Measurement-Based Care (MBC) Implementation, Effectiveness, and Mechanisms of Change

Although measurement-based care (MBC) is an evidence-based practice with known benefits, it is not always systematically implemented with fidelity. Questions remain regarding MBC's unique added value compared to usual care. Thus, the goal of this clinical trial is to investigate the implementation outcome, effectiveness, and mechanisms of change of measurement-based care in adult behavioral health. This study implemented MBC in adult ambulatory behavioral health and will test outcomes using a pragmatic randomized control trial within the RE-AIM (Reach, Efficacy, Adoption, Implementation, and Maintenance) framework. Researchers will compare three groups: 1) the Measurement-based care group, 2) the treatment-as-usual group, and 3) the waitlist control group. Participants will participate in weekly individual psychotherapy sessions for 12 sessions in total.

NCT Number	NCT06671158
Lead Sponsor	Carilion Clinic Collaborators: Virginia Polytechnic Institute and State University
Conditions	Depressive Disorder, Anxiety Disorders
Enrollment	89 participants
Start Date	2023-10-10
Primary Completion	2026-06-02 (estimated)
Study Completion	2026-09-16 (estimated)
Updated on ClinicalTrials.gov	2026-06-29