[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100435134":3},{"organization":4,"armGroups":7,"interventions":29,"overallOfficials":44,"centralContacts":48,"locations":57,"responsibleParty":93,"collaborators":96,"id":110,"slug":111,"hasResults":112,"nctId":113,"briefTitle":114,"officialTitle":115,"acronym":116,"eligibilityCriteria":117,"healthyVolunteers":112,"sex":118,"minAge":119,"maxAge":35,"enrollmentInfo":120,"targetDuration":35,"studyType":123,"phases":124,"briefSummary":126,"conditions":127,"keywords":130,"overallStatus":79,"whyStopped":35,"lastUpdateSubmitDate":133,"lastUpdatePostDateStruct":134,"startDateStruct":137,"completionDateStruct":139,"leadSponsor":141,"locationsCount":142},{"fullName":5,"class":6},"University of Pittsburgh","OTHER",[8,14,20,25],{"label":9,"type":10,"description":11,"interventionNames":12},"DOCC with standard implementation (No TEAM or LEAD)","ACTIVE_COMPARATOR","Practices in this arm will receive DOCC materials\u002Ftraining and technical support, but will not receive care team coaching\u002Fconsultation (TEAM) or practice leadership facilitation (LEAD) after the training phase.",[13],"Behavioral: DOCC: Evidence-based treatment for disruptive behavior and ADHD",{"label":15,"type":16,"description":17,"interventionNames":18},"DOCC with TEAM implementation","EXPERIMENTAL","Practices in this arm will receive DOCC training and materials and one type of implementation support after the training: coaching\u002Fconsultation for the provider care team (TEAM).",[13,19],"Behavioral: TEAM: Implementation support strategies at the care team level following standard implementation of DOCC",{"label":21,"type":16,"description":22,"interventionNames":23},"DOCC with LEAD implementation","Practices in this arm will receive DOCC training and materials and only one type of implementation support after the training: facilitation for practice leadership (LEAD).",[13,24],"Behavioral: Implementation support strategies at the leadership level following standard implementation of DOCC",{"label":26,"type":16,"description":27,"interventionNames":28},"DOCC with TEAM + LEAD implementation","Practices in this arm will receive DOCC training and materials and both types of implementation support after the training: coaching\u002Fconsultation for the provider care team (TEAM) and facilitation for practice leadership (LEAD).",[13,19,24],[30,36,40],{"type":31,"name":32,"description":33,"armGroupLabels":34,"otherNames":35},"BEHAVIORAL","DOCC: Evidence-based treatment for disruptive behavior and ADHD","Practices will learn and then deliver DOCC in treatment sessions with caregivers and\u002For children. The content covers key topics related to the treatment of behavior problems (e.g., self-management, positive parenting) and ADHD (e.g., psychoeducation, medication).",[21,26,15,9],null,{"type":31,"name":37,"description":38,"armGroupLabels":39,"otherNames":35},"TEAM: Implementation support strategies at the care team level following standard implementation of DOCC","Practices will learn and then deliver DOCC in treatment sessions with caregivers and\u002For children. Coaching and consultation will be provided to the provider care team to support the use of collaborative care for behavior problems and ADHD. The TEAM intervention includes regular virtual meetings or calls with the providers (about once\u002Fmonth, on average) that cover core chronic care model functions, including registry use, case-finding, collaborative care team roles, and workflows outlining how DOCC is delivered in the practice.",[26,15],{"type":31,"name":41,"description":42,"armGroupLabels":43,"otherNames":35},"Implementation support strategies at the leadership level following standard implementation of DOCC","Practices will learn and then deliver DOCC in treatment sessions with caregivers and\u002For children. Practice facilitation will be provided to practice leaders to help them support the care team's use of collaborative care for behavior problems and ADHD. The LEAD intervention includes regular virtual meetings or calls with practice leaders (about once\u002Fmonth, on average) that cover the assessment of practice capacity\u002Fbarriers, ways to overcome organizational barriers and support staff use of DOCC, promoting innovation, and leveraging practice resources to support DOCC delivery and maintenance in the practice.",[21,26],[45],{"name":46,"affiliation":5,"role":47},"David J Kolko, PhD","PRINCIPAL_INVESTIGATOR",[49,54],{"name":50,"role":51,"phone":52,"phoneExt":35,"email":53},"Kevin M Rumbarger, BA","CONTACT","4128867539","rumbargerkm@upmc.edu",{"name":46,"role":51,"phone":55,"phoneExt":35,"email":56},"4122465888","kolkodj@upmc.edu",[58,78],{"facility":59,"status":60,"city":61,"state":62,"zip":63,"country":64,"countryCode":65,"cosmosGeoPoint":66,"geoPoint":71,"contacts":72},"Drexel University","NOT_YET_RECRUITING","Philadelphia","Pennsylvania","19104","United States","US",{"type":67,"coordinates":68},"Point",[69,70],-75.16362,39.95238,{"lat":70,"lon":69},[73,77],{"name":74,"role":51,"phone":75,"phoneExt":35,"email":76},"Renee M Turchi, MD, MPH","267-359-6051","renee.turchi@towerhealth.org",{"name":74,"role":47,"phone":35,"phoneExt":35,"email":35},{"facility":5,"status":79,"city":80,"state":62,"zip":81,"country":64,"countryCode":65,"cosmosGeoPoint":82,"geoPoint":86,"contacts":87},"RECRUITING","Pittsburgh","15260",{"type":67,"coordinates":83},[84,85],-79.99589,40.44062,{"lat":85,"lon":84},[88,89,90],{"name":46,"role":51,"phone":55,"phoneExt":35,"email":56},{"name":46,"role":47,"phone":35,"phoneExt":35,"email":35},{"name":91,"role":92,"phone":35,"phoneExt":35,"email":35},"Satish Iyengar, PhD","SUB_INVESTIGATOR",{"type":47,"investigatorFullName":94,"investigatorTitle":95,"investigatorAffiliation":5,"oldNameTitle":35,"oldOrganization":35},"David Kolko","Professor of Psychiatry, Psychology, Pediatrics, and Clinical and Translational Science",[97,99,100,102,104,107],{"name":98,"class":6},"American Academy of Pediatrics",{"name":59,"class":6},{"name":101,"class":6},"NYU Langone Health",{"name":103,"class":6},"University of Michigan",{"name":105,"class":106},"National Institute of Mental Health (NIMH)","NIH",{"name":108,"class":109},"Pennsylvania American Academy of Pediatrics","UNKNOWN","100435134","skip-for-pa-study-team-and-leadership-level-implementation-support-for-collaborative-care-100435134",false,"NCT04946253","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","SKIPforPA","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.\n\nInclusion Criteria:\n\n* PCP Participants:\n\n  * 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.\n  * Identified by the practice as a Primary Care Provider\n* CM Participants:\n\n  * 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.\n  * 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.\n* SL Participants:\n\n  * 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.\n  * Identified by the practice as the Senior Leader.\n  * Have a practice-level leadership role such as Medical Director or a clinical\u002Fpractice leader\n  * Have administrative responsibilities related to patient care and\u002For the operations\u002Fmanagement of the practice\n* PM Participants:\n\n  * 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.\n  * Identified by the practice as the Practice Manager or equivalent position\n  * Are responsible for day-to-day practice operations, such as personnel management, billing, and compliance with regulations, in the pediatric practice.\n* Caregiver Participants:\n\n  * Have a child age 5-12 years old who exhibits at least a modest level of behavior problems (Caregiver Participants)\n  * Are at least 18 years of age (Caregiver participants)\n  * Have parental rights for this child (Caregiver participants)\n\nExclusion Criteria:\n\n* Caregivers\n\n  * Already enrolled in the study as the caregiver to a different child (e.g., sibling) (Caregiver participants)","ALL","18 Years",{"count":121,"type":122},450,"ESTIMATED","INTERVENTIONAL",[125],"NA","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.",[128,129],"Child Behavior Problem","Attention Deficit and Disruptive Behavior Disorders",[131,132],"Oppositional Defiant Disorder","Attention Deficit Hyperactivity Disorder","2026-02-05",{"date":135,"type":136},"2026-02-09","ACTUAL",{"date":138,"type":136},"2021-11-28",{"date":140,"type":122},"2026-11",{"name":5,"class":6},2]