Program Sustainability
Conditions
Brief summary
The proposed study is part of the research project for a National Institute of Mental Health K01 grant to Dr. Haroz. The overall research project is focused on understanding how to sustain evidenced-based mental and behavioral health programs in tribal contexts. The aim of this study is to pilot test sustainment strategy interventions across tribal settings using mixed-methods.
Detailed description
Among the most pressing issues in mental health Dissemination and Implementation research (D&I) is the lack of knowledge about how to sustain mental health prevention and treatment services for which there is substantial evidence of impact. Most D&I studies focus on adoption and initial implementation, with few studies (\<20) rigorously exploring sustainment. The sustainment of services has been described as one of the greatest, yet least understood, challenges in the field of implementation science. The gap in knowledge is even greater for low-resource contexts, as few studies have focused on these settings. This project aims to address this gap by developing and testing sustainment strategies for an evidenced-based youth suicide prevention program in a low-resource, American Indian (AI) contexts.
Interventions
OTHERSustainability strategies
The investigators will work with each site to determine strategies that are relevant locally to help promote sustainability of the suicide prevention program.
Sponsors
National Institutes of Health (NIH)
Johns Hopkins Bloomberg School of Public Health
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Knowledgeable about the implementation of the suicide prevention program * Over the age of 18 * Available to participate in required study meetings and assessments * Fluent in English
Exclusion criteria
* Factors identified at baseline that preclude full participation including: being under the influence of a substance; active psychosis or mania; any other condition that makes an individual lack capacity to give consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Program Sustainability Assessment Tool | 1 year | Tool that assess domains of capacity for sustainability. Possible score range 0-3, higher scores indicate more capacity for program sustainability. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| No Allocation N/A No Allocation
Sustainability strategies: The investigators will work with each site to determine strategies that are relevant locally to help promote sustainability of the suicide prevention program. | 24 |
| Total | 24 |
Baseline characteristics
| Characteristic | No Allocation |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 24 Participants |
| Program Sustainability Assessment Tool | 2.2 units on a scale STANDARD_DEVIATION 0.42 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 24 Participants |
| Race (NIH/OMB) White | 0 Participants |
| Region of Enrollment United States | 24 Participants |
| Sex: Female, Male Female | 20 Participants |
| Sex: Female, Male Male | 4 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 0 |
| other Total, other adverse events | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 |
Outcome results
Primary
Program Sustainability Assessment Tool
Tool that assess domains of capacity for sustainability. Possible score range 0-3, higher scores indicate more capacity for program sustainability.
Time frame: 1 year
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Sustainability Strategies | Program Sustainability Assessment Tool | 2.1 score on a scale | Standard Deviation 0.53 |