K-ORCA: Testing a Decision Support Tool and Group Process for Selecting Interventions

Part of paid clinical trials in Eugene, Oregon.

Sponsor
Chestnut Health Systems
Study ID
NCT06375551
Status
Recruiting
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Conditions

  • Child Abuse
  • Child Welfare
  • Consensus
  • Decision Making
  • Decision Making, Shared
  • Decision Support Technique
  • Family
  • Implementation Science
  • Mental Health
  • Organizations
  • Policy
  • Social Facilitation

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Optimizing Responses with Collaborative Assessments-Automated (ORCA-A) — BEHAVIORAL
    Participants will receive automated facilitation in the ORCA platform. This will entail prompts for group discussion based on group model building scripts and decision hygiene approaches proposed by Kahneman, Sibony, and Sunstein (2021). Participants will have the option of using these prompts to discuss ORCA results in group decision discussions. Optimizing Responses with Collaborative Assessments (ORCA) is a technical decision support tool based in multi-criteria decision analysis. Decision makers rate and compare evidence-based programs or other practices with ORCA, then prioritize practices for local implementation based on ORCA results. ORCA will be on a virtual platform to allow for web-based completion, automated analysis, and automated facilitation.
  • Optimizing Responses with Collaborative Assessments-Live (ORCA-L) — BEHAVIORAL
    A facilitator will guide group decision discussions using group model building scripts and decision hygiene approaches proposed by Kahneman, Sibony, and Sunstein (2021). Facilitation will be either in-person or virtual, but occur "live" as in during real-time. Optimizing Responses with Collaborative Assessments (ORCA) is a technical decision support tool based in multi-criteria decision analysis. Decision makers rate and compare evidence-based programs or other practices with ORCA, then prioritize practices for local implementation based on ORCA results. ORCA will be on a virtual platform to allow for web-based completion, automated analysis, and automated facilitation.

Study Details

This proposal responds to NIMH Objective 4.2.c to develop "decision-support tools and technologies that increase the effectiveness and continuous improvement of mental health interventions" by leveraging the Family First Prevention Services Act (FFPSA) policy opportunity. First, a web-based platform to host (a) a decision-support tool and (b) automated facilitation for group decisions with the tool will be developed with state partners' feedback. Next, decision makers leading their states' FFPSA quality improvement efforts will be engaged to pilot a decision-support intervention comprised of the tool and live or automated facilitation, and to evaluate the implementation quality of evidence-based programs adopted with the decision-support intervention.

Key Dates

Start date
May 31, 2026
Status verified
May 2026
Primary completion
Jul 31, 2027
Completion
Jul 31, 2027

Study Design

Enrollment
80 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Active Comparator: ORCA-A
    Decision Makers receiving automated facilitation to accompany ORCA
  • Active Comparator: ORCA-L
    Decision Makers receiving live facilitation to accompany ORCA

Primary Outcome Measure

Mean changes in decision assumptions, decision goals Pre and Immediately Post-intervention [ Time Frame: Baseline; Immediately Post-intervention ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Chestnut Health SystemsEugeneOregon97401
Gracelyn Cruden, PhD
[email protected]
309-451-7868
Jessica Harrison, MS
[email protected]
Gracelyn Cruden, PhD (PRINCIPAL_INVESTIGATOR)

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By research site
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