REACH VET Implementation Program Evaluation

NCT03280225 | Completed Results

• 1 other identifier: SDR 16-195
• Study Type: observational
• Target: 28
• Locations: 1 country
• Sites: 2

Brief Summary

The VA's Office of Mental Health and Suicide Prevention implemented an new program to increase suicide prevention outreach for Veterans at highest risk for suicide. Using a statistical model, REACH VET, short for Recovery Engagement and Coordination for Health - Veterans Enhanced Treatment, uses information from Veterans' health records to identify those who are at a higher risk for suicide, hospitalization, illness, or other negative outcomes. Once a Veteran is identified, his or her VA mental health or primary care provider reaches out to check on the Veteran's well-being and review their treatment plan to determine if enhanced care is needed. The goal of the current study was to evaluate the implementation of this program. The objectives of this evaluation were to evaluate how well this program is put into place using an implementation strategy called virtual external facilitation, and to collect data about the cost of the program and the strategy.

Conditions

Suicide

Keywords

Suicide; Prevention; Implementation; Facilitation

Outcome Measures

Primary Outcomes (4)

• Coordinator Assigned Post-Implementation

  The average percentage of eligible Veterans across all 23 participating sites having a coordinator assigned within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period.

  6 months after implementation was completed

• Provider Assigned Post-Implementation

  The average percentage of eligible Veterans across all 23 participating sites having a provider assigned within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period .

  6 month period following implementation

• Care Evaluation Performed Post-Implementation

  The average percentage of eligible Veterans across all 23 participating sites receiving a care evaluation within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period.

  6 month period following implementation

• Attempted Outreach Post-Implementation

  The average percentage of eligible Veterans across all 23 participating sites where outreach was attempted within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period.

  6 month period following implementation

Secondary Outcomes (1)

• Organizational Readiness for Change Survey

  1 month

Study Arms (1)

VAMC's receiving implementation support for REACH VET

This cohort consists of 28 VA Medical Centers (VAMC's) needing additional implementation support to fully implement REACH VET as identified by Veteran Integrated Service Network (VISN) leadership, and that agreed to participate.

Other: External facilitation

Interventions

External facilitation OTHER

Facilitation is an evidence-based implementation strategy to support sites that have difficulty implementing innovative programs. Facilitation is a multi-faceted "process of interactive problem solving and support that occurs in the context of a recognized need for improvement and a supportive interpersonal relationship (Powell et al., 2015)." Facilitation has been used nationally across VA to implement a number of different clinical interventions. The current project will examine this minimally intensive version of implementation facilitation, virtual external facilitation.

Also known as: Virtual external facilitation, facilitation, implementation facilitation

VAMC's receiving implementation support for REACH VET

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population will include facilities receiving virtual external facilitation for REACH VET

You may qualify if:

• VA employee at a facility receiving virtual external facilitation
• Involved in REACH VET implementation

You may not qualify if:

• Not a VA employee
• Not employed at a facility receiving virtual external facilitation
• Not involved in REACH VET implementation

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (2)

Central Arkansas Veterans Healthcare System Eugene J. Towbin Healthcare Center, Little Rock, AR

North Little Rock, Arkansas, 72114-1706, United States

Location

VA Eastern Colorado Health Care System, Denver, CO

Denver, Colorado, 80220, United States

Location

Related Publications (1)

• Reger MA, Luxton DD, Tucker R, Comtois KA, Keen AD, Landes SJ, Matarazzo BB, Thompson C. Implementation Methods for the Caring Contacts Suicide Prevention Intervention. Professional Psychology, Research and Practice. 2017 Oct 1; 48(5):369-377.

  RESULT

Biospecimen

Retention: NONE RETAINED

No biospecimens will be collected.

MeSH Terms

Conditions

Suicide

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Results Point of Contact

• Title: Dr. Sara J. Landes
• Organization: Central Arkansas Veterans Healthcare System

sara.landes@va.gov

501-257-3385

Study Officials

• Sara J. Landes, PhD

  Central Arkansas Veterans Healthcare System Eugene J. Towbin Healthcare Center, Little Rock, AR

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: PROSPECTIVE
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 6, 2017
• First Posted: September 12, 2017
• Study Start: September 18, 2017
• Primary Completion: March 13, 2020
• Study Completion: December 31, 2020
• Last Updated: January 25, 2024
• Results First Posted: January 25, 2024

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)