Firearm Safe Storage Decision Aid for Adults With Suicide Ideation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20,131
- 试验地点
- 2
- 主要终点
- Anonymous Survey measuring Change Readiness developed after Prochaska and DiClemente's stage of change theory.
研究概览
简要总结
This randomized trial evaluated whether sending population-based invitation messages through the electronic health record to visit Lock to Live (L2L), a web-based decision aid that incorporates patients' values into recommendations for safe storage of firearms and medications, impacted readiness to change firearm and medication storage behaviors.
详细描述
Lock to Live (L2L) is a web-based decision aid that incorporates patients' values into recommendations for safe storage of firearms and medications. This randomized trial evaluated whether sending population-based invitation messages to visit L2L through the Electronic Health Record (EHR) to patients treated in primary care and mental health specialty settings with elevated suicide risk, identified using a prediction model, impacted readiness to change firearm and medication storage behaviors.
Patients were identified using previously validated suicide risk prediction models developed within the Mental Health Research Network (MHRN). These models are highly predictive of suicide attempt and death by suicide for both a 30-day and 90-day period. Patients in the 75-99.5th risk percentiles were randomized. Half were randomized to receive L2L+survey (intervention) and half received survey only (control).
and control groups. Over 21,000 unique patients were enrolled over a 6-month period.
Survey respondents were assigned to one of five groups based on readiness for change: pre-contemplative (do not believe in safe storage), contemplative (believe in safe storage but not doing it), thinking (considering changing storage), preparation (planning to change storage), or action (safely storing). Data will be analyzed using chi-square, logistic and multinomial logit models to test for differences between intervention and control groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •aged 18 years or older (>18 yrs.)
- •suicide risk based on validated risk algorithm (patients falling within the 75th- 99th risk percentile based on the suicide risk algorithm)
- •Patients with a recent visit within Mental Health department or within Primary Care department w. Mental Health diagnosis (recent defined as within the prior month from the date of the algorithm run date)
- •English noted as primary language, or patient flag for interpreter needed is not set
- •Patient is not deceased
- •Patient is registered on kp.org to receive online message
排除标准
- •A recorded diagnosis of: Dementia/ or other cognitive impairment (including developmental delay), Psychosis, Schizophrenia, Autism Spectrum Disorder
- •Non-English speaker
- •Receiving home-based palliative care, or hospice care
- •In a skilled nursing facility
- •On the Research Exclusion list - Do Not Contact
- •Patient has flag for health proxy
结局指标
主要结局
Anonymous Survey measuring Change Readiness developed after Prochaska and DiClemente's stage of change theory.
时间窗: Between 2 weeks and 4 weeks following invitation to Lock to Live intervention.
Patient reported readiness to change safe storage behavior for firearms and medications.
次要结局
未报告次要终点