[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"consensus\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:consensus":37},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,53],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":4,"overallStatus":40,"whyStopped":4,"lastUpdateSubmitDate":41,"lastUpdatePostDateStruct":42,"startDateStruct":45,"completionDateStruct":47,"leadSponsor":49,"locationsCount":52},"100544950","k-orca-testing-a-decision-support-tool-and-group-process-for-selecting-interventions-100544950",false,"NCT06375551","K-ORCA: Testing a Decision Support Tool and Group Process for Selecting Interventions","Refining and Pilot Testing a Decision Support Intervention to Facilitate Adoption of Evidence-Based Programs to Improve Parent and Child Mental Health","K-ORCA","Inclusion Criteria:\n\n* Non-institutionalized\n* Adults (18 years or older).\n* English-Speaking\n\nAim 1:\n\n* Involved in initial state decision-making related to Family First Prevention Services Act.\n* Willing to participate in two data collection occasions.\n\nAim 2:\n\n* Non-institutionalized\n* Adults (18 years or older). English-Speaking.\n* Involved in ongoing state decision-making related to Family First Prevention Services Act.\n* Willing to participate in three measurement occasions.\n\nAim 3:\n\n-Willing to participate in multiple (bi-weekly up to two years) measurement occasions.\n\nExclusion Criteria:\n\n-Not involved in or potentially influencing child welfare intervention decisions",true,"ALL","18 Years",{"count":21,"type":22},80,"ESTIMATED","INTERVENTIONAL",[25],"NA","This proposal responds to NIMH Objective 4.2.c to develop \"decision-support tools and technologies that increase the effectiveness and continuous improvement of mental health interventions\" by leveraging the Family First Prevention Services Act (FFPSA) policy opportunity. First, a web-based platform to host (a) a decision-support tool and (b) automated facilitation for group decisions with the tool will be developed with state partners' feedback. Next, decision makers leading their states' FFPSA quality improvement efforts will be engaged to pilot a decision-support intervention comprised of the tool and live or automated facilitation, and to evaluate the implementation quality of evidence-based programs adopted with the decision-support intervention.",[28,29,30,31,32,33,34,35,36,37,38,39],"Child Abuse","Decision Making","Child Welfare","Decision Making, Shared","Decision Support Technique","Social Facilitation","Implementation Science","Policy","Organizations","Consensus","Mental Health","Family","RECRUITING","2026-06-16",{"date":43,"type":44},"2026-06-18","ACTUAL",{"date":46,"type":22},"2026-12-01",{"date":48,"type":22},"2027-07-31",{"name":50,"class":51},"Chestnut Health Systems","OTHER",1,{"id":54,"slug":55,"hasResults":11,"nctId":56,"briefTitle":57,"officialTitle":58,"acronym":59,"eligibilityCriteria":60,"healthyVolunteers":11,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":61,"targetDuration":4,"studyType":63,"phases":4,"briefSummary":64,"conditions":65,"keywords":73,"overallStatus":40,"whyStopped":4,"lastUpdateSubmitDate":80,"lastUpdatePostDateStruct":81,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":86,"locationsCount":88},"100625308","mechanical-insufflation-exsufflation-in-critically-ill-patients-100625308","NCT07420946","Mechanical Insufflation-Exsufflation in Critically Ill Patients","Mechanical Insufflation-Exsufflation in Critically Ill Patients: An International DELphi Consensus (DELMI-E)","DELMI-E","Inclusion Criteria:\n\n* Healthcare professionals with documented clinical experience in critical care medicine, pulmonology, anesthesiology, respiratory therapy, or physiotherapy with involvement in airway clearance strategies.\n* Demonstrated experience or recognized expertise in the clinical use of MI-E, either in critically ill patients or in patients with complex respiratory conditions.\n* A minimum of 5 years of clinical experience in their respective field, or a proven academic or clinical contribution related to MI-E.\n* Willingness to participate in multiple Delphi rounds and to provide informed consent.\n* Ability to complete the questionnaires in English.\n\nExclusion Criteria:\n\n* Lack of direct clinical or academic experience related to MI-E or airway clearance techniques.\n* Inability or unwillingness to provide informed consent.\n* Failure to complete the first Delphi round after formal invitation and consent.\n* Withdrawal of consent at any stage of the Delphi process.",{"count":62,"type":22},30,"OBSERVATIONAL","Mechanical insufflation-exsufflation (MI-E) is an established airway clearance technique for patients with chronic conditions like neuromuscular diseases. However, its use in critically ill ICU patients remains inconsistent and lacks standardized guidelines. Despite growing research, current practices vary widely in patient selection, treatment protocols, and safety management, with limited high-quality evidence to support clear recommendations. To address this gap, an international, multidisciplinary Delphi consensus study is needed to establish expert-based best practices and feasible guidelines for the safe and effective implementation of MI-E in the intensive care setting.",[66,67,68,69,37,70,71,72],"Airway Clearance","Mechanical Insufflation-exsufflation","Mechanical Insufflation-exsufflation Session ( With Cough Assist)","Delphi Study","Critical Illness","Critical Care","Critical Care, Intensive Care",[74,75,76,37,77,78,79],"mechanical insufflation-exsufflation","Airway clearance","Delphi study","Cough assist","MI-E","critical care","2026-06-15",{"date":82,"type":44},"2026-06-17",{"date":84,"type":44},"2026-06-10",{"date":46,"type":22},{"name":87,"class":51},"Medipol University",4]