Virtual Training Role-Plays to Improve Patient Suicide Outcomes in Primary Care Settings

虚拟培训角色扮演可改善初级保健机构中患者的自杀结果

• 批准号: 9753355
• 负责人: Dale Edward Olsen
• 金额: $ 58.12万
• 依托单位: SIMMERSION, LLC.
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-19 至 2021-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9753355
• 关键词: Area; Centers for Disease Control and Prevention (U.S.); Cessation of life; Collaborations; Complex; Cues; Data; Data Set; Development; E-learning; Family health status; Feedback; Funding; Goals; Health Professional; Healthcare Systems; Hour; Individual; Institutes; Knowledge; Learning; Logic; Marketing; Measures; Monitor; New York; Outcome; Outcome Study; Participant; Patient-Focused Outcomes; Patients; Phase; Play; Provider; Public Health; Records; Risk; Risk Assessment; Role; Safety; Series; Site; Speech Recognition Software; Suicide; Suicide attempt; Suicide prevention; System; Technology; Testing; Time; Training; United States; Visit; care providers; collaborative environment; commercialization; cost; design; experience; health care availability; health care settings; health training; improved; insight; new technology; post intervention; primary care setting; primary outcome; programs; recruit; scale up; screening; simulation; skill acquisition; skills; social; suicidal morbidity; suicidal patient; suicidal risk; suicide rate; symposium; training opportunity; virtual; willingness

ABSTRACT SIMmersion, in collaboration with the Institute for Family Health (IFH) and the Educational Development Center (EDC) propose to develop a web-based training product, Suicide Prevention Role-plays for Interactive Training (SPiRIT), a series of 4 modules to train providers to more effectively manage patients who screen positive for risk of suicide in this Phase I/Phase II fast-track application. If funded, the team will develop the Risk Assessment module in Phase I and utilize a within group pre-post design to evaluate its feasibility. Twenty practicing clinicians will be recruited to utilize the module and complete a pre-post knowledge test. In Phase II, the team will develop S The efficacy of the product to positively influence patient outcomes will be tested with a Historically Controlled Trial (HCT) enlisting 65 practicing clinicians across five IFH sites. afety Planning, Access to Lethal Means, and Willingness to Accept a Referral modules. All providers will be trained and patient outcomes will be tracked for 6 months post training. This data set will be compared to 6 months of historical data for the same provider group. Primary outcomes of this study will measure the participants' ability in obtain improved patient outcomes related to: 1) rate of same-day C-SSRS Screening; 2) rate of suicide being added to the problem list; 3) rate of same-day safety planning; 4) rate of same day C-SSRS Lifeline/Recent Completion; 5) rate of same-day Risk Assessment; 6) rate of acceptance and attendance to within-Institute referrals for post intervention patients who are offered the referral at the first visit; 7) and lower rates of documented suicide attempts. Ultimately, the development and successful testing of this product would provide the US health care system a novel technology to scale up a clinician's confidence and skill to better manage patients who identify as at-risk for suicide. Additionally, if effective, this product will have a direct impact on patient outcomes, a vital component to any training product that attempts to train health care professionals. The utility and scalability of the proposed product will move health care systems toward the goal of zero deaths from suicide consistent with the Zero suicide approach.

抽象的 SIMmersion 与家庭健康研究所 (IFH) 和教育发展中心合作 （EDC）建议开发基于网络的培训产品， 预防自杀角色扮演互动培训 (SPiRIT)，一系列 4 个模块，用于培训提供者更有效地管理筛查呈阳性的患者 在第一阶段/第二阶段快速通道申请中存在自杀风险。如果获得资助，团队将开发风险 第一阶段的评估模块，利用组内事前设计来评估其可行性。二十 将招募执业临床医生使用该模块并完成岗前知识测试。在第二阶段， 该团队将开发S 该产品对患者结果产生积极影响的功效将通过历史控制进行测试 试验 (HCT) 招募了 5 个 IFH 中心的 65 名执业临床医生。 安全规划、获取致命手段以及接受转介的意愿模块。 所有提供者都将接受培训并保持耐心 培训后将跟踪结果 6 个月。该数据集将与 6 个月的历史数据进行比较 同一提供商组的数据。本研究的主要结果将衡量参与者获得的能力 改善与以下相关的患者治疗结果：1) 当天 C-SSRS 筛查率； 2）增加自杀率 到问题列表； 3）当日安全计划率； 4) 当日C-SSRS生命线/最近的比率 完成； 5）当日风险评估率； 6) 院内录取率和出勤率 为首次就诊时获得转诊的干预后患者进行转诊； 7）和较低的利率 有记录的自杀企图。最终，该产品的开发和成功测试将提供 美国医疗保健系统采用了一项新技术，可以增强临床医生的信心和技能，以更好地进行管理 确定有自杀风险的患者。此外，如果有效，该产品将直接影响 患者的治疗效果是任何试图培训医疗保健专业人员的培训产品的重要组成部分。 拟议产品的实用性和可扩展性将使医疗保健系统朝着零死亡的目标迈进 与零自杀方法一致的自杀。

项目成果

Suicide risk assessment training using an online virtual patient simulation.

使用在线虚拟患者模拟进行自杀风险评估培训。

• DOI: 10.21037/mhealth.2019.08.03
• 发表时间: 2019
• 期刊: mHealth
• 作者: O'Brien,KimberlyHMcManama;Fuxman,Shai;Humm,Laura;Tirone,Nicole;Pires,WarrenJay;Cole,Andrea;GoldsteinGrumet,Julie
• 通讯作者: GoldsteinGrumet,Julie