Examining Feasibility, Acceptability, and Sustainability of a Novel Personalized Smartphone Intervention for Suicide
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 31
- 试验地点
- 2
- 主要终点
- Patient Satisfaction
研究概览
简要总结
The primary aim of the present study is leverage existing infrastructure to develop novel technological features for a novel personalized smartphone intervention system, called the Mobile Application to Prevent Suicide (MAPS), and to establish feasibility, acceptability, safety, and estimate key parameters for primary outcomes (i.e., suicidal ideation and behavior; re-hospitalization), and target mechanisms.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Presence of suicidal ideation and/or suicidal behavior in the past month
- •Between the ages of 18 and 70
- •Able to read, write, and understand English well enough to complete study procedures
- •Owns a smartphone
排除标准
- •Current psychotic or manic symptoms severe enough to interfere with completion of study procedures
研究组 & 干预措施
Mobile Application to Prevent Suicide (MAPS)
Participants receiving MAPS will receive the Safety Planning Intervention (SPI) which will be uploaded into the smartphone app. They will be prompted four times per day to complete a brief ecological momentary assessment "check-in" inquiring about their cognitions, affect, and behavior, including suicidal thoughts and behaviors. Based on these responses, they will be provided with coping strategies from their safety plans and from a database of coping strategies created by study staff. They will also have access to emergency phone numbers, the coping strategies database, and can communicate with their study clinician through a text-like interface in the app. They will receive this intervention for one month.
干预措施: Mobile Application to Prevent Suicide (MAPS) (Behavioral)
EMA Monitoring Only (EMO)
Participants in this condition will receive the Safety Planning Intervention (SPI) and will receive ecological momentary assessment prompts on the same schedule as the MAPS condition. However, they will not have access to any other MAPS features.
干预措施: EMA Monitoring Only (Behavioral)
结局指标
主要结局
Patient Satisfaction
时间窗: 1 month
Measured using the Client Satisfaction Questionnaire, a self-report measure of satisfaction with treatment. Scores range from 8 to 32, with higher scores representing higher satisfaction.
Ecological Momentary Assessment (EMA) Adherence
时间窗: 4 weeks
Number of assessments completed out of total
Emergency Department Visits
时间窗: 6 months
Number of emergency department visits will be assessed using the Treatment History Interview and medical records review.
Acceptability of Research Procedures
时间窗: 1 month
Feedback on qualitative interview.
Acceptability of MAPS Intervention
时间窗: 1 month
Feedback on qualitative interview.
Acceptability of Research (Recruitment)
时间窗: Baseline
Measured by recruitment rate.
Acceptability of Research (Dropout)
时间窗: 6 months
Measured by dropout rate.
Satisfaction with MAPS Intervention
时间窗: 4 weeks
Measured by protocol completion rate.
Suicidal Ideation and Behavior
时间窗: 6 months
Will be assessed using the Columbia Suicide Severity Rating Scale, items from the Modified Scale for Suicidal Ideation, and ecological momentary assessment of suicidal ideation and behavior. The Columbia Suicide Severity Rating Scale can provide presence/absence of suicidal ideation and suicidal behavior, as well as a suicidal ideation score ranging from 0 to 5 with higher scores representing more severe ideation, and a suicidal ideation intensity rating from 0-25 with higher scores representing more intense ideation.
Rehospitalization
时间窗: 6 months
Number of inpatient rehospitalizations will be assessed using the Treatment History Interview and medical records review.
次要结局
- Use of MAPS Intervention-delivered Coping Strategies (target mechanism)(4 weeks)
- Self-Efficacy (target mechanism)(4 weeks)
- Reduction of Negative Affect (target mechanism)(4 weeks)