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Evidence-Based PracticeNCT05475457

Oregon Supplement: Supporting Sustainable Positive Interactions in the Child Welfare System: The R3 Supervisor Strategy

An observational study of Evidence-Based Practice, run by Oregon Social Learning Center 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

This administrative supplement capitalized on the preliminary positive outcomes from the primary parent grant award (R01DA040416), and lessons learned from the implementation of the R3 Supervisor Strategy (R3) throughout the participating four regions (12 counties) in Tennessee. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Evidence-Based Practice
What is being tested?
R3
How many people
404 participants
Where
1 siteUnited States
Study dates
8 Apr 2019to 16 Jul 2021
Phase
Observational
Are there results?
None posted in the registry

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
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Study participants include casework supervisors in the child welfare system (CWS) from two counties most heavily impacted by the opioid and methamphetamine crisis (Lane and Douglas county).

Who may be able to join

  • Oregon Child welfare workforce employee in a participating county.

Who cannot join

  • Contract Workers

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Oregon Social Learning Center

    Eugene, Oregon, 97401

Other trials in United States

About this study

This administrative supplement capitalized on the preliminary positive outcomes from the primary parent grant award (R01DA040416), and lessons learned from the implementation of the R3 Supervisor Strategy (R3) throughout the participating four regions (12 counties) in Tennessee. This project aimed to pilot the implementation of R3 with a new sample, a cohort of counties in Oregon particularly affected by the current opioid epidemic, for potential scale-up.

Read the detailed description

Oregon currently is experiencing a crisis within its Child Welfare System (CWS), with combined challenges within the workforce and departmental support, and a staggering rise in referrals for parental substance abuse. The R3 Supervisor Strategy (R3) provides training, consultation, and fidelity-monitoring to supervisors in the CWS, who are centrally positioned between caseworkers (who have daily interactions with CWS-involved families) and leadership (who make decisions that affect the organization in which families receive services). Supervisors are trained to implement key reinforcement strategies that make up the three Rs including reinforcement of (1) effort, (2) relationships and roles, and (3) small steps toward goal achievement. R3 is relatively easy to learn and sustain and has demonstrated promise in improving CWS outcomes in the parent grant award (R01DA040416). Because many of the counties most impacted by the opioid crisis are rural and under-resourced, an approach like R3 provides the opportunity to introduce evidence-based strategies to these regions where it otherwise is not feasible to adopt more intensive services. This study utilized the same Hybrid Type II design as its parent grant in which supervisors and caseworkers from two Oregon counties particularly affected by the substance abuse crisis were recruited to to provide a pilot assessment of the effectiveness of R3 with an emphasis on referrals for opioid and methamphetamine use (Aim 1). In doing so, the study also sought to modify the R3 training materials to emphasize examples of working with families referred for parental substance abuse (Aim 2) and replicate the preliminary findings from the parent grant, providing pilot data for a larger state scale-up of R3. This administrative supplement allowed an initial assessment to identify if R3's strategies are profound enough to impact the most challenging systems, faced with the most challenging public health crisis presented currently-the impact of the opioid epidemic on families.

Being tested
R3

What participants receive

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

  • R3Behavioural

    Training, consultation, and fidelity-monitoring to supervisors in the child welfare system to reinforce (1) effort, (2) relationships and roles, and (3) small steps toward goal achievement.

Study groups in NCT05475457
Study groupRoleWhat they receive
Oregon County 1First cohort to be trained and monitored with coaching in the R3 model.
Receives: Behavioral: R3
Oregon County 2Second cohort to be trained and monitored with coaching in the R3 model.
Receives: Behavioral: R3

What is being measured

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

  1. Mean Changes in Organizational Support of Evidence-Based Practices from Baseline to 18-Months Post-Baseline

    Changes in overall organizational support of evidence-based practices (i.e., R3) as measured through the Implementation Citizenship Behavior Scale's (ICBS) total score. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  2. Mean Changes in Organizational Assistance Implementing Evidence-Based Practices from Baseline to 18-Months Post-Baseline

    Changes in the organization helping others implement Evidence-Based Practices (i.e., R3) as measured through the Implementation Citizenship Behavior Scale's (ICBS) "Helping Other's" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  3. Mean Changes in the Organization Keeping Others Informed of Evidence-Based Practices Changes and Needs from Baseline to 18-Months Post-Baseline

    Changes in the organization keeping others informed of changes and needs in evidence-based practices (i.e., R3) as measured through the Implementation Citizenship Behavior Scale's (ICBS) "Keeping Informed" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  4. Mean Changes in the Organizational Climate for Implementing Evidence-Based Practices from Baseline to 18-Months Post-Baseline

    Changes in organizational climate for implementing evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) total score. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  5. Mean Changes in the Organizational Focus on Evidence-Based Practices from Baseline to 18-Months Post-Baseline

    Changes in organizational focus on evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) "Focus on Evidence-Based Practices" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  6. Mean Changes in the Organization's Educational Support for Evidence-Based Practices from Baseline to 18-Months Post-Baseline

    Changes in the organization's educational support for evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) "Educational Support for Evidence-Based Practices" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  7. Mean Changes in Organizational Recognition for Evidence-Based Practices from Baseline to 18-Months Post-Baseline

    Changes in the organization's recognition for evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) "Recognition for Evidence-Based Practices" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  8. Mean Changes in Organizational Rewards for Evidence-Based Practices from Baseline to 18-Months Post-Baseline

    Changes in the organization's rewards for using evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) "Rewards for Evidence-Based Practices" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  9. Mean Changes in the Organization's Selection for Evidence-Based Practices from Baseline to 18-Months Post-Baseline

    Changes in the organization's selection for evidence-based practices (i.e., R3) as measured by the Implementation Climate Scale's (ICS) "Selection for Evidence-Based Practices" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  10. Mean Changes in the Organization's Selection for Openness to New Practices from Baseline to 18-Months Post-Baseline

    Changes in the organization's selection for openness to implement new practices as measured by the Implementation Climate Scale's (ICS) "Selection for Openness" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  11. Mean Changes in Supervisors' Self-Reported Leadership Abilities for Implementation from Baseline to 18-Months Post-Baseline

    Changes in supervisors' self-reported leadership abilities for implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) total score. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  12. Mean Changes in Supervisors' Self-Reported Ability to Provide Proactive Leadership from Baseline to 18-Months Post-Baseline

    Changes in supervisors' self-reported ability to provide proactive leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Proactive Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  13. Mean Changes in Supervisors' Self-Reported Ability to Provide Knowledgeable Leadership from Baseline to 18-Months Post-Baseline

    Changes in supervisors' self-reported ability to provide knowledgeable leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Knowledgeable Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  14. Mean Changes in Supervisors' Self-Reported Ability to Provide Supportive Leadership from Baseline to 18-Months Post-Baseline

    Changes in supervisors' self-reported ability to provide supportive leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Supportive Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  15. Mean Changes in Supervisors' Self-Reported Ability to Provide Perseverant Leadership from Baseline to 18-Months Post-Baseline

    Changes in supervisors' self-reported ability to provide perseverant leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Perseverant Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  16. Mean Changes in Supervisors' Leadership Ability for Implementation from Baseline to 18-Months Post-Baseline

    Changes in staff perceptions of their supervisors' leadership abilities for implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) total score. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  17. Mean Changes in Supervisors' Ability to Provide Proactive Leadership from Baseline to 18-Months Post-Baseline

    Changes in staff perceptions of their supervisors' ability to provide proactive leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Proactive Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  18. Mean Changes in Supervisors' Ability to Provide Knowledgeable Leadership from Baseline to 18-Months Post-Baseline

    Changes in staff perceptions of their supervisors' ability to provide knowledgeable leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Knowledgeable Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  19. Mean Changes in Supervisors' Ability to Provide Supportive Leadership from Baseline to 18-Months Post-Baseline

    Changes in staff perceptions of their supervisors' ability to provide supportive leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Supportive Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  20. Mean Changes in Supervisors' Ability to Provide Perseverant Leadership from Baseline to 18-Months Post-Baseline

    Changes in staff perceptions of their supervisors' ability to provide perseverant leadership when implementing evidence-based practices (i.e., R3) as measured by the Implementation Leadership Scale's (ILS) "Perseverant Leadership" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  21. Mean Changes in Organizational Commitment to Implementing Changes from Baseline to 18-Months Post-Baseline

    Changes in staff perceptions of their organization's commitment to implementing changes as measured by the Organizational Readiness for Implementing Change's (ORIC) "Change Commitment" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  22. Mean Changes in Organizational Effectiveness in Implementing Changes from Baseline to 18-Months Post-Baseline

    Changes in staff perceptions of their organization's effectiveness in implementing changes as measured by the Organizational Readiness for Implementing Change's (ORIC) "Change Efficacy" subscale. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

  23. Mean Changes in Organizational Readiness to Implement Changes from Baseline to 18-Months Post-Baseline

    Changes in staff perceptions of their organization's overall readiness in implementing changes as measured by the Organizational Readiness for Implementing Change's (ORIC) total score. Measured at Baseline, 6-, 12-, and 18-months Post-Baseline.

    Measured: Baseline to 18-months Post-Baseline

Timeline

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

  1. First posted27 Jul 2022
  2. Study start8 Apr 2019
  3. Primary completion16 Jul 2021
  4. Study completion16 Jul 2021

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
404 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05475457
Sponsor's protocol ID
R01DA040416-S1
Other IDs
R01DA040416
Status last verified
Jul 2022
First submitted
22 Jul 2022
Last updated
27 Jul 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Evidence-Based Practice, run by Oregon Social Learning Center 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 27 Jul 2022. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Mean Changes in Organizational Support of Evidence-Based Practices from Baseline to 18-Months Post-Baseline (time frame: Baseline to 18-months Post-Baseline). The study lists 23 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 27 Jul 2022.

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