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NCT04208217 · ClinicalTrials.gov registry record · NA
Participatory System Dynamics vs Usual Quality Improvement: Staff Use of Simulation as an Effective, Scalable and Affordable Way to Improve Timely Mental Health Care?
A NA study, sponsored by VA Office of Research and Development.
- Completed
- Registry status
- NA
- Development phase
- 720
- Enrollment target
NCT04208217: Completed NA study, sponsored by VA Office of Research and Development.
NCT04208217 is a NA study that has completed, run by VA Office of Research and Development. The registered enrollment target is 720 participants, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (49% lower). According to ClinicalTrials.gov, the official US trial registry.
The verdict
NCT04208217, a NA study, has completed, sponsored by VA Office of Research and Development.
- COMPLETED
- Registry status
- NA
- Development phase
- 720 participants
- Enrollment target
Study Summary
Evidence-based VA care is best for meeting Veterans' mental health needs, such as depression, PTSD and opioid use disorder, to prevent suicide or overdose. But some key evidence-based practices only reach 3-28% of patients. Participatory system dynamics (PSD) helps improve quality with existing resources, critical in mental health and all VA health care. PSD uses learning simulations to improve staff decisions, showing how goals for quality can best be achieved given local resources and constraints. This study aims to significantly increase the proportion of patients who start and complete evidence-based care, and determine the costs of using PSD for improvement. Empowering frontline staff with PSD simulation encourages safe 'virtual' prototyping of complex changes to scheduling, referrals and staffing, before translating changes to the 'real world.' This study determines if PSD increases Veteran access to the highest quality care, and if PSD better maximizes VA resources when compared against usual trial-and-error approaches to improving quality.
Primary Outcome
Proportion evidence-based practice (EBP) reach is defined as the proportion of VA outpatient addiction and mental health patients who receive evidence-based psychotherapy and/or evidence-based pharmacotherapy for opioid use disorder, depression, or PTSD in routine outpatient VA care.
Interventions
- BEHAVIORAL Modeling to Learn (MTL)
- BEHAVIORAL Usual quality improvement (QI)
Trial Details
| Field | Value |
|---|---|
| Enrollment Target | 720 participants |
| Start Date | 2021-07-22 |
| Est. Completion | 2026-01-31 |
| Phase | NA |
What the finished NCT04208217 record still lists
NCT04208217 is an interventional study that assigns participants to a tested intervention. The registered 720 participants enrollment target is mid-sized for trials with a published cap, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (49% lower).
The record links to 0 conditions, and to 2 interventions - of which Modeling to Learn (MTL) is the first listed.
NCT04208217 does not publish any study locations in the registry export this page uses.
Frequently Asked Questions
What is clinical trial NCT04208217 about?
NCT04208217 is a clinical study titled "Participatory System Dynamics vs Usual Quality Improvement: Staff Use of Simulation as an Effective, Scalable and Affordable Way to Improve Timely Mental Health Care?". Evidence-based VA care is best for meeting Veterans' mental health needs, such as depression, PTSD and opioid use disorder, to prevent suicide or overdose. But some key evidence-based practices only reach 3-28% of patients. Participatory system dynamics (PSD) helps improve quality with existing reso...
What is the current status of trial NCT04208217?
This trial is currently completed. It is a NA study. The enrollment target is 720 participants. The study started on 2021-07-22. Estimated completion is 2026-01-31.
What interventions are being tested in trial NCT04208217?
The interventions under investigation include: Modeling to Learn (MTL) (BEHAVIORAL), Usual quality improvement (QI) (BEHAVIORAL).
Who is sponsoring clinical trial NCT04208217?
This trial is sponsored by VA Office of Research and Development, which has 1,668 total clinical trials registered on ClinicalTrials.gov.
Learn More About Clinical Trials
How this trial's enrollment target compares
Where NCT04208217's enrollment target sits among peer trials
720 146th of 2000 higher than 1,854 of 2,000 other NA trials
participants (enrollment target), bucketed by value
Each bar is a band; taller bars hold more other NA trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.
Source ClinicalTrials.gov registry export · 2026-08-08
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