About this trial
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.
Eligibility criteria
Qualifiers
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
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.
Disqualifiers
Caregivers
Already enrolled in the study as the caregiver to a different child (e.g., sibling) (Caregiver participants)
Trial design
Treatments tested in this trial
- DOCC: Evidence-based treatment for disruptive behavior and ADHD
- TEAM: Implementation support strategies at the care team level following standard implementation of DOCC
- Implementation support strategies at the leadership level following standard implementation of DOCC
Treatment groups
Sponsors and collaborators
University of Pittsburgh
Lead sponsor
American Academy of Pediatrics
Collaborator
Drexel University
Collaborator
NYU Langone Health
Collaborator
University of Michigan
Collaborator
National Institute of Mental Health (NIMH)
Collaborator
Pennsylvania American Academy of Pediatrics
Collaborator