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Using the Multiphase Optimization Strategy (MOST) framework to test intervention delivery strategies: a study

Sarabeth Broder-Fingert1,2, Jocelyn Kuhn3, Radley Christopher Sheldrick4

  • 1Boston Medical Center, 801 Albany Street, Boston, MA, 02114, USA. sarabeth.broder-fingert@bmc.org.

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Summary
This summary is machine-generated.

This study protocol uses the Multiphase Optimization Strategy (MOST) to test delivery strategies for Family Navigation (FN), an intervention to improve behavioral health service access. Findings will optimize FN for effectiveness and implementation.

Keywords:
Child behavioral health servicesFamily NavigationHealth disparitiesMultiphase Optimization Strategy

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Area of Science:

  • Behavioral intervention research
  • Health services research
  • Implementation science

Background:

  • Complex behavioral interventions require clear delivery strategies for effective implementation.
  • Few methodologies exist to prospectively test intervention delivery strategies and their impact on effectiveness.
  • Family Navigation (FN) is an evidence-based strategy to reduce disparities and improve access to behavioral health services.

Purpose of the Study:

  • To describe a study protocol for optimizing the delivery of Family Navigation (FN) using the Multiphase Optimization Strategy (MOST).
  • To test the effectiveness of different FN delivery strategies using a factorial design.
  • To inform future intervention research on optimizing delivery strategies for improved implementation and dissemination.

Main Methods:

  • A randomized controlled trial (RCT) protocol employing the MOST framework (Optimization and Evaluation phases).
  • 304 children aged 3-12 at risk for behavioral health disorders will be referred to a Family Partner for FN.
  • Families will be randomized into a 2x2x2x2 factorial design testing 16 combinations of FN delivery strategies.

Main Results:

  • The primary outcome is achieving a family-centered goal for behavioral health services within 90 days.
  • Secondary outcomes include data on fidelity, acceptability, feasibility, and cost of each delivery strategy.
  • Stakeholder review of results will optimize FN delivery for effectiveness, efficiency, and cost.

Conclusions:

  • The MOST framework offers a robust methodology for optimizing complex intervention delivery.
  • This protocol provides a model for future studies investigating the impact of delivery strategies on intervention effectiveness and implementation.
  • The findings will guide the optimization and dissemination of Family Navigation for improved behavioral health outcomes.