Enhancing structural competency of school-based health centers Not Applicable
Conditions
Interventions
Application of the Dynamic Adaptation Process, including coaching, training, and data-driven adaptation of practices and implementation strategies, to support site-specific implementation resource tea
Sponsors
Pacific Institute For Research and Evaluation
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria for SBHCs: 1. Must be part of the state-funded SBHC network 2. Reported willingness to convene an IRT Inclusion criteria for SBHC personnel: 1. Minimum of half-time employment as a PCP, behavioral health provider, clinic coordinator or other staff (e.g., medical assistant) in an SBHC enrolled in the study 2. Reported ability to complete study measures in English Inclusion criteria for IRT membership: 1. Minimum of half-time employment as a PCP, behavioral health provider, clinic coordinator or other staff (e.g., medical assistant) in an SBHC enrolled in the study; or identification as a high school professional (e.g., administrator, teacher, staff); or identification as a student or parent/guardian at the high school served by the SBHC 2. Reported ability to participate in meetings and data collection activities conducted in English 3. Reported willingness to engage in DAP-related activities (e.g., assessment, action planning, monitoring) Inclusion criteria for patients (students): 1. Identification as a high school student served by an enrolled SBHC 2. Ability to complete the patient survey in English or Spanish
Exclusion criteria
Exclusion criteria: Exclusion criteria for SBHCs: 1. Does not serve high school-aged students. Exclusion criteria for IRT members: 2. Lack of time to participate in periodic surveys and small group interviews (or focus groups) Exclusion criteria for patients (students): 3. Prior completion of the survey within the current semester
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Practice adoption is measured using a structured collaborative assessment at baseline and 9-month intervals | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Organizational readiness to implement evidence-based practices measured by the Organizational Readiness to Change Assessment (ORCA) at baseline and 9-month intervals 2. SBHC staff clinical preparedness and attitudinal awareness measured by the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale at baseline and 9-month intervals 3. Implementation climate measured by the Implementation Climate Scale at baseline and 9-month intervals 4. LGBTQ+ community engagement measured by the LGBTQ+ Community Engagement Subscale at baseline and 9-month intervals 5. Acceptability, feasibility, and appropriateness of intervention and implementation strategies measured by the Acceptability, Feasibility, and Appropriateness of Intervention Measure at baseline and 9-month intervals 6. Staff attitudes toward lesbians and gay men measured by the Attitudes Toward Lesbians and Gay Men Scale (ATLG) at baseline and 9-month intervals 7. Staff attitudes toward bisexual people measured by the Bisexualities: Indiana Attitudes Scale-Abridged at baseline and 9-month intervals 8. Attitudes toward transgender individuals measured by the Attitudes Toward Transgender Individuals Scale at baseline and 9-month intervals 9. Willingness to adopt interventions measured by Evidence-Based Practice Attitude Scale at baseline and 9-month intervals 10. Student Perceptions of SBHC settings, barriers to care, satisfaction with care, engagement in care measured by questions adapted from the Youth Engagement with Health Services survey instrument at baseline and 9-month intervals | — |
Countries
United States of America
Contacts
Public ContactDaniel Shattuck
Outcome results
None listed