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  6. R34 #3 - Developing and Testing a Team Communication Training Implementation Strategy for Depression Screening in a Pediatric Health Care System

R34 #3 - Developing and Testing a Team Communication Training Implementation Strategy for Depression Screening in a Pediatric Health Care System

Principal Investigator(s): Nicole Stadnick, Ph.D. (UC San Diego) 

Co-Investigator(s): Gregory Aarons, Ph.D. (UC San Diego), and Jonathan Helm, Ph.D. (San Diego State University)

Project Summary

The objective is to refine and test a team communication training implementation strategy to improve implementation of an existing pediatric depression screening protocol in a large pediatric healthcare system. The implementation strategy will target team mechanisms at the organizational-level (intra-organizational alignment and implementation climate) and provider-level (communication, coordination, psychological safety, and shared cognition).  

Implementation Strategy Intervention Used in Project 

Team Communication Training - Team communication training is an implementation strategy with a robust evidence base in healthcare settings to improve collaborative decision-making, task completion, and improved health outcomes.1,2,3 We will refine and test team communication training (implementation strategy) to target team mechanisms at the team/organizational-level (intra-organizational alignment and implementation climate) and team member/provider-level (communication, coordination, psychological safety, and shared cognition) that will lead to enhanced implementation of an existing pediatric depression screening protocol (clinical intervention).   

Specific Aims 

  1. Use mixed methods to refine a team communication training implementation strategy to improve implementation of an existing health system universal depression screening protocol (clinical intervention).
  2. Use a two-arm hybrid type 3 implementation-effectiveness pilot trial to assess the initial effectiveness of the team communication training strategy on implementation of the depression screening protocol.
  3. Use mixed methods to assess team/organizational (intra-organizational alignment, implementation climate) and team member/provider (communication, coordination, psychological safety, shared cognition) mechanisms of the team communication training implementation strategy and a novel application of natural language processing methods.

Conceptual Model of Team Effectiveness and Implementation Science

r343.jpg

Funding Information: P50MH126231 

Reference(s):

  1. Härgestam, M., Lindkvist, M., Brulin, C., Jacobsson, M., & Hultin, M. (2013). Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training. BMJ open, 3(10), e003525. 
  2. Abd El-Shafy, I., Delgado, J., Akerman, M., Bullaro, F., Christopherson, N. A., & Prince, J. M. (2018). Closed-loop communication improves task completion in pediatric trauma resuscitation. Journal of surgical education, 75(1), 58-64. 
  3. Salik I, Ashurst JV. Closed Loop Communication Training in Medical Simulation. In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2020. PMID: 31751089.