Sust-AIns: Sustainment of Suicide Prevention Programs in American Indian Settings

Not Applicable

Completed

• Conditions: Program Sustainability
• Interventions: Other: Sustainability strategies

• Registration Number: NCT03755206
• Lead Sponsor: Johns Hopkins Bloomberg School of Public Health

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.

Study Timeline

• Study First Submitted: 2018-11-20
• Study First Submitted QC: 2018-11-26
• Study First Posted: 2018-11-27
• Study Start: 2018-12-10
• Primary Completion: 2023-10-31
• Study Completion: 2024-04-24
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-14
• Last Update Posted: 2024-05-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 24

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Intervention	Sustainability strategies	Interrupted time series design

Primary Outcome Measures

Name	Time	Method
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.

Trial Locations

Locations (1)

Online Survey; 🇺🇸 Whiteriver, Arizona, United States