An effectiveness-implementation hybrid trial study protocol targeting posttraumatic stress disorder and comorbidity

Zatzick, Douglas; Russo, Joan; Darnell, Doyanne; Chambers, David A.; Palinkas, Lawrence A.; Eaton, Erik van; Wang, Jin; Ingraham, Leah M.; Guiney, Roxanne; Heagerty, Patrick J.; Comstock, Bryan A.; Whiteside, Lauren K.; Jurkovich, Gregory J.

doi:10.1186/s13012-016-0424-4

Cited by 48 publications

(52 citation statements)

References 129 publications

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“…PROs used in the study include: The Posttraumatic Stress Disorder Symptom (PTSD) Checklist for the assessment of PTSD symptoms, The Patient Health Questionnaire (PHQ-9) for the assessment of depressive symptoms, and the Alcohol Use Disorders Identification Test (AUDIT) for the assessment of alcohol use problems. 23 The study aims to influence the American College of Surgeon's policy for PTSD and comorbidity screening and intervention.…”

Section: The University Of Washington Trauma Survivors Outcomes and Smentioning

confidence: 99%

Case Studies from the Clinic: Initiating and Implementing Patient-Reported Outcome Measures

Locklear¹,

DeBar²,

Willig³

et al. 2017

eGEMs

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Section: The University Of Washington Trauma Survivors Outcomes and Smentioning

confidence: 99%

Case Studies from the Clinic: Initiating and Implementing Patient-Reported Outcome Measures

Locklear¹,

DeBar²,

Willig³

et al. 2017

eGEMs

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“…Our findings suggest that the likelihood of clinical uptake after training is also heavily influenced by implementation climate; leadership at call centers wishing to implement SPI will need to address center constraints that conflict with successful utilization of SPI (e.g., short call times, emphasis on current crisis). While studies examining both implementation and effectiveness during dissemination trials are becoming more common in other disciplines (Cucciare et al., ; Damschroder et al., ; Zatzick et al., ), this approach has only begun to be applied to suicide prevention (Stanley, ; Labouliere et al., ). Future studies should further investigate what differentiates settings that are and are not conducive to SPI, and how these obstacles to effective implementation can best be overcome.…”

Section: Discussionmentioning

confidence: 99%

“…Our findings suggest that the likelihood of clinical uptake after training is also heavily influenced by implementation climate; leadership at call centers wishing to implement SPI will need to address center constraints that conflict with successful utilization of SPI (e.g., short call times, emphasis on current crisis). While studies examining both implementation and effectiveness during dissemination trials are becoming more common in other disciplines (Cucciare et al, 2016;Damschroder et al, 2017;Zatzick et al, 2015), this approach has LABOULIERE ET AL.…”

Section: Discussionmentioning

confidence: 99%

Safety Planning on Crisis Lines: Feasibility, Acceptability, and Perceived Helpfulness of a Brief Intervention to Mitigate Future Suicide Risk

Labouliere

Stanley

Lake

et al. 2019

Suicide & Life Threat Behav

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Background The role of crisis hotlines traditionally was limited to de‐escalation and service linkage. However, hotlines are increasingly recruited to provide outreach and follow‐up to suicidal individuals. Hotlines have the opportunity to not just defuse current crises but also provide brief interventions to mitigate future risk. The Safety Planning Intervention (SPI) is a brief intervention designed to help manage suicidal crises, but its feasibility and effectiveness on hotlines are not established. Aims This study examined feasibility and perceived effectiveness of SPI, as reported by 271 crisis counselors at five centers in the National Suicide Prevention Lifeline network. Method Counselors were trained to use SPI. Self‐report surveys were completed immediately after training (time 1) and at the end of the study, approximately 9 months later (time 2). Results Counselors reported that SPI was feasible and helpful, and was used on both incoming and follow‐up calls. Utilization and perceived effectiveness at time 2 were predicted by self‐efficacy, feasibility, and helpfulness at time 1. Limitations Results are preliminary and limited to counselors’ perceptions. Future RCTs should establish efficacy of SPI for crisis callers. Conclusion The Safety Planning Intervention is a promising approach to reduce crisis callers’ future suicide risk that hotline counselors report is both feasible and helpful.

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“…A multisite pragmatic hybrid implementation trial22 of TSOS is underway at 25 Level I trauma centers across the USA to determine if TSOS can be effectively implemented and delivered by routine trauma care providers on a national scale 23. The provider training protocol for the study is complete and included a brief portion of a 1-day workshop training dedicated to alcohol brief intervention delivery.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Level I trauma center provider training in patient-centered alcohol brief interventions using the Behavior Change Counseling Index rated by standardized patients

Darnell

Parker

Engstrom

et al. 2019

Trauma Surg Acute Care Open

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background Traumatic injury requiring hospitalization is common in the USA and frequently related to alcohol consumption. The American College of Surgeons requires that Level I and II verified trauma centers implement universal alcohol screening and brief intervention for injured patients. We examined whether Level I trauma center provider skill in patient-centered alcohol brief interventions improved after training and whether professional role (eg, nursing, social work) and education were associated with these skills. Methods We present evaluation data collected as part of training in alcohol brief interventions embedded within a larger clinical trial of a collaborative care intervention targeting posttraumatic stress disorder and related comorbidities. Sixty-five providers from 25 US Level I trauma centers engaged in a 1-day workshop, with 2 hours dedicated to training in patient-centered alcohol brief interventions followed by 6 months of weekly coaching in a collaborative care model. Providers completed standardized patient role-plays prior to and 6 months after the workshop training. The standardized patient actors rated provider quality of alcohol brief interventions immediately after each role-play using the Behavior Change Counseling Index (BECCI), a pragmatic measure designed to assess the quality of behavior change counseling, an adaptation of motivational interviewing suitable for brief healthcare consultations about behavior change. results Seventy-two percent of providers completed both standardized patient role-play assessments. A statistically significant improvement in overall BECCI scores (t(41)=−2.53, p=0.02, Cohen's d=−0.39) was observed among those providers with available pre-post data. Provider professional role was associated with BECCI scores at pre-training (F(3, 58)=11.25, p<0.01) and post-training (F(3, 41)=8.10, p<0.01). Discussion Findings underscore the need for training in patient-centered alcohol brief interventions and suggest that even a modest training helps providers engage in a more patient-centered way during a role-play assessment. Level of evidence Level V, therapeutic/care management. bACkgrounD

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An effectiveness-implementation hybrid trial study protocol targeting posttraumatic stress disorder and comorbidity

Cited by 48 publications

References 129 publications

Case Studies from the Clinic: Initiating and Implementing Patient-Reported Outcome Measures

Case Studies from the Clinic: Initiating and Implementing Patient-Reported Outcome Measures

Safety Planning on Crisis Lines: Feasibility, Acceptability, and Perceived Helpfulness of a Brief Intervention to Mitigate Future Suicide Risk

Evaluation of a Level I trauma center provider training in patient-centered alcohol brief interventions using the Behavior Change Counseling Index rated by standardized patients

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