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Implementing measurement-based care (iMBC) for depression in community mental health: a dynamic cluster randomized trial study protocol

Measurement-based care is an evidence-based practice for depression that efficiently identifies treatment non-responders and those who might otherwise deteriorate [1]. However, measurement-based care is underutilized in community mental health with data suggesting fewer than 20 % of behavioral healt... Full description

Journal Title: Implementation science : IS 07 September 2015, Vol.10, pp.127
Main Author: Lewis, Cara C
Other Authors: Scott, Kelli , Marti, C Nathan , Marriott, Brigid R , Kroenke, Kurt , Putz, John W , Mendel, Peter , Rutkowski, David
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1748-5908 ; PMID: 26345270 Version:1 ; DOI: 10.1186/s13012-015-0313-2
Link: http://pubmed.gov/26345270
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title: Implementing measurement-based care (iMBC) for depression in community mental health: a dynamic cluster randomized trial study protocol
format: Article
creator:
  • Lewis, Cara C
  • Scott, Kelli
  • Marti, C Nathan
  • Marriott, Brigid R
  • Kroenke, Kurt
  • Putz, John W
  • Mendel, Peter
  • Rutkowski, David
subjects:
  • Clinical Protocols
  • Community Mental Health Services -- Methods
  • Depression -- Therapy
ispartof: Implementation science : IS, 07 September 2015, Vol.10, pp.127
description: Measurement-based care is an evidence-based practice for depression that efficiently identifies treatment non-responders and those who might otherwise deteriorate [1]. However, measurement-based care is underutilized in community mental health with data suggesting fewer than 20 % of behavioral health providers using this practice to inform treatment. It remains unclear whether standardized or tailored approaches to implementation are needed to optimize measurement-based care fidelity and penetration. Moreover, there is some suggestion that prospectively tailored interventions that are designed to fit the dynamic context may optimize public health impact, though no randomized trials have yet tested this notion [2]. This study will address the following three aims: (1) To compare the effect of standardized versus tailored MBC implementation on clinician-level and client-level outcomes; (2) To identify contextual mediators of MBC fidelity; and (3) To explore the impact of MBC fidelity on client outcomes. This study is a dynamic cluster randomized trial of standardized versus tailored measurement-based care implementation in Centerstone, the largest provider of community-based mental health services in the USA. This prospective, mixed methods implementation-effectiveness hybrid design allows for evaluation of the two conditions on both clinician-level (e.g., MBC fidelity) and client-level (depression symptom change) outcomes. Central to this investigation is the focus on identifying contextual factors (e.g., attitudes, resources, process, etc.) that mediate MBC fidelity and optimize client outcomes. This study will contribute generalizable and practical strategies for implementing systematic symptom monitoring to inform and enhance behavioral healthcare. Clinicaltrials.gov NCT02266134 .
language: eng
source:
identifier: E-ISSN: 1748-5908 ; PMID: 26345270 Version:1 ; DOI: 10.1186/s13012-015-0313-2
fulltext: fulltext
issn:
  • 17485908
  • 1748-5908
url: Link


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titleImplementing measurement-based care (iMBC) for depression in community mental health: a dynamic cluster randomized trial study protocol
creatorLewis, Cara C ; Scott, Kelli ; Marti, C Nathan ; Marriott, Brigid R ; Kroenke, Kurt ; Putz, John W ; Mendel, Peter ; Rutkowski, David
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descriptionMeasurement-based care is an evidence-based practice for depression that efficiently identifies treatment non-responders and those who might otherwise deteriorate [1]. However, measurement-based care is underutilized in community mental health with data suggesting fewer than 20 % of behavioral health providers using this practice to inform treatment. It remains unclear whether standardized or tailored approaches to implementation are needed to optimize measurement-based care fidelity and penetration. Moreover, there is some suggestion that prospectively tailored interventions that are designed to fit the dynamic context may optimize public health impact, though no randomized trials have yet tested this notion [2]. This study will address the following three aims: (1) To compare the effect of standardized versus tailored MBC implementation on clinician-level and client-level outcomes; (2) To identify contextual mediators of MBC fidelity; and (3) To explore the impact of MBC fidelity on client outcomes. This study is a dynamic cluster randomized trial of standardized versus tailored measurement-based care implementation in Centerstone, the largest provider of community-based mental health services in the USA. This prospective, mixed methods implementation-effectiveness hybrid design allows for evaluation of the two conditions on both clinician-level (e.g., MBC fidelity) and client-level (depression symptom change) outcomes. Central to this investigation is the focus on identifying contextual factors (e.g., attitudes, resources, process, etc.) that mediate MBC fidelity and optimize client outcomes. This study will contribute generalizable and practical strategies for implementing systematic symptom monitoring to inform and enhance behavioral healthcare. Clinicaltrials.gov NCT02266134 .
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abstractMeasurement-based care is an evidence-based practice for depression that efficiently identifies treatment non-responders and those who might otherwise deteriorate [1]. However, measurement-based care is underutilized in community mental health with data suggesting fewer than 20 % of behavioral health providers using this practice to inform treatment. It remains unclear whether standardized or tailored approaches to implementation are needed to optimize measurement-based care fidelity and penetration. Moreover, there is some suggestion that prospectively tailored interventions that are designed to fit the dynamic context may optimize public health impact, though no randomized trials have yet tested this notion [2]. This study will address the following three aims: (1) To compare the effect of standardized versus tailored MBC implementation on clinician-level and client-level outcomes; (2) To identify contextual mediators of MBC fidelity; and (3) To explore the impact of MBC fidelity on client outcomes.
doi10.1186/s13012-015-0313-2
pmid26345270
issue1
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date2015-09-07