Virtual Implicit Bias Reduction and Neutralization Training (VIBRANT)
ConditionImplicit Bias
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age11-99
SponsorUniversity of Washington
About this trial
Healthcare providers' implicit bias has been identified as a contributor to longstanding health inequities via negative impacts on the patient-clinician relationship and biased delivery of high-quality evidence-based practices (EBP). The implementation of any EBP runs the risk of worsening existing health disparities due to inequitable access, delivery, or benefit of the intervention. Clinician bias can be a critical and unaddressed determinant of implementation for any EBP. Although some implicit bias interventions for healthcare providers are emerging, studies have rarely included mental health professionals. In a previously NIMH funded project, our research team iteratively developed a brief (\~45 minutes), interactive online Virtual Implicit Bias Reduction and Neutralization Training (VIBRANT) for school mental health clinicians with promising preliminary findings. The current study will test the effectiveness of VIBRANT-an implementation strategy for promoting equitable adoption, penetration, fidelity, and sustainment of EBPs. One highly learnable, efficient, and scalable EBP that is particularly well-suited for the education sector is Measurement-Base Care (MBC)-the systematic collection of patient-reported progress data to inform clinical decision-making. The proposed study aims to (1) evaluate VIBRANT's feasibility to promote equitable adoption, penetration, fidelity, and sustainment of MBC, with a validated, brief, interactive online training for MBC; (2) examine VIBRANT's impact on proximal mechanisms of change including clinicians' implicit bias as well as distal youth mental health outcomes (i.e., symptoms and functioning) with Black and Latinx youth, and (3) assess feasibility of research procedures for a future large-scale efficacy trial.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Participating clinicians must…
Provide school-based mental health services in middle and high school settings for at least 50% of their clinical deployment.
Provide on-going 1:1 mental health services to students (e.g., not assessment only).
Have a caseload (who is receiving on-going care) that consists of at least 20% of Black or Latinx students.
Disqualifiers
School-based mental health clinicians
Clinician who previously participated in a measurement-based care (MBC) related study with our team and have already been exposed to our online MBC training.
Clinicians who have participated in a previous study related to VIBRANT.
Black & Latinx youth
Trial design
Design model
Parallel
Treatments tested in this trial
Brief Online Training (BOLT) for measurement-based care (MBC)
BehavioralBrief Online Training (BOLT) for measurement-based care (MBC) is a series of 4 interactive, self-paced, online training modules that takes approximately 75 - 120 minutes to complete. Clinicians are trained on the core functions, procedures, and best practice approaches for delivering MBC in the school mental health setting. MBC is the systematic collection of patient-reported data to support collaborative clinical decision-making from intake to termination.
Virtual Implicit Bias Reduction and Neutralization Training (VIBRANT)
BehavioralThe Virtual Implicit Bias Reduction and Neutralization Training (VIBRANT) is a brief (45-minute), self-paced, interactive online training module designed to help school-based mental health clinicians understand and manage their implicit bias in clinical interactions.
Live Post-Training Consultation
BehavioralTwo 1-hour long small group consultation sessions with an expert consultant designed as additional opportunities to support knowledge elaboration and skills generalization.
Asynchronous Discussion Board
BehavioralAn expert facilitated online Discussion Board for additional opportunities of knowledge clarification, practice reinforcement, and community building to support implementation sustainment.
Treatment groups
400 Participants
are divided into 2 treatment groupsGroup A: MBC ControlsActive comparator 3 interventions
Group B: MBC + VIBRANTExperimental treatment 4 interventions
Trial outcomes
Primary outcomes
1
Adoption of Measurement-Based Care (MBC) strategies
Clinicians will complete weekly caseload service logs, that document whether each of the 3 core MBC practices (i.e., measure administration, clinician reviewing results, discussing results with patient to support collaborative treatment planning) were used with each identified patient in their caseload. MBC adoption (client level) will be a binary measure for each youth on the clinicians' caseload-evidence of any MBC practice will be considered adoption. This is a longitudinal outcome that will be collected on a weekly basis to allow for the observation of growth over time.
Time frame
4-month (follow-up 2)2
Penetration or saturation of Measurement-Based Care (MBC) strategies use
Clinicians will complete weekly caseload service logs, that document whether each of the 3 core MBC practices (i.e., measure administration, clinician reviewing results, discussing results with patient to support collaborative treatment planning) were used with each identified patient on their caseload. MBC penetration will be derived from dividing the number of youths on the clinician's caseload who is receiving any MBC practices by the total number of youths on the caseload, which should yield a percentage score.
Time frame
4-month (follow-up 2)3
Sustainment of Measurement-Based Care (MBC) strategies use
Clinicians will complete weekly caseload service logs, that document whether each of the 3 core MBC practices (i.e., measure administration, clinician reviewing results, discussing results with patient to support collaborative treatment planning) were use with each identified patient on their caseload. MBC sustainment will be indicated by the change in MBC penetration at 1 months post-training (Follow-Up 1) and 3 months post-training (Follow-Up 2).
Time frame
4-month (follow-up 2)4
Fidelity of Measurement-Based Care (MBC) Strategies use
Clinicians will complete weekly caseload service logs, that document whether each of the 3 core MBC practices (i.e., measure administration, clinician reviewing results, discussing results with patient to support collaborative treatment planning) were used with each identified patient on their caseload. Fidelity will be measured by percentage of a clinician's caseload with whom all 3 MBC core components were reported on their caseload service logs.
Time frame
4-month (follow-up 2)Sponsors and contacts
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University of Washington
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator
Source ClinicalTrials.gov