eBASIS for Mental Health Services

(BASIS R34 Trial)

Overseen By Maria Hugh, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Washington

Compensation: Varies

Number of Visits: 2

32 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

How is the eAttention Control, eBASIS treatment different from other mental health treatments?

The eAttention Control, eBASIS treatment is unique because it focuses on expanding access to evidence-based psychotherapy, particularly for underserved populations like rural veterans, by using specialized implementation and dissemination programs to improve access to known effective therapies. ^{1 2 3 4 5}

What is the purpose of this trial?

The objective of the BASIS R34 pilot study is to test the impact of eBASIS in a randomized controlled trial (RCT). Consistent with IMPACT's IQM, the study tests effects of eBASIS on treatment fidelity and youth outcomes, compared to a digitally delivered control (N=32 clinicians; 96 clients). A well-established EBP (Cognitive Behavioral Therapy Plus), will be a focus of the investigation, which eligible participants will already be signed up to receive.

Research Team

Aaron Lyon, PhD

Principal Investigator

University of Washington

Eligibility Criteria

This trial is for clinicians and their clients involved in a mental health program called Cognitive Behavioral Therapy Plus. It's designed to see if an electronic tool, eBASIS, helps with treatment compared to a digital control. There are 32 clinicians and 96 clients participating.

Inclusion Criteria

I am a mental health provider working in a school for 2+ hours.

Registered to receive CBT+ training from the WA State EBP Initiative

Exclusion Criteria

Not applicable.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Preparation/Adoption

Providers receive pre-training experiences designed to prepare them for the implementation of evidence-based practices.

2 weeks

Online training sessions

Action Implementation

Providers engage in the implementation of eBASIS, focusing on improving attitudes, subjective norms, and self-efficacy.

3 months

Ongoing online support and consultation

Follow-up

Participants are monitored for changes in attitudes, self-efficacy, and implementation outcomes.

3 months

Assessments at baseline, immediately after training, and at 2 weeks, 1 month, 2 months, and 3 months after training

Treatment Details

Interventions

• eAttention Control
• eBASIS

Trial Overview The BASIS Optimization study is testing the effectiveness of eBASIS, an electronic tool aimed at improving therapy outcomes. Participants will either use eBASIS or an electronic attention control while undergoing Cognitive Behavioral Therapy Plus.

Participant Groups

Group I: eBASIS Experimental Treatment 1 Intervention

eBASIS is an online, optimized, and evidence-based practice agnostic implementation strategy that addresses the behavioral component often missing from standard evidence-based practice training and consultation. It relates to motivation before and volition after the evidence-based practice training and targets behavioral intentions by improving attitudes, subjective norms, and self-efficacy. The implementation strategy is designed to be designed to be delivered within the Preparation/Adoption phase immediately prior to the Action implementation in the EPIS model.

Group II: eAttention Control Placebo Group 1 Intervention

eAC is an online control for eBASIS. Providers assigned to eAttention Control (eAC) will receive pre- and post-training experiences designed to mirror those received in eBASIS. These training experiences will be delivered on the same platform and be approximately the same length as the eBASIS but will not contain any eBASIS content or mechanisms of change. The eAC pre-training experience will define, describe, and advocate for evidence-based practice implementation in schools. Content in eAC will be didactic similar to a typical professional development training for providers.

Who Is Running the Clinical Trial?

University of Washington

Lead Sponsor

Trials

1,858

Recruited

2,023,000+

University of Kansas

Collaborator

Trials

157

Recruited

332,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials

3,007

Recruited

2,852,000+

Findings from Research

Over 40 Veterans Health Administration (VHA) facilities adopted the Brief Cognitive Behavioral Therapy (CBT) program within two years, with 65.1% of trained providers actively delivering the intervention, significantly improving access to mental health care for Veterans, especially in rural areas.

Veterans who completed three or more sessions of Brief CBT showed a significant reduction in depression symptoms, with an average decrease of 4.6 points, demonstrating the efficacy of this therapy in real-world settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Expanding access to evidence-based psychotherapy in VA settings: implementation of the brief cognitive behavioral therapy for depression program. Mignogna, J., Boykin, D., Gonzalez, RD., et al.[2023]

A study involving 198 school mental health professionals across 107 Michigan high schools found that positive attitudes towards evidence-based practices (EBPs) were linked to greater knowledge of cognitive behavioral therapy (CBT) and higher training completion rates.

The implementation climate and leadership support in schools were lower than typical clinical settings, indicating a need for improved organizational support to enhance the adoption of EBPs like CBT in school mental health services.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Individual and organizational factors as predictors of early evidence-based practice adoption in Michigan high schools: Baseline data from an implementation trial. Choi, SY., Rusch, A., Lane, A., et al.[2023]

Evidence-based practice (EBP) is becoming increasingly influential in U.S. public mental health care, with the potential to improve mental health practices, although its actual practical benefits may be limited by various barriers.

The study highlights a significant body of literature that critiques EBM and EBP, suggesting that while EBP may serve political purposes and promote accountability in mental health policy, it faces challenges in implementation due to epistemological and organizational issues.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evidence-based practice in mental health: practical weaknesses meet political strengths. Tanenbaum, S.[2019]

Among 265,364 veterans with depression, PTSD, or anxiety, those who utilized the Whole Health (WH) system had 2.4 times higher odds of engaging in evidence-based psychotherapy (EBP) within a year compared to those who did not use WH services.

Specific WH services were linked to varying levels of increased EBP engagement, with some services showing up to 3.5 times higher odds of participation, suggesting that integrating WH into mental health care could enhance treatment uptake among veterans.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

VHA Whole Health Services and Complementary and Integrative Health Therapies: a Gateway to Evidence-Based Mental Health Treatment. Etingen, B., Smith, BM., Zeliadt, SB., et al.[2023]

The study highlights the importance of using Geographic Information System (GIS) technology to assess mental health needs in Washington State, which can guide effective investments in evidence-based programs for children's healthcare.

Implementing GIS for mental health needs assessments can help states identify population needs more accurately, ultimately improving the effectiveness of mental health interventions and policies.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evidence-Based Program Service Deserts: A Geographic Information Systems (GIS) Approach to Identifying Service Gaps for State-Level Implementation Planning. Walker, SC., Hurvitz, PM., Leith, J., et al.[2018]

References

1. Switzerland pubmed.ncbi.nlm.nih.gov

Expanding access to evidence-based psychotherapy in VA settings: implementation of the brief cognitive behavioral therapy for depression program. [2023]

2. United States pubmed.ncbi.nlm.nih.gov

Individual and organizational factors as predictors of early evidence-based practice adoption in Michigan high schools: Baseline data from an implementation trial. [2023]

3. England pubmed.ncbi.nlm.nih.gov

Evidence-based practice in mental health: practical weaknesses meet political strengths. [2019]

4. United States pubmed.ncbi.nlm.nih.gov

VHA Whole Health Services and Complementary and Integrative Health Therapies: a Gateway to Evidence-Based Mental Health Treatment. [2023]

5. United States pubmed.ncbi.nlm.nih.gov

Evidence-Based Program Service Deserts: A Geographic Information Systems (GIS) Approach to Identifying Service Gaps for State-Level Implementation Planning. [2018]