Cardiovascular Risk Factors, Serious Mental Illness
Conditions
Brief summary
In this trial, the investigators will examine the uptake of the evidenced-based IDEAL Goals program, a heart disease risk reduction program, while testing different implementation strategies with our partners in Michigan and Maryland who serve persons with serious mental illness (SMI).
Detailed description
In this trial, the investigators will work with Michigan and Maryland mental health programs to improve the uptake of the 18-month heart disease risk reduction program, IDEAL Goals, to be delivered to persons with SMI enrolled in their behavioral health homes.
Interventions
Replicating Effective Programs (REP), based on Social Learning Theory and Rogers' Diffusion of Innovations, incorporates program packaging, training, and technical support
OTHERCoaching
Coaching is based on the Positive Behavior Interventions and Supports model, addresses staff barriers by building implementers' evidence-based practice (EBP) knowledge, self-efficacy, and skills through clinical support and feedback.
OTHERFacilitation
Facilitation addresses potential organizational barriers to delivery, including leadership support and acceptance among other staff.
Sponsors
Johns Hopkins University
National Heart, Lung, and Blood Institute (NHLBI)
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Community Mental Health Program site staff participants: Inclusion Criteria 1. Ages 18 and Older 2. English Speaking 3. Agree to complete applicable data collection 4. Agree to engage with the program according to their role (e.g., training, IDEAL Goals program delivery).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of IDEAL Goals sessions received by persons with serious mental illness (SMI) at the community mental health program | baseline to 18 months | Main effects of implementation strategies defined as those who attend sessions that are assigned to the most intensive strategies (Replicating Effective Programs (REP), Coaching, and Facilitation) compared to the least intensive (REP only). The investigators will use electronic health record data on all clients enrolled in the behavioral health home at a participating organization to assess sessions attended. These individuals are not formally enrolled into the trial; their data, obtained under a waiver of informed consent, comprise this outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of IDEAL Goals sessions received by persons with serious mental illness (SMI) at the community mental health program | baseline to 18 months | Marginal effects of implementation strategies defined as those who attend sessions that are assigned to Coaching or Facilitation compared to those not assigned to that same strategy. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORGail Daumit, MD, MHS
Johns Hopkins University
Outcome results
None listed