Implementing nudges for suicide prevention in real-world environments: project INSPIRE study protocol

Pilot and Feasibility Studies

Emily M. Becker-Haimes¹  Anne Futterer¹  Shari Jager-Hyman¹  Darby Marx¹  Katherine Wislocki¹  Jennifer A. Mautone²  Jami F. Young²  Courtney Benjamin Wolk³  David S. Mandell³  Molly Davis⁴  Rinad S. Beidas⁵  E. L. Dieckmeyer⁶  Alison M. Buttenheim⁷  Kevin G. Volpp⁸ 

[1] Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA;Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA;Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, and PolicyLab, Children’s Hospital of Philadelphia, Philadelphia, PA, USA;Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA;Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA;Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA;Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI), University of Pennsylvania, Philadelphia, PA, USA;Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA;Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI), University of Pennsylvania, Philadelphia, PA, USA;Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Jefferson College of Life Sciences, Thomas Jefferson University, University of Pennsylvania, Philadelphia, PA, USA;Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA;Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Center for Health Incentives and Behavioral Economics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA;Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA;Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Center for Health Incentives and Behavioral Economics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;Department of Health Care Management, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA;Penn Medicine Center for Health Care Innovation, University of Pennsylvania, Philadelphia, PA, USA;

关键词: Suicide;    Prevention;    Implementation science;    Primary care;    Mental health;   

DOI  :  10.1186/s40814-020-00686-y

来源: Springer

【 摘 要 】

BackgroundSuicide is a global health issue. There are a number of evidence-based practices for suicide screening, assessment, and intervention that are not routinely deployed in usual care settings. The goal of this study is to develop and test implementation strategies to facilitate evidence-based suicide screening, assessment, and intervention in two settings where individuals at risk for suicide are especially likely to present: primary care and specialty mental health care. We will leverage methods from behavioral economics, which involves understanding the many factors that influence human decision making, to inform strategy development.MethodsWe will identify key mechanisms that limit implementation of evidence-based suicide screening, assessment, and intervention practices in primary care and specialty mental health through contextual inquiry involving behavioral health and primary care clinicians. Second, we will use contextual inquiry results to systematically design a menu of behavioral economics-informed implementation strategies that cut across settings, in collaboration with an advisory board composed of key stakeholders (i.e., behavioral economists, clinicians, implementation scientists, and suicide prevention experts). Finally, we will conduct rapid-cycle trials to test and refine the menu of implementation strategies. Primary outcomes include clinician-reported feasibility and acceptability of the implementation strategies.DiscussionFindings will elucidate ways to address common and unique barriers to evidence-based suicide screening, assessment, and intervention practices in primary care and specialty mental health care. Results will yield refined, pragmatically tested strategies that can inform larger confirmatory trials to combat the growing public health crisis of suicide.

【 授权许可】

CC BY