Targeted Assessment and Context-Tailored Implementation of Change Strategies (TACTICS) to increase evidence based psychotherapy in military behavioral health clinics: A cluster-randomized stepped-wedge implementation study
Principal Investigators: Carmen McLean, PhD and Craig Rosen, PhD
Implementation Core Co-Investigators: David Riggs, Katherine Anne Comtois, Elisa Borah, Katherine Dondanville, & Shannon Wiltsey-Stirman
Implementation Core Co-Investigators: David Riggs, Katherine Anne Comtois, Elisa Borah, Katherine Dondanville, & Shannon Wiltsey-Stirman
A context-tailored implementation approach, TACTICS combines a needs assessment, a rubric for selecting implementation strategies based on local barriers, an implementation toolkit, and external facilitation to support local champions and their implementation teams in enacting changes.
The study is a multi-site, cluster randomized, stepped-wedge trial, with the military treatment facility as the unit of analysis. Eight facilities undergo a provider-training phase, followed by 5 months of TACTICS implementation. The timing of TACTICS at each facility is randomly assigned to begin 9, 14, or 19 months after beginning the provider-training phase. Primary analyses will compare the proportion of PTSD patients receiving PE and patients' mean improvement in PTSD symptoms before and after the onset of TACTICS. |
Recruitment
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All sites have been selected. Data collection is ongoing.
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Implementation Core Team
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