & 7). Mean (Standard Deviation). Unit: score on a scale

Measure	TeamTRACS (Team Training in Roles, Awareness, Communication, and Support) n = 4	Waitlist Comparison n = 0
Baseline (Beginning of self-guided implementation process)	3.63 (0.75)	–
Month 5 (midpoint of self-guided implementation process)	4.25 (1.50)	–
Month 7 (End of study)	4.25 (0.96)	–

Population analysed: Only rated by key informants in CACs randomized to TeamTRACS

3 secondary outcomes are reported in the full results.

Adverse events

Time frame: Up to 9 months. Other adverse events reported at 5% frequency or more

Group	Serious adverse events	Other adverse events	Deaths
TeamTRACS (Team Training in Roles, Awareness, Communication, and Support)	0 of 117 (0%)	0 of 117 (0%)	0
Waitlist Comparison	0 of 55 (0%)	0 of 55 (0%)	0

Loading the posted results from ClinicalTrials.gov…

Research links

Official record on ClinicalTrials.govLast updated by the sponsor 24 Apr 2024.
Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
Individual participant dataSharing planned: Yes. Deidentified data will be available upon reasonable request as allowed by IRB regulations and after manuscripts reporting the main findings are accepted for publication.

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Referral and contact

AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.

Elizabeth A McGuier, PhD principal investigator

University of Pittsburgh

1 site in 1 country: see every site and its status.

Questions about this trial

What is this clinical trial studying?

A study testing TeamTRACS in people with Teamwork and Implementation, run by University of Pittsburgh at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Apr 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Teamwork Knowledge From Baseline to 3-month Follow-up (time frame: Baseline, 3-month follow-up (Month 7, 3 months after training workshop)). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05370157.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Apr 2024.