Penn Innovation in Suicide Prevention Implementation Research (INSPIRE) Center

宾夕法尼亚大学预防自杀创新实施研究 (INSPIRE) 中心

基本信息

批准号：
10487432
负责人：
GREGORY K BROWN
金额：
$ 318.63万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-15 至 2026-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10487432
关键词：
15 year old Accident and Emergency department Address Affect Behavior Black Populations Caring Cause of Death Cognitive Therapy Collaborations Community Healthcare Data Death Rate Effectiveness Evidence based intervention Evidence based practice Foundations Funding General Population Goals Hispanic Populations Home Homophobia Individual Interdisciplinary Study Intervention Intervention Studies Lesbian Gay Bisexual Transgender Low income Machine Learning Marriage Mentors Methodology Methods Minority Groups Modeling NCI Scholars Program Not Hispanic or Latino Organizational Culture Patients Pennsylvania Persons Pilot Projects Policies Population Populations at Risk Prevention Research Provider Psychiatry Psychology Public Health Recording of previous events Research Research Design Research Personnel Resources Risk Safety Science Scientist Services Sexual and Gender Minorities Suicide Suicide prevention Testing Training Underrepresented Populations Underserved Population Universities Vulnerable Populations Work Youth age group aged base behavior change cost effective cost effective intervention design disadvantaged population disenfranchised population effective intervention ethnic minority evidence base follow-up health care settings health economics health information technology high risk implementation research implementation science implementation strategy innovation interdisciplinary approach novel novel strategies perceived discrimination practice setting preventive intervention racial and ethnic racism reducing suicide same-sex marriage scale up sex suicidal individual suicidal morbidity suicidal risk telehealth

项目摘要

This proposal is to develop the University of Pennsylvania’s Innovation in Suicide Prevention Implementation Research (INSPIRE) Center. Suicide is a leading cause of death in the US that disproportionately affects minority and disenfranchised populations, including Blacks, Hispanics and sexual/gender minorities. Yet, these groups often are not included in suicide prevention research. Guided by a conceptual model based on the Integrated Behavior Model, which posits that organizational culture, policies, and resources (or lack thereof) impact the provider’s attributes and behaviors, INSPIRE brings together psychology, implementation science, health economics, machine learning, health information technology, psychiatry and participatory research experts to apply innovative interdisciplinary approaches to suicide prevention. INSPIRE’s overarching goals are to develop and adapt practice-based and other suicide prevention interventions for underserved groups and to design and test implementation strategies to optimize how evidence-based practices can be brought to scale efficiently and with high fidelity, for optimal effectiveness. INSPIRE will prioritize strategies that can be rapidly deployed in a range of practice settings, including those with limited resources, thereby increasing their reach and public health impact. Penn INSPIRE will use state-of-the-science methods from participatory research to actively engage stakeholders from many sectors – including patients, providers, and payers – at every level of its work to accomplish its Specific Aims. INSPIRE will apply innovative, interdisciplinary behavior change and implementation science methods to develop, adapt, and evaluate cost effective interventions. A Signature Project will use a stepped wedge study design to test an innovative organizational strategy that leverages telehealth to deliver high quality Safety Planning Intervention and follow-up services in Emergency Departments. Three Exploratory Projects will test novel strategies for suicide prevention across individual, clinician, and organizational levels and with specific vulnerable populations that will lay the foundation for more definitive studies. INSPIRE will also support 10 pilot projects and an innovative Methods Core that will develop and test new methods to advance research at the intersection of suicide prevention and implementation science. The Suicide Prevention Scholars Program will expand the cadre of suicide prevention researchers by engaging both emerging investigators and established scientists who do not currently work on suicide prevention – particularly those from groups under-represented in research – through content, design. and methodological mentoring and capacity-building. By catalyzing interdisciplinary, cross-sector collaborations and advancing suicide prevention research, care, and policy both locally and nationally, we will develop cost-effective, practical, and efficient ways to implement evidence-based suicide prevention interventions. INSPIRE is poised to be transformational for suicide prevention.

该提案旨在发展宾夕法尼亚大学在自杀预防实施方面的创新研究 (INSPIRE) 中心。自杀是美国的一个主要原因，其影响尤为严重。少数群体和被剥夺权利的人群，包括黑人、西班牙裔和性/性别少数群体。自杀预防研究中通常不包括以基于自杀预防的概念模型为指导的群体。综合行为模型，定位组织文化、政策和资源（或缺乏） INSPIRE 汇集了心理学、实施科学、卫生经济学、机器学习、卫生信息技术、精神病学和参与性研究 INSPIRE 的总体目标是应用创新的跨学科方法来预防自杀。为服务不足的群体制定和调整基于实践的自杀预防干预措施，并设计和测试实施策略，以优化如何扩大循证实践的规模高效且高保真的，为了获得最佳效果，INSPIRE 将优先考虑可以快速实施的策略。部署在一系列实践环境中，包括那些资源有限的实践环境，从而扩大其影响范围宾夕法尼亚大学 INSPIRE 将使用最先进的方法，从参与式研究到公共健康影响。积极让来自许多部门的利益相关者（包括患者、提供者和付款人）参与各个层面 INSPIRE 为实现其具体目标而开展的工作将采用创新的、跨学科的行为改变和实施科学方法来开发、调整和评估具有成本效益的干预措施。项目将使用阶梯式楔形研究设计来测试创新的组织战略，该战略利用远程医疗为急诊科提供高质量的安全规划干预和后续服务。三个探索性项目将测试个人、临床医生和医生的自杀预防新策略。组织层面和特定弱势群体，这将为更明确的 INSPIRE 还将支持 10 个试点项目和一个用于开发和测试的创新方法核心。推进自杀预防和科学实施交叉研究的新方法。自杀预防学者计划将通过让自杀预防研究人员参与来扩大自杀预防研究人员的队伍目前不从事自杀预防工作的新兴研究者和知名科学家——尤其是来自研究中代表性不足的群体——通过内容、设计和方法指导和通过促进跨学科、跨部门合作和推进自杀预防。在地方和国家的研究、护理和政策方面，我们将制定具有成本效益、实用且有效的方法实施基于证据的自杀预防干预措施有望带来变革。预防自杀。