Protocol: examining the effectiveness of an adaptive implementation intervention to improve uptake of the VA suicide risk identification strategy: a sequential multiple assignment randomized trial

Implementation Science : IS
Nazanin BahrainiLisa A Brenner

Abstract

In 2018, the Veterans Health Administration (VHA) mandated implementation of a national suicide risk identification strategy (Risk ID). The goal of Risk ID is to improve the detection and management of suicide risk by standardizing suicide risk screening and evaluation enterprise-wide. In order to ensure continuous quality improvement (QI), ongoing evaluation and targeted interventions to improve implementation of Risk ID are needed. Moreover, given that facilities will vary with respect to implementation needs and barriers, the dose and type of intervention needed may vary across facilities. Thus, the objective of this study is to examine the effectiveness of an adaptive implementation strategy to improve the uptake of suicide risk screening and evaluation in VHA ambulatory care settings. In addition, this study will examine specific factors that may impact the uptake of suicide risk screening and evaluation and the adoption of different implementation strategies. This protocol describes the stepped implementation approach and proposed evaluation plan. Using a sequential multiple assignment randomized trial (SMART) design, two evidence-based implementation strategies will be evaluated: (1) audit and feedback (A&F); (2) A&F plu...Continue Reading

References

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May 26, 2006·Implementation Science : IS·Sylvia J HysongJacqueline A Pugh
Apr 16, 2014·Implementation Science : IS·Gregory A AaronsLauren R Farahnak
Feb 3, 2016·Suicide & Life-threatening Behavior·Lauren M DennesonSteven K Dobscha
Jul 20, 2016·Journal of Substance Abuse Treatment·Gregory A AaronsScott C Roesch
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NCT04243330

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SAS
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