Suicide Prevention Training for PC Providers-in-training

NCT02996344 | Completed

• 1 other identifier: 00061161
• Study Type: interventional
• Target: 132
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized control study responds to the need for effective suicide prevention education/training that is grounded in adult learning theory and advances in education, in the context of a changing health care landscape where primary care providers are likely to encounter suicidal individuals. The study will test the effectiveness of suicide prevention education for providers-in-training by comparing two conditions: 1) A Control learning group: includes suicide prevention didactics (Commitment to Living: Primary Care) delivered online via brief videos, and 2) An Experimental learning group: includes didactics plus two standardized patient (SP) interactions. One Experimental learning group SP interaction will be in person and the other will be conducted remotely using a secure webcam service (OoVoo). All SP interactions will be recorded. Both groups will be compared in terms of their suicide prevention skills using an SP 'test case' at 6-month follow up. The primary research question is to learn about the impact of practice (though SP simulation) over and above didactics alone.

Conditions

Suicide Prevention

Outcome Measures

Primary Outcomes (1)

• Mean score using the Commitment to Living: Primary Care Observational Rating form

  Each participant will be evaluated via standardized patient interactions which are video taped and reliably coded using the Commitment to Living: Primary Care Observational Rating form. Score will range from 0 - 32.

  through study completion, an average of 6 months

Secondary Outcomes (7)

• Changes in suicide prevention knowledge

  1 day following enrollment and 15 days from enrollment

• Changes in suicide prevention self-efficacy

  1 day following enrollment and 15 days from enrollment

• Changes in suicide prevention knowledge

  15 days from enrollment and through study completion, an average of 6 months

• Number of participants intending to transfer training to practice

  15 days from enrollment and through study completion, an average of 6 months

• Changes in suicide prevention self-efficacy

  15 days from enrollment and through study completion, an average of 6 months

Study Arms (2)

Didactic training

ACTIVE COMPARATOR

Behavioral; participants will view the approximately one hour Commitment to Living: Primary Care (CTL:PC) didactic training videos.

Other: Didactic training

Didactics and standardized patients

EXPERIMENTAL

Behavioral; participants will view the approximately one hour Commitment to Living: Primary Care (CTL:PC) didactic training videos plus two practice standardized patient interactions.

Other: Didactic training; Other: Standardized patient interaction

Interventions

Didactic training OTHER

Six online training modules pertaining to suicide prevention in primary care.

Didactic training; Didactics and standardized patients

Standardized patient interaction OTHER

Two standardized patient practice interactions - 1 face-to-face, 1 remote/telehealth.

Didactics and standardized patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• trainee in family medicine residency, pediatrics residency, or nurse practitioner program at URMC.
• speaks/writes English.

You may not qualify if:

• on academic probation

Sponsors & Collaborators

• University of Rochester: lead

Study Sites (1)

University of Rochester Medical Center

Rochester, New York, 14642, United States

Location

Related Publications (6)

• Ahmedani BK, Simon GE, Stewart C, Beck A, Waitzfelder BE, Rossom R, Lynch F, Owen-Smith A, Hunkeler EM, Whiteside U, Operskalski BH, Coffey MJ, Solberg LI. Health care contacts in the year before suicide death. J Gen Intern Med. 2014 Jun;29(6):870-7. doi: 10.1007/s11606-014-2767-3. Epub 2014 Feb 25.

  PMID: 24567199 BACKGROUND

• Bridge JA, Horowitz LM, Fontanella CA, Grupp-Phelan J, Campo JV. Prioritizing research to reduce youth suicide and suicidal behavior. Am J Prev Med. 2014 Sep;47(3 Suppl 2):S229-34. doi: 10.1016/j.amepre.2014.06.001.

  PMID: 25145744 BACKGROUND

• Wyzga RE. The effect of air pollution upon mortality: a consideration of distributed lag models. J Am Stat Assoc. 1978;73(363):463-72. doi: 10.1080/01621459.1978.10480035. No abstract available.

  PMID: 12262745 BACKGROUND

• Pisani AR, Cross WF, Watts A, Conner K. Evaluation of the Commitment to Living (CTL) curriculum: a 3-hour training for mental health professionals to address suicide risk. Crisis. 2012 Jan 1;33(1):30-8. doi: 10.1027/0227-5910/a000099.

  PMID: 21940243 BACKGROUND

• Aiken LS, West SG. Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage; 1991.

  BACKGROUND

• Cross WF, West JC, Pisani AR, Crean HF, Nielsen JL, Kay AH, Caine ED. A randomized controlled trial of suicide prevention training for primary care providers: a study protocol. BMC Med Educ. 2019 Feb 14;19(1):58. doi: 10.1186/s12909-019-1482-5.

  PMID: 30764814 DERIVED

MeSH Terms

Conditions

Suicide Prevention

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Wendi F Cross, PhD

  Associate Professor of Psychiatry (Psychology) and Pediatrics

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: October 24, 2016
• First Posted: December 19, 2016
• Study Start: March 15, 2016
• Primary Completion: June 7, 2018
• Study Completion: June 7, 2018
• Last Updated: February 12, 2020

Record last verified: 2020-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)