Safety Planning for Autistic Youth: A Randomized Controlled Trial With Providers in Pediatric Clinics
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Feasibility: Number of times that providers use SPI or CIPP-A in 6 months
研究概览
简要总结
The goal of this clinical trial is to examine the initial feasibility, acceptability, and effectiveness of Crisis Interventions for Pediatric Providers - Autism version (CIPP-A) for providers serving autistic youth in outpatient settings. The main question aims to answer:
- Assess whether CIPP-A is feasible and acceptable to providers in development behavioral pediatric clinics?
- Assess whether CIPP-A shows initial effectiveness in increasing providers confidence in managing suicide risk in autistic youth?
If there is a comparison group: Researchers will compare CIPP-A to general safety planning intervention (SPI) on feasibility, acceptability, and initial effectiveness.
Participants will be randomized to receive training in SPI or CIPP-A and complete online surveys and interviews over 6-months to measure feasibility, acceptability, and initial effectiveness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Pediatric healthcare providers serving autistic youth in a DBP clinic in the U.S.
- •Willing and able to participate in the study and its activities, including remote training in either SPI or CIPP-A (depending on randomization)
- •Willing and able to provide informed consent
- •Comfortable speaking or communicating in English
排除标准
- •Pediatric healthcare providers not serving autistic youth
- •Pediatric healthcare providers not practicing in a DBP clinic in the U.S.
- •Unwilling and unable to participate in the study and its activities
- •Unwilling and unable to provide informed consent
- •Not comfortable speaking or communicating in English
研究组 & 干预措施
Safety Planning Intervention
The SPI is a brief, evidence-based suicide prevention intervention for youth and adults that can be delivered by diverse providers.
干预措施: Safety Planning Intervention (Behavioral)
Crisis Interventions for Pediatric Providers - Autism version (CIPP-A)
The CIPP-A is a brief suicide prevention intervention for youth and adults that can be delivered by diverse providers and has been adapted for autistic youth.
干预措施: Crisis Interventions for Pediatric Providers - Autism version (CIPP-A) (Behavioral)
结局指标
主要结局
Feasibility: Number of times that providers use SPI or CIPP-A in 6 months
时间窗: Baseline to 6 months
The feasibility of SPI and CIPP-A will be assessed by an online survey of the number of times that providers used SPI/CIPP-A with autistic patients in 6 months. Higher scores indicate greater feasibility and use of SPI/CIPP-A (i.e., better outcome).The survey will be administered three times from baseline to 6 months.
Acceptability: Acceptability of Intervention Measure
时间窗: Baseline to 6 months
The Acceptability of Intervention Measure (AIM) will be administered to providers to assess perceived acceptability of SPI and CIPP-A. The AIM is a widely used measure of the extent to which stakeholders believe an intervention is satisfactory in a given setting (e.g., "I like SPI"). The AIM items are scored on a 5-point scale (1, completely disagree to 5, completely agree), with total scores ranging from 5-25. Higher scores indicate greater acceptability (i.e., better outcome). The AIM will be administered three times from baseline to 6 months.
Initial Effectiveness: Providers confidence in using SPI or CIPP-A
时间窗: Baseline to 6 months
A series of visual analog scales (VAS; 0-100%) will be used to measure changes in providers' confidence in managing patient crises over the study, with total scores ranging from 0-100. Higher scores indicate greater effectiveness (i.e., better outcome). The VAS will be administered three times from baseline to 6 months.
次要结局
- Feasibility of Intervention Measure(Baseline to 6 months)
- Fidelity of implementation(6 months)
- Semi-structured interview to assess intervention feasibility(6 months)
研究者
Jessica Schwartzman
Medical Staff/USC Faculty CWR
Children's Hospital Los Angeles