Recruiting

Decision-Support Tool

Sponsor:

Chestnut Health Systems

Code:

NCT06375551

Conditions

Child Abuse

Decision Making

Child Welfare

Decision Making, Shared

Decision Support Technique

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Accepted

Interventions

Optimizing Responses with Collaborative Assessments-Automated (ORCA-A)

Optimizing Responses with Collaborative Assessments-Live (ORCA-L)

Study Details

Brief summary:

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.

Conditions

Child Abuse

Decision Making

Child Welfare

Decision Making, Shared

Decision Support Technique

Study ID

NCT06375551

Start date

Dec 1, 2026

Status verified date

Jun, 2026

Completion date

Jul 31, 2027

Anticipated

Primary completion date

Jul 31, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Accepted

Inclusion Criteria:

  • Non-institutionalized
  • Adults (18 years or older).
  • English-Speaking

Aim 1:

  • Involved in initial state decision-making related to Family First Prevention Services Act.
  • Willing to participate in two data collection occasions.

Aim 2:

  • Non-institutionalized
  • Adults (18 years or older). English-Speaking.
  • Involved in ongoing state decision-making related to Family First Prevention Services Act.
  • Willing to participate in three measurement occasions.

Aim 3:

-Willing to participate in multiple (bi-weekly up to two years) measurement occasions.

Exclusion Criteria:

-Not involved in or potentially influencing child welfare intervention decisions

Study Design

Enrollment

80 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

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

Interventions

Optimizing Responses with Collaborative Assessments-Automated (ORCA-A)

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)

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.

Primary outcome measure

  • Mean changes in decision assumptions, decision goals Pre and Immediately Post-intervention [ Time Frame: Baseline; Immediately Post-intervention ]
  • Mean changes in decision experience quality pre-post intervention [ Time Frame: Baseline; Immediately Post-intervention ]
  • Mean changes in decision commitment pre-post intervention [ Time Frame: Baseline; Immediately Post-intervention ]
  • Mean changes in perceived potential community health impact pre-post intervention [ Time Frame: Baseline; Immediately Post-intervention; 12-month follow-up ]
  • Descriptive changes in ordinal intervention rankings assisted (with ORCA) compared to unassisted (no ORCA) [ Time Frame: Baseline; Immediately Post-intervention ]
  • Qualitatively described rationale for program adoption from pre-post intervention [ Time Frame: Baseline; Immediately Post-intervention ]
  • Descriptive, mean group-level changes in perceived feasibility of intervention Pre-post intervention [ Time Frame: Baseline; Immediately Post-intervention; 12-month post-intervention ]
  • Descriptive, mean group-level changes in perceived acceptability of intervention for implementation [ Time Frame: Baseline; Immediately Post-intervention; 12-month post-intervention ]
  • Descriptive, mean group-level changes in perceived appropriateness of intervention for implementation [ Time Frame: Baseline; Immediately Post-intervention; 12-month post-intervention ]
  • Descriptive differences in implementation process fidelity (activities completed) for interventions adopted with ORCA [ Time Frame: Immediately Post-intervention; bi-weekly through 12-month post-intervention ]
  • Descriptive differences in implementation process fidelity (timing) for interventions adopted with ORCA [ Time Frame: Immediately Post-intervention; bi-weekly through 12-month post-intervention ]

Central Contacts and Locations

Central contacts

Gracelyn Cruden, PhD

843-513-9928gcruden@chestnut.org

Kelli Wright

kwright@chestnut.org

Locations

Chestnut Health Systems

Recruiting

Eugene, Oregon, United States, 97401

Contacts

Gracelyn Cruden, PhD

309-451-7868gcruden@chestnut.org

Jessica Harrison, MS

jlharrison@chestnut.org

Principal Investigator:

Gracelyn Cruden, PhD

More Information

Sponsor

Chestnut Health Systems

Last update posted

Jun 18, 2026

Last verified

Jun, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Chestnut Health Systems on 2026-06-18.