Recruiting

VIBRANT

Sponsor:

University of Washington

Code:

NCT05970991

Conditions

Implicit Bias

Eligibility Criteria

Sex: All

Age: 11 - 70+

Healthy Volunteers: Accepted

Interventions

Brief Online Training (BOLT) for measurement-based care (MBC)

Virtual Implicit Bias Reduction and Neutralization Training (VIBRANT)

Live Post-Training Consultation

Asynchronous Discussion Board

Study Details

Brief summary:

Healthcare providers' implicit bias has been identified as a contributor to longstanding health inequities via negative impacts on the patient-clinician relationship and biased delivery of high-quality evidence-based practices (EBP). The implementation of any EBP runs the risk of worsening existing health disparities due to inequitable access, delivery, or benefit of the intervention. Clinician bias can be a critical and unaddressed determinant of implementation for any EBP. Although some implicit bias interventions for healthcare providers are emerging, studies have rarely included mental health professionals. In a previously NIMH funded project, our research team iteratively developed a brief (\~45 minutes), interactive online Virtual Implicit Bias Reduction and Neutralization Training (VIBRANT) for school mental health clinicians with promising preliminary findings. The current study will test the effectiveness of VIBRANT-an implementation strategy for promoting equitable adoption, penetration, fidelity, and sustainment of EBPs. One highly learnable, efficient, and scalable EBP that is particularly well-suited for the education sector is Measurement-Base Care (MBC)-the systematic collection of patient-reported progress data to inform clinical decision-making. The proposed study aims to (1) evaluate VIBRANT's feasibility to promote equitable adoption, penetration, fidelity, and sustainment of MBC, with a validated, brief, interactive online training for MBC; (2) examine VIBRANT's impact on proximal mechanisms of change including clinicians' implicit bias as well as distal youth mental health outcomes (i.e., symptoms and functioning) with Black and Latinx youth, and (3) assess feasibility of research procedures for a future large-scale efficacy trial.

Conditions

Implicit Bias

Study ID

NCT05970991

Start date

Sep 1, 2022

Status verified date

Mar, 2025

Completion date

Aug, 2025

Anticipated

Primary completion date

Jun, 2025

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 11 - 70+

Healthy Volunteers: Accepted

Inclusion Criteria:

Inclusion criteria for each of the subjects participating in the study as follows:

1. Participating clinicians must...

1. Provide school-based mental health services in middle and high school settings for at least 50% of their clinical deployment.
2. Provide on-going 1:1 mental health services to students (e.g., not assessment only).
3. Have a caseload (who is receiving on-going care) that consists of at least 20% of Black or Latinx students.
2. Participating youths must...

1. Identify as Black/African American or/and Hispanic/Latina/Latino/Latinx
2. be entering into ongoing treatment with a participating clinician in the school mental health setting
3. Participating caregivers must... a. be a primary caregiver to the youth who can answer questions about the youth's daily behaviors and emotional well-being

Exclusion Criteria:

Exclusion criteria for each of the subjects participating:

1. School-based mental health clinicians

1. Clinician who previously participated in a measurement-based care (MBC) related study with our team and have already been exposed to our online MBC training.
2. Clinicians who have participated in a previous study related to VIBRANT.
2. Black \& Latinx youth

1. Youths with a developmental or learning disability that would interfere with their ability to accurately give informed consent or assent and reliable completion of study assessments.
2. Youths who do not speak English or Spanish
3. Caregivers

1. Caregivers who do not reside with the youth or would otherwise have adequate daily contact to report on the youth's typical behaviors and/or emotional well-being.
2. Caregiver who do not speak English or Spanish

Study Design

Enrollment

400 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

active comparator: MBC Controls

Control group clinicians will complete the Brief Online Training (BOLT) for Measurement-Based Care (MBC) and consultation packages (4 online training modules supported by two 1-hour long, live post-training consultation sessions and expert-facilitated asynchronous online discussion board).

experimental: MBC + VIBRANT

Experimental condition clinicians will complete the same online training modules for MBC (BOLT) as the control group, but also complete the Virtual Implicit Bias Reduction and Neutralization Training (VIBRANT) module (45 minutes). They will also receive two 1-hour long, live post-training consultation sessions and expert-facilitated asynchronous online discussion board.

Interventions

Brief Online Training (BOLT) for measurement-based care (MBC)

Brief Online Training (BOLT) for measurement-based care (MBC) is a series of 4 interactive, self-paced, online training modules that takes approximately 75 - 120 minutes to complete. Clinicians are trained on the core functions, procedures, and best practice approaches for delivering MBC in the school mental health setting. MBC is the systematic collection of patient-reported data to support collaborative clinical decision-making from intake to termination.

Virtual Implicit Bias Reduction and Neutralization Training (VIBRANT)

The Virtual Implicit Bias Reduction and Neutralization Training (VIBRANT) is a brief (45-minute), self-paced, interactive online training module designed to help school-based mental health clinicians understand and manage their implicit bias in clinical interactions.

Live Post-Training Consultation

Two 1-hour long small group consultation sessions with an expert consultant designed as additional opportunities to support knowledge elaboration and skills generalization.

Asynchronous Discussion Board

An expert facilitated online Discussion Board for additional opportunities of knowledge clarification, practice reinforcement, and community building to support implementation sustainment.

Primary outcome measure

  • Adoption of Measurement-Based Care (MBC) strategies [ Time Frame: 4-month (follow-up 2) ]
  • Penetration or saturation of Measurement-Based Care (MBC) strategies use [ Time Frame: 4-month (follow-up 2) ]
  • Sustainment of Measurement-Based Care (MBC) strategies use [ Time Frame: 4-month (follow-up 2) ]
  • Fidelity of Measurement-Based Care (MBC) Strategies use [ Time Frame: 4-month (follow-up 2) ]
  • Change in Clinician's Implicit Association Test (IAT) Scores [ Time Frame: 0-months (Pre-training), 1-month (post-training), 2-month follow-up 1, and 4-month (follow-up 2) ]
  • Change in Clinician and Youth Working Alliance Inventory--Short Form scores [ Time Frame: 1-month (post-training), 4-month (follow-up 2) ]
  • Change in Strengths and Difficulties Questionnaire (SDQ) youth and caregiver report scores [ Time Frame: 1-month (post-training), 4-month (follow-up 2) ]

Central Contacts and Locations

Central contacts

Freda Liu, PhD

206-987-3295fredaliu@uw.edu

Locations

University of Washington

Recruiting

Seattle, Washington, United States, 98115

Principal Investigator:

Freda Liu, PhD

More Information

Sponsor

University of Washington

Last update posted

Mar 12, 2025

Last verified

Mar, 2025

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by University of Washington on 2025-03-12.