Swift Outpatient Alternatives for Rapid Stabilization (SOARS)

快速稳定门诊替代方案 (SOARS)

基本信息

批准号：
10575209
负责人：
Molly Adrian
金额：
$ 81.37万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-02-17 至 2028-01-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10575209
关键词：
Acceleration Acute Address Adolescent and Young Adult Adoption Age Behavior Caregivers Caring Cause of Death Characteristics Communication Complex Data Decision Making Development Distress Effectiveness Engineering Evaluation Evidence based intervention Experimental Designs Family Feeling suicidal Health Personnel Healthcare Healthcare Systems Hospitalization Hybrids Individual Intervention Mediation Medical Mental Health Services Modeling Outpatients Parents Pathway interactions Patients Pattern Prevention Prevention Research Process Proliferating Provider Public Health Recording of previous events Reporting Risk Factors Risk Management Risk Reduction Self Efficacy Suicide Suicide prevention Testing Therapeutic Time United States Youth barrier to care behavioral health care providers design evidence base expectation human centered design implementation outcomes implementation trial improved modifiable risk mortality multi-component intervention multiphase optimization strategy novel prevent primary care setting reducing suicide referral services response skills skills training suicidal suicidal adolescent suicidal behavior suicidal morbidity suicidal risk treatment optimization treatment planning usability

项目摘要

Suicide is a leading cause of death for youth and prevention efforts embedded in healthcare systems have promise for reducing this substantial public health problem. There is a significant gap between the expectations of a suicide care pathway and existing capacity and could be improved with optimized intervention packages that address key stakeholders- youth, patient, behavioral health providers, and outpatient medical providers- needs. Building upon promising pilot results, this project seeks to evaluate components of the Swift Outpatient Alternative for Rapid Stabilization (SOARS) intervention to build the strongest combination to reduce youth suicidal thoughts and behaviors (STB; Aim 1). We will test the impact patient characteristics (Aim 2) and if SOARS components function through their putative mechanisms. The optimized treatment package will be refined through co-design with providers to augment its acceptability and usability (Aim 4). Results will be used to create an optimized intervention package to accelerate the pace of adoption by healthcare systems and reduction of youth STBs. This will result in a youth suicide care intervention package optimized for ecological validity, effectiveness and efficiency, and ready for evaluation in a hybrid implementation trial.

自杀是青少年死亡的主要原因，医疗保健系统中的预防工作已经减少这一重大公共卫生问题的承诺。与预期有较大差距自杀护理途径和现有能力，可以通过优化干预方案进行改进针对主要利益相关者——青少年、患者、行为健康提供者和门诊医疗提供者—— 需要。该项目以有希望的试点结果为基础，旨在评估 Swift 门诊的组成部分快速稳定替代方案 (SOARS) 干预措施旨在建立最强有力的组合来减少青少年数量自杀想法和行为（STB；目标 1）。我们将测试对患者特征的影响（目标 2）以及是否 SOARS 组件通过其假定的机制发挥作用。优化的治疗方案将是通过与提供商的共同设计进行完善，以增强其可接受性和可用性（目标 4）。结果将是用于创建优化的干预方案，以加快医疗保健系统采用的步伐以及减少青少年机顶盒。这将导致针对青少年自杀护理干预方案进行优化生态有效性、有效性和效率，并准备在混合实施试验中进行评估。