Summary
This project is a cluster-randomized trial comparing the impact of practice facilitation added to didactic suicide prevention training versus training only, aimed at enhancing the implementation of a pediatric suicide prevention care pathway in primary care practices.
What they want
The project will conduct a pilot type 3 hybrid effectiveness-implementation trial, randomizing Pediatric and Family Medicine practices to either a 'training only' (TO) arm or a 'training plus practice facilitation' (TO+PF) arm. Providers in the TO+PF arm will receive 6 months of practice facilitation, including monthly individual check-ins for data review, clinical coaching, and logistical coaching to identify and overcome implementation barriers. The study will assess feasibility, acceptability, effectiveness, adoption, fidelity, implementation, and contextual barriers at the clinic/provider level. At the patient level, youth at intermediate or high risk will be followed for 6 months to collect data on attempted suicides, suicide ideation, and healthcare visits. The goal is to provide preliminary support for a subsequent fully-powered trial.
Deliverables
- Clinic- and provider-level data review of adoption for the five components of the NIMH youth suicide prevention care pathway
- Clinical coaching around implementing pathway components
- Logistical coaching in identifying and overcoming multilevel contextual barriers
- Assessment of feasibility, acceptability, effectiveness, adoption, fidelity, and implementation at clinic/provider level
- Patient-level data on attempted suicides, suicide ideation, emergency room visits, and behavioral health provider visits for at-risk youth
- Preliminary support and outcomes for a subsequent fully-powered type 3 hybrid effectiveness-implementation trial
