Steering Committee: March 6, 2019

In attendance: Dayna, Augustina, Chelsi, George, Nandini, Dielle, Aristotle, Paul


Action Items:

Operational

  • Continue to follow up with Durham’s contracts – Dielle

  • Qualitative Follow Up

  • Email Sophie and Juveria confirming attendance for the March 27th SC meeting only – Dielle

  • Jasmyn and Steve to connect with Juveria around the REDCAP piece for the qualitative data – Jasmyn

  • Send out in-person training evaluation – Chelsi (done)

Committees

  • PSSP to work on a tool to share among the team members as a way to provide weekly updates – PSSP

EPI-SET Documents

  • Aristotle to review progress report and pass along to Jeff to determine specific site needs – Aristotle

  • Make preliminary changes to Jeff and Janaki’s documents – Chelsi/Dielle

 

Minutes:

Contracts

  • Niagara – signed and sent to Niagara for their signatures

  • Durham – Dielle is following up every week, still under review

REB Amendments

  • DUP measurement – no need for amendment, will be measured through the SCID

  • No ePro tool – no need for amendment

  • Protocol states: “Using Project-ECHO infrastructure, all interviewer-rated assessments will be administered via live two-way video conferencing by trained interviewers, in a manner identical to the approach utilized in the original NAVIGATE trial”

  • Don’t necessarily need to update the protocol to include Zoom as we are doing it through live two-way video conference

  • George: We could specify that we will be using Zoom as part of other amendments we are submitting to the REBs as a point of clarification.

Qualitative Follow Up

  • Sophie supposed to join March 13th (Aristotle is away) and Juveria is available to join March 27th if there needs to a follow up

  • Decision: to schedule both Sophie and Juveria for March 27th

  • Though Juveria is the lead on this, Sophie has family work experience and will be a collaborator

  • The qualitative portion is not one of the 4 objectives

  • REDCAP - Jasmyn and Steve to connect with Juveria around the REDCAP piece for the qualitative data - It shouldn’t necessarily be on REDCAP, still have a conversation around this piece. One column in REDCAP from an administrative point of view, we are not having people who are currently using services on our advisory teams. Though for the qualitative studies we have those currently doing services, so there could be a data linkage piece there.

  • Two fold process 1. 10-15 interviews of stakeholders, staff, etc 2. Once implemented, we want an understanding of the experience of caregivers, clients, etc.

  • Timeline of roll out? - According to the protocol: “Semi-structured interviews will be conducted at three stages during the NAVIGATE implementation process: after the first engagement, at the end of the implementation, and at study end” - Potentially create a design that encompasses that time frame. Potentially having a core group that she follows now, then coordinates at end of implementation, then at end of service

Implementation Committee Update

  • PSSP’s goal is to create a coaching plan to share amongst the team member as a way to provide weekly updates. Meeting next week to develop a clear tool.

  • This coaching plan will include timeline of all completed tasks, updates on site activities, what is working well and concerns they may have

  • Currently PSSP is: - Looking into the technological capacity questions of the sites (NB has to ask upper management). - Conducting landscape work - Difficulties with Durham regarding moving forward due to the contracts (Kelsey is waiting)

  • Anything that comes up will be highlighted during Wednesday implementation meetings

Documents

1. Progress Report

  • Aristotle to review and pass along to Jeff to see exactly what the sites needs are

2. Navigate Implementation

  • Logo: Add EPI-SET (left) and site logos (right)

  • Title: Reverse title and modify to “improving Early Psychosis Care across Ontario”. Rid of NAV implementation

  • Intended for: Clinicians and physicians interested in taking a leadership role. CAMH clinicians and physicians who have an interest in facilitating and contributing to EPI-SET (for members of the ECHO hub, clinicians within the booster calls etc.) à in the future for site staff when they become the hub

  • Purpose: To summarize EPI-SET

  • Modification: Add the 4th objective (engagement)

  • Move the objective to the top, followed by the paragraphs

3. Navigate Framework Overview

  • Logo: Add EPI-SET (left) and site logos (right)

  • Title: Reverse title and modify “Overview of Navigate Framework”

  • Intended for: For any staff member interested in learning what Navigate is

  • Purpose: Overview describing components of Navigate and how it is rolled out into EPI-SET

  • Modification: Start with what is EPI-SET, then what Navigate is

  • Check in with Sarah regarding George’s comment

  • Get language from Jeff’s ‘what you need to know’ document – first bullet point

  • Incorporate language around evaluating implementation and the impact of Navigate’s comprehensive care model in comparison to the service as usual model

4. The Navigate Program

  • Logo: Add EPI-SET (left) and site logos (right)

  • Title: Reverse title

  • Intended for: Service users and family members

  • Purpose: Inform patients about the new model of care and small indication on who to contact about the research portion of this study

  • Modification: First two sentences: Get language from Jeff’s ‘what you need to know’ document – first bullet point and Incorporate language around evaluating implementation and the impact of Navigate’s comprehensive care model in comparison to the service as usual model

  • Include the ‘why’ section and modify the language from Jeff’s document – reference the grant

  • Get advisory and site opinion regarding the presentation of this document

  • Include small section about the research opportunity/component at the bottom instead of having separate “what I need to know about participating in the EPI-SET research study document” à should not read like a consent form. Maybe in a table format

4. What you need to know about EPI-SET and the Navigate Model

  • Logo: Add EPI-SET (left) and site logos (right)

  • Title: Reverse title

  • Intended for: Staff members interested in the project

  • Purpose: Inform staff members about the EPI-SET project

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