Trial Summary
What is the purpose of this trial?The objective of the BASIS R34 pilot study is to test the impact of eBASIS in a randomized controlled trial (RCT). Consistent with IMPACT's IQM, the study tests effects of eBASIS on treatment fidelity and youth outcomes, compared to a digitally delivered control (N=32 clinicians; 96 clients). A well-established EBP (Cognitive Behavioral Therapy Plus), will be a focus of the investigation, which eligible participants will already be signed up to receive.
What safety data is available for eBASIS treatment?The provided research does not contain specific safety data for eBASIS or eAttention Control treatments. The studies focus on the implementation and effectiveness of evidence-based psychotherapies in various settings, but do not address safety data for these specific treatments.78101114
Is eBASIS a promising treatment for mental health services?Yes, eBASIS is a promising treatment because it is an evidence-based practice, which means it uses proven methods to improve mental health care. This approach is supported by research and is increasingly used to help people with mental health issues.49121314
What data supports the idea that eBASIS for Mental Health Services (also known as: eAttention Control, eBASIS) is an effective treatment?The available research does not provide specific data on the effectiveness of eBASIS for Mental Health Services. However, it highlights the importance of evidence-based practices and comprehensive treatment programs for mental health conditions like schizophrenia. These programs often combine psychosocial treatments with medication to help reduce symptoms and improve quality of life. While eBASIS is not directly mentioned, the emphasis on evidence-based approaches suggests that treatments with proven effectiveness are crucial for recovery.12356
Do I need to stop my current medications to join the trial?The trial protocol does not specify whether you need to stop taking your current medications. It seems focused on mental health services and training rather than medication changes.
Eligibility Criteria
This trial is for clinicians and their clients involved in a mental health program called Cognitive Behavioral Therapy Plus. It's designed to see if an electronic tool, eBASIS, helps with treatment compared to a digital control. There are 32 clinicians and 96 clients participating.Treatment Details
The BASIS Optimization study is testing the effectiveness of eBASIS, an electronic tool aimed at improving therapy outcomes. Participants will either use eBASIS or an electronic attention control while undergoing Cognitive Behavioral Therapy Plus.
2Treatment groups
Experimental Treatment
Placebo Group
Group I: eBASISExperimental Treatment1 Intervention
eBASIS is an online, optimized, and evidence-based practice agnostic implementation strategy that addresses the behavioral component often missing from standard evidence-based practice training and consultation. It relates to motivation before and volition after the evidence-based practice training and targets behavioral intentions by improving attitudes, subjective norms, and self-efficacy. The implementation strategy is designed to be designed to be delivered within the Preparation/Adoption phase immediately prior to the Action implementation in the EPIS model.
Group II: eAttention ControlPlacebo Group1 Intervention
eAC is an online control for eBASIS. Providers assigned to eAttention Control (eAC) will receive pre- and post-training experiences designed to mirror those received in eBASIS. These training experiences will be delivered on the same platform and be approximately the same length as the eBASIS but will not contain any eBASIS content or mechanisms of change. The eAC pre-training experience will define, describe, and advocate for evidence-based practice implementation in schools. Content in eAC will be didactic similar to a typical professional development training for providers.
Find a clinic near you
Research locations nearbySelect from list below to view details:
University of WashingtonSeattle, WA
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Who is running the clinical trial?
University of WashingtonLead Sponsor
University of KansasCollaborator
National Institute of Mental Health (NIMH)Collaborator
References
Treatment outcomes in schizophrenia: implications for practice, policy, and research. [2019]Outcomes research on treatments for schizophrenia has identified a number of efficacious interventions. The degree to which such scientific knowledge influences the care delivered in everyday practice depends on a large number of patient, practitioner, service system, and other social factors. The current atmosphere for change in the health care delivery system poses both risks and opportunities to improve care for persons with this disorder. Scientific knowledge about treatment outcomes must inform this rapid evolution of practice, policy, and research to ensure that effective treatments are preserved and available for all who need them and that new treatments continue to be developed, evaluated, and disseminated.
The use of termination status and treatment duration patterns as an indicator of clinical improvement. [2019]The importance of outcome research for evaluating the effectiveness of mental health services was documented. It was concluded that the conditions which contribute to the current infrequent performance of outcome research in mental health centers makes widespread outcome research unlikely in the future. A simple procedure for estimating clinical improvement based on information routinely collected at agencies--treatment duration and termination status--was described. Early dropouts, late dropouts, and appropriate terminators were found to describe a continuum of clinical improvement. Research support for the recommended procedure and ways to implement it were described.
Developing an outcomes-oriented approach for the treatment of schizophrenia. [2019]The recent introduction of new antipsychotic medications has renewed hope and expectations that outcomes for persons with schizophrenia will improve and that more attention will be given to maximizing recovery rather than mere maintenance treatment. This article provides a framework for conceptualizing the complex range of outcomes relevant to long-term treatment of psychosis and provides some examples of the relationship of treatments to this outcomes framework. This framework can be used in developing better treatment programs.
Evidence-based practice in mental health: practical weaknesses meet political strengths. [2019]RATIONALE, AIMS, AND OBJECTIVES: Evidence-based medicine (EBM) has given rise to evidence-based practice (EBP) in the field of mental health. EBP too is predicated on an evidence hierarchy and has the goal of using the "best evidence" (usually randomized controlled trials) to improve practice. EBP is increasingly influential in mental health care in the U.S. Growing numbers of researchers and public officials endorse its claims and pursue its benefits. The rationale for this paper is to examine the potential of EBP for the field of mental health-and public mental health care specifically. Is it likely to contribute to improved lives for mentally ill people? If so, how?
Empirical validation of a mental health intensive outpatient program in a private practice setting. [2019]This article demonstrates the treatment effectiveness of a mental health Intensive Outpatient Program (IOP) in a private practice setting. Pretreatment and posttreatment symptom and clinician-rated Global Assessment of Functioning (GAP; American Psychiatric Association, 2000) scores were used to determine treatment effectiveness. Reliable change indices and clinically significant change scores were used to control for measurement error and to validate functional change. The IOP patients demonstrated statistically and clinically significant symptom reductions on all 9 clinical scales and 4 global measures of distress, demonstrated movement to less severe levels of functioning, and reported a very high degree of consumer satisfaction. Follow-up data indicated continued improvement and satisfaction. Client satisfaction data and follow-up survey data are also reported.
Evidence-based psychosocial practices and recovery from schizophrenia. [2018]Pessimistic views about the course and outcome of schizophrenia have been replaced by a more hopeful perspective that emphasizes on providing opportunities for recovery. Recovery, from a provider perspective, means that priority is placed on providing access to treatments and community services that have been proven effective in both decreasing symptoms and assisting individuals to lead maximally productive and personally meaningful lives. In 2004, the Schizophrenia Patient Outcomes Research Team (PORT) published a consensus list of evidence-based practices (EBPs) that includes six psychosocial treatments. These psychosocial interventions in combination with access to pharmacotherapy are important components of comprehensive treatment programs for the seriously mentally ill. This paper summarizes and updates the research basis for the PORT psychosocial EBPs and discusses several additional issues and research topics to be considered in the future.
Improving practice in community-based settings: a randomized trial of supervision - study protocol. [2022]Evidence-based treatments for child mental health problems are not consistently available in public mental health settings. Expanding availability requires workforce training. However, research has demonstrated that training alone is not sufficient for changing provider behavior, suggesting that ongoing intervention-specific supervision or consultation is required. Supervision is notably under-investigated, particularly as provided in public mental health. The degree to which supervision in this setting includes 'gold standard' supervision elements from efficacy trials (e.g., session review, model fidelity, outcome monitoring, skill-building) is unknown. The current federally-funded investigation leverages the Washington State Trauma-focused Cognitive Behavioral Therapy Initiative to describe usual supervision practices and test the impact of systematic implementation of gold standard supervision strategies on treatment fidelity and clinical outcomes.
A Statewide Common Elements Initiative for Children's Mental Health. [2022]Many evidence-based treatments (EBTs) for child and adolescent mental health disorders have been developed, but few are available in public mental health settings. This paper describes initial implementation outcomes for a state-funded effort in Washington State to increase EBT availability, via a common elements training and consultation approach focused on four major problem areas (anxiety, posttraumatic stress disorder, depression, and behavioral problems). Clinicians (N = 180) reported significant improvement in their ability to assess and treat all problem areas at post-consultation. Clinicians from organizations with a supervisor-level "EBT champion" had higher baseline scores on a range of outcomes, but many differences disappeared at post-consultation. Outcomes suggest that a common elements initiative, which includes training and consultation, may positively impact clinician-level outcomes and that having "in-house" EBT expertise may provide additional benefits.
Evidence-Based Program Service Deserts: A Geographic Information Systems (GIS) Approach to Identifying Service Gaps for State-Level Implementation Planning. [2018]The long term effects of untreated mental health need for individuals, families and society has prompted a number of federal policy statements encouraging the use of evidence-based programs (EBP) in children's healthcare. However, among other challenges of evidence-based practice implementation, states often do not know where to make investments based on population need. In this paper we present the use of a Geographic Information System approach to undertake a mental health needs assessment for Washington State. Our study found that this technology can be beneficially applied to conducting needs assessment for EBP implementation, and we provide recommendations for future applications.
Measuring Use of Evidence-Based Psychotherapy for PTSD in VA Residential Treatment Settings with Clinician Survey and Electronic Medical Record Templates. [2023]Available studies on implementation of evidence-based psychotherapy (EBP) for patients attending Department of Veterans Affairs (VA) residential post-traumatic stress disorder (PTSD) programs rely on therapist self-report of EBP delivery. Patient-level data on receipt of EBP are needed both to corroborate therapist self-report and to understand patient factors that predict receipt of EBPs for PTSD.
Assessment of modifications to evidence-based psychotherapies using administrative and chart note data from the US department of veterans affairs health care system. [2023]The US Department of Veterans Affairs (VA) has over 15 years of experience in delivery of evidence-based psychotherapies (EBPs). This paper describes strategies for using clinical documentation and administrative data to understand adherence and modifications to EBPs for Posttraumatic Stress Disorder (PTSD).
Individual and organizational factors as predictors of early evidence-based practice adoption in Michigan high schools: Baseline data from an implementation trial. [2023]Adolescents increasingly access mental health services in schools. School mental health professionals (SPs; school counselors, social workers, etc.) can offer evidence-based mental health practices (EBPs) in schools, which may address access gaps and improve clinical outcomes. Although some studies have assessed factors associated with EBP adoption in schools, additional research focusing on SP- and school-level factors is warranted to support EBP implementation as SPs' mental health delivery grows.
VHA Whole Health Services and Complementary and Integrative Health Therapies: a Gateway to Evidence-Based Mental Health Treatment. [2023]Engagement in evidence-based psychotherapy (EBP) among veterans with behavioral health conditions is often low. The Veterans Health Administration (VHA) is implementing a "Whole Health (WH)" system of care, to identify veteran personal health goals, align care with those goals, and offer services designed to engage and empower veterans to achieve well-being.
Expanding access to evidence-based psychotherapy in VA settings: implementation of the brief cognitive behavioral therapy for depression program. [2023]Evidence-based psychotherapies (EBPs) are effective for mental health conditions, but access to these services remains limited and rural Veterans are particularly underserved. Specialized implementation and dissemination programs are needed to improve access to known EBPs.