Maintaining Implementation Through Dynamic Adaptations (MIDAS) Suicide Prevention 2.0 Clinical Telehealth

NCT06011759 | Completed Results

• 1 other identifier: QUX 23-001
• Study Type: interventional
• Target: 4
• Locations: 1 country
• Sites: 1

Brief Summary

Scientific advances are constantly leading to better treatments. However, it is quite challenging for healthcare systems, including VA, to ask very busy providers to change the way they practice. The MIDAS QUERI program helps providers improve the way they treat VA patients. This project will focus on increasing referrals to the Suicide Prevention 2.0 Clinical Telehealth (SP 2.0) initiative through the delivery of Academic Detailing and LEAP (a team-based quality improvement program). SP 2.0 provides accessible, evidence-based suicide prevention treatment to all Veterans with a history of suicidal self-directed violence or preparatory behaviors in the past 12 months.

Conditions

Suicidal Preparatory Behavior; Suicidal Self-directed Violence

Keywords

implementation science; implementation strategy; suicide prevention; academic detailing; quality improvement

Outcome Measures

Primary Outcomes (1)

• SP2Clin Metric

  The quarterly SP2Clin metric data is reported and available on a VA national dashboard. The SP2Clin metric is calculated by the number of suicide prevention telehealth consults submitted among those with a suicide behavior event.

  Baseline to 12-months post-baseline

Secondary Outcomes (1)

• Change in Number of Consults to SP 2.0 Clinic

  Baseline to 12-months post-baseline

Other Outcomes (3)

• Change in Quality Improvement Skills Application

  Baseline to 12-months post-baseline

• Provider Satisfaction With Academic Detailing

  Post-first Academic Detailing session

• Change in Provider Satisfaction With LEAP

  Baseline to 12-months post-baseline

Study Arms (1)

Intervention

EXPERIMENTAL

A multi-faceted implementation intervention including qualitative interviews and feedback and optional delivery of Academic Detailing and/or LEAP.

Behavioral: Academic Detailing (AD); Behavioral: LEAP

Interventions

Academic Detailing (AD) BEHAVIORAL

The National Resource Center for Academic Detailing (NaRCAD) describes AD as "an innovative, one-on-one outreach education technique that helps clinicians provide evidence-based care to their patients. Using an accurate, up-to-date synthesis of the best clinical evidence in an engaging format, academic detailers ignite clinician behavior change, ultimately improving patient health. A successful AD visit is highly interactive, always a dialogue, and assesses a clinician's individual needs, beliefs, attitudes, issues, and concerns in order to promote better \[practice\]."

Intervention

LEAP BEHAVIORAL

Learn. Engage. Act. Process (LEAP) program is a structured 6-month core curriculum plus 6 monthly collaborative sessions. The LEAP quality improvement program engages frontline teams in sustained incremental improvements of EBPs over a six-month period, allowing space for busy clinicians to learn and immediately apply fundamental QI skills. LEAP encompasses: 1) a structured, accessible curriculum based on the Institute for Healthcare Improvement's (IHI) Model for Improvement and Plan-Do-Study-Act cycles of change; 2) team-based, hands-on learning, and 3) coaching support and a QI network to enhance learning and accountability.

Intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Note- the investigators are recruiting clinics/medical centers - not individual patients. Prior to implementation, the investigators will work with sites to ensure they have met the preconditions necessary to begin sustained optimization of the EBP:
• \) a team leader or champion
• \) an identified department with service leadership buy-in and control over the processes/practices impacted by the implementation
• \) readily accessible data to measure process and impact of the implementation and use of the EBP
• \) availability of required resources

You may not qualify if:

• N/A

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

VA Ann Arbor Healthcare System, Ann Arbor, MI

Ann Arbor, Michigan, 48105-2303, United States

Location

MeSH Terms

Conditions

Suicide Prevention

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Limitations and Caveats

Site-level engagement in the intervention components was limited across sites.

Results Point of Contact

• Title: Paul Pfeiffer, MD, MS, Corresponding Principal Investigator
• Organization: VA Ann Arbor Health Care System

paul.pfeiffer@va.gov

N/A

Study Officials

• Paul N Pfeiffer, MD MS

  VA Ann Arbor Healthcare System, Ann Arbor, MI

  PRINCIPAL INVESTIGATOR

• Jacob E Kurlander, MD MS MS

  VA Ann Arbor Healthcare System, Ann Arbor, MI

  PRINCIPAL INVESTIGATOR

• Jeremy B. Sussman, MD MS

  VA Ann Arbor Healthcare System, Ann Arbor, MI

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: FED
• Responsible Party: SPONSOR

Model Details: A multi-faceted implementation intervention including qualitative interviews and feedback and optional delivery of Academic Detailing and/or LEAP.

Study Record Dates

• First Submitted: August 16, 2023
• First Posted: August 25, 2023
• Study Start: November 1, 2022
• Primary Completion: August 29, 2024
• Study Completion: August 29, 2024
• Last Updated: December 29, 2025
• Results First Posted: December 29, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ANALYTIC CODE
• Time Frame: For 36 months after article is published.
• Access Criteria: Upon request by researchers who provide a methodologically sound proposal. Further details will be available.

Locations

US (1)