Набор скоро начнётся NCT07247916

Developing and Piloting an Implementation Strategy for a Brief, Motivational Interviewing-based Lethal Means Safety Counseling Intervention in Primary Care Settings

Без фазы С лечением Suicide Prevention

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: RAMP, Active control.
Кому может быть актуально: Состояния в реестре: Suicide Prevention. Базовые параметры: от 18 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: США
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

Suicide prevention remains a significant priority and nearly three-quarters of Veteran suicides result from firearm injury. Since access to lethal means of self-harm increases the risk of injury, the VA/DoD Clinical Practice Guidelines recommend that Veterans with elevated suicide risk receive lethal means safety (LMS) counseling to reduce access to lethal means, including firearms. However, no LMS counseling interventions have been tested within VA. Thus, the aim of this study is to conduct a pilot randomized controlled trial to evaluate the feasibility and acceptability of a tailored LMS counseling intervention compared to an active control condition.

Подробное описание

This is a pilot randomized controlled trial of up to 50 Veterans to assess the feasibility and acceptability of a LMS intervention and testing procedures.

Вмешательства

Поведенческое RAMP
Participants randomized to the intervention condition will receive a brief, motivational interviewing-based intervention called RAMP (Raise the subject, Assess current storage, Motivate change, and Plan next steps) in the context of their clinical care. RAMP incorporates evidence-informed intervention components to facilitate secure firearm storage
Поведенческое Active control
The control condition will entail a 5-minute review of a pamphlet on suicide prevention with the PCMHI clinician. This pamphlet is produced by the Veteran's Crisis Line and is widely available on the OSP suicide prevention website as a VHA resource. This condition will control for time and attention, subject matter, mode of delivery, and setting.

Первичные конечные точки

Screening [Срок оценки: through study completion, approximately 2 years]
Recruitment [Срок оценки: through study completion, approximately 2 years]
Retention [Срок оценки: approximately 30 days]
Assessment of behavioral outcomes [Срок оценки: approximately 30 days]
Veteran acceptability - Theoretical Framework of Acceptability [Срок оценки: At immediate follow up, within approximately 2 weeks of intervention]
Veteran acceptability - Experience and Satisfaction with intervention [Срок оценки: At immediate follow up, within approximately 2 weeks of intervention]
Clinician acceptability - Theoretical Framework of Acceptability [Срок оценки: at 50% enrollment (approximately 1 year) and 100% enrollment (approximately 2 years)]
Clinician acceptability - Negative impact [Срок оценки: at 50% enrollment (approximately 1 year) and 100% enrollment (approximately 2 years)]

Критерии участия

Критерии включения

For Veterans:

Has access to a firearm
Referred to PCMHI care

For clinicians (delivering intervention):

deliver care in PCMHI
trained in RAMP and study procedures

Критерии исключения

For Veterans:

Unable to consent due to cognitive impairment, severity of illness (including psychiatric symptoms), intoxication with drugs and/or alcohol
Unreliable telephone access
Inability to read English or communicate in spoken and written English

For clinicians (delivering intervention):

\- Did not participate in training

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет