Patient and Provider Outcomes of E-Learning Training in Collaborative Assessment and Management of Suicidality

NCT00905827 | Completed Results DMC

• 2 other identifiers: EDU 08-42419016
• Study Type: interventional
• Target: 212
• Locations: 1 country
• Sites: 5

Brief Summary

Suicide prevention among military Veterans has become a national priority; yet, there is a gap in suicide-specific intervention training for mental health students and professionals. The need for training in this area has become even more acute with the recent hiring by the Veterans Health Affairs (VHA) of thousands of clinicians to address the mental health needs of Veterans from all war eras. Since e-learning (online) education is more effective than traditional in-person (face-to-face) education for adult learners when methods, such as blended learning, are used, this mode of delivery may more easily meet the training and continuing education needs of busy medical professionals who may find it easier to fit online education into their daily schedules. A well developed in-person training approach known as the Collaborative Assessment and Management of Suicidality (or CAMS) has been recommended in systematic reviews as an effective tool for assessing and managing suicidality, as well as decreasing providers' fears, improving their attitudes, increasing their knowledge, confidence, and competence, and dispelling myths. The overall aims of this project were to develop an e-learning alternative for the CAMS program, determine its effectiveness relative to in-person CAMS training, and assess factors that may relate to adoption and implementation of CAMS in general and specifically through e-learning and in-person modalities.

Conditions

Suicide

Keywords

suicide; assessment; management; Provider Training; health services

Outcome Measures

Primary Outcomes (1)

• Provider Self-efficacy and Beliefs About Suicidality

  Assessed beliefs and confidence in managing suicidal individuals. Using a 5-point Likert scale, there were 11 items that addressed the following: competence, reactions, beliefs, motivations, and CAMS as it relates to their practice. Scores ranged from 11-55 with questions were phrased so higher scores indicated more positive views.

  post-training

Secondary Outcomes (1)

• Satisfaction With Training

  post-training

Study Arms (3)

Intervention 1: in person CAMS

EXPERIMENTAL

In person Collaborative Assessment and Management of Suicidality (CAMS) training for providers

Behavioral: CAMS

Intervention 2: e-learning CAMS

EXPERIMENTAL

Online Collaborative Assessment and Management of Suicidality (CAMS) training for providers

Behavioral: CAMS

Control: no training

NO INTERVENTION

Control Group: no training

Interventions

CAMS BEHAVIORAL

Collaborative assessment management in suicidality

Intervention 1: in person CAMS; Intervention 2: e-learning CAMS

Eligibility Criteria

• Age: 22 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Mental health providers, psychiatrist, social workers, psychologist, advanced practice nurses and case managers

You may not qualify if:

• Previous CAMS Training

Sponsors & Collaborators

• US Department of Veterans Affairs: lead
• Medical University of South Carolina: collaborator
• Washington Psychological Center: collaborator

Study Sites (5)

VA Medical Center, Birmingham, AL

Birmingham, Alabama, 35233, United States

Location

VA Medical Center, Tuscaloosa

Tuscaloosa, Alabama, 35404, United States

Location

Atlanta VA Medical and Rehab Center, Decatur, GA

Decatur, Georgia, 30033, United States

Location

Ralph H. Johnson VA Medical Center, Charleston, SC

Charleston, South Carolina, 29401-5799, United States

Location

Wm. Jennings Bryan Dorn VA Medical Center, Columbia SC

Columbia, South Carolina, 29209, United States

Location

Related Publications (4)

• Pearson GS, Evans LK, Hines-Martin VP, Yearwood EL, York JA, Kane CF. Promoting the mental health of families. Nurs Outlook. 2014 May-Jun;62(3):225-7. doi: 10.1016/j.outlook.2014.04.003. No abstract available.

  PMID: 24959633 RESULT

• Puntil C, York J, Limandri B, Greene P, Arauz E, Hobbs D. Competency-based training for PMH nurse generalists: inpatient intervention and prevention of suicide. J Am Psychiatr Nurses Assoc. 2013 Jul-Aug;19(4):205-10. doi: 10.1177/1078390313496275.

  PMID: 23950543 RESULT

• Marshall E, York J, Magruder K, Yeager D, Knapp R, De Santis ML, Burriss L, Mauldin M, Sulkowski S, Pope C, Jobes DA. Implementation of online suicide-specific training for VA providers. Acad Psychiatry. 2014 Oct;38(5):566-74. doi: 10.1007/s40596-014-0039-5. Epub 2014 Feb 22.

  PMID: 24563240 RESULT

• York JA, Lamis DA, Pope CA, Egede LE. Veteran-specific suicide prevention. Psychiatr Q. 2013 Jun;84(2):219-38. doi: 10.1007/s11126-012-9241-3.

  PMID: 23011459 RESULT

MeSH Terms

Conditions

Suicide

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Limitations and Caveats

Providers in this VISN may not be representative of providers in other VAMCs.

Results Point of Contact

• Title: Kathryn Magruder
• Organization: Department of Veteran Affairs

Kathryn.Magruder@va.gov

843-789-7280

Study Officials

• Kathryn M. Magruder, PhD MPH BA

  Ralph H. Johnson VA Medical Center, Charleston, SC

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 19, 2009
• First Posted: May 21, 2009
• Study Start: July 1, 2010
• Primary Completion: July 1, 2013
• Study Completion: December 1, 2013
• Last Updated: April 24, 2015
• Results First Posted: January 9, 2015

Record last verified: 2014-10

Locations

US (5)