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SKIP for PA Study: Team and Leadership Level Implementation Support for Collaborative Care
Care Team and Practice Level Implementation Strategies to Optimize Pediatric Collaborative Care: A Cluster-Randomized Trial
Who can join
Ages 18 and older · All sexes
Full eligibility criteria
The investigators propose to recruit 4 types of practice provider participants (PCP = primary care provider, CM = care manager, SL = Senior Leader, PM = practice manager) as well as caregiver participants. Inclusion Criteria: * PCP Participants: * Employed at one of the up to twenty-four (24) pediatric primary care practices identified by the PA Medical Home Program at the PA AAP or by the University of Pittsburgh research team. * Identified by the practice as a Primary Care Provider * CM Participants: * Employed at one of the up to twenty-four (24) pediatric primary care practices identified by the PA Medical Home Program at the PA AAP or by the University of Pittsburgh research team. * Identified by the practice as a Behavioral Health Resource who delivers and coordinates behavioral health care in the practice, who will function in the study as a care manager. * SL Participants: * Employed at one of the up to twenty-four (24) pediatric primary care practices identified by the PA Medical Home Program at the PA AAP or by the University of Pittsburgh research team. * Identified by the practice as the Senior Leader. * Have a practice-level leadership role such as Medical Director or a clinical/practice leader * Have administrative responsibilities related to patient care and/or the operations/management of the practice * PM Participants: * Employed at one of the up to twenty-four (24) pediatric primary care practices identified by the PA Medical Home Program at the PA AAP or by the University of Pittsburgh research team. * Identified by the practice as the Practice Manager or equivalent position * Are responsible for day-to-day practice operations, such as personnel management, billing, and compliance with regulations, in the pediatric practice. * Caregiver Participants: * Have a child age 5-12 years old who exhibits at least a modest level of behavior problems (Caregiver Participants) * Are at least 18 years of age (Caregiver participants) * Have parental rights for this child (Caregiver participants) Exclusion Criteria: * Caregivers * Already enrolled in the study as the caregiver to a different child (e.g., sibling) (Caregiver participants)
About the study
In a prior application (MH064372), the investigators' treatment research program (Services for Kids In Primary-care, SKIP) developed and tested a chronic care model-based intervention, called Doctor Office Collaborative Care (DOCC), that was found to be effective in the management of childhood behavior problems and comorbid ADHD. In the "SKIP for PA Study", the investigators propose to conduct a randomized clinical trial to evaluate the effects of team- and practice leadership-level implementation strategies designed to enhance the use and uptake of DOCC in diverse pediatric primary care offices.
What is being tested
- DOCC: Evidence-based treatment for disruptive behavior and ADHD (behavioral)
- TEAM: Implementation support strategies at the care team level following standard implementation of DOCC (behavioral)
- Implementation support strategies at the leadership level following standard implementation of DOCC (behavioral)
Sponsor: University of Pittsburgh · Participants: 450 · Started: Nov 28, 2021
Contact the study team
- Kevin M Rumbarger, BA · Phone: 4128867539
- David J Kolko, PhD · Phone: 4122465888
Official record on ClinicalTrials.gov — NCT04946253
Locations in the U.S.
| Pennsylvania | Drexel University, Philadelphia (Not yet recruiting) University of Pittsburgh, Pittsburgh |
Conditions
From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.