Development and Preliminary Evaluation of an Education Program for Primary Care Teams on Discussing Firearms Storage Safety with Veterans.
Development and Preliminary Evaluation of an Education Program for Primary Care Teams on Discussing Firearms Storage Safety with Veterans.
复制标题
DOI：
10.1177/23821205221077647
复制
发表时间：
2022-01
影响因子：
2.8
通讯作者：
Gerrity M
中科院分区：
文献类型：
--
作者：
Dobscha SK;Clark KD;Karras E;Simonetti JA;Newell S;Kenyon EA;Elliott V;Boster J;Gerrity M
减少获得致命手段的机会是为数不多的有经验支持的降低自杀率的方法之一，安全的火器储存做法与降低自杀死亡风险有关。虽然初级保健有很大的机会协助解决退伍军人的致命手段，但干预和教育工作人员的方法没有得到很好的记录。我们试图1）描述初级保健团队的教育计划的发展，以帮助他们在初级保健访问期间与退伍军人讨论枪支储存安全（FSS）; 2）对试点教育计划进行初步评估。我们使用了一个涉及退伍军人和初级保健人员利益相关者的迭代过程来开发计划内容，格式和补充材料。一个扎根理论的方法被用来分析焦点小组和个人访谈的数据。在两个初级保健诊所的71名工作人员的程序试点后，我们分析了培训前和培训后的参与者调查的程序满意度和态度舒适与枪支安全的讨论。在开发阶段，68名退伍军人和107名工作人员分别参加了四个退伍军人焦点小组和四个初级保健焦点小组，和/或个人访谈。开发的方案“'以防万一'：与自杀风险较高的退伍军人讨论安全问题”，涉及知识和技能学习目标，包括视频演示和技能实践。在飞行员培训课程之前获得的调查数据显示，与可能有较高自杀风险的退伍军人讨论枪支安全的自我报告率较低。立即培训后的数据显示，普遍较高的满意度的程序和显着改善参与者自我报告的评级的重要性和舒适度与FSS。这种互动的知识和技能为基础的手段安全课程显示，作为一种手段，教育初级保健工作人员提供有关枪支安全的信息退伍军人的承诺。需要进一步的研究来完善和评估这种或类似的培训计划对临床医生和退伍军人行为的影响。
Reducing access to lethal means is one of the few empirically supported approaches for lowering suicide rates, and safe firearms storage practices have been associated with reduced risk of death by suicide. Although there is substantial opportunity for primary care to assist in addressing lethal means with veterans, approaches to intervention and educating staff are not well documented. We sought to 1) describe development of an education program for primary care teams to help them discuss firearms storage safety (FSS) with veterans during primary care visits; and 2) conduct a preliminary evaluation of the pilot education program. We used an iterative process involving veterans and primary care staff stakeholders to develop program content, format, and supplemental materials. A grounded theory approach was used to analyze data from focus groups and individual interviews. Following piloting of the program with 71 staff members in two primary care clinics, we analyzed pre- and post-training participant surveys of program satisfaction and attitudes comfort related to firearms safety discussions. During the development phase, 68 veterans and 107 staff members participated in four veteran focus groups and four primary care focus groups, respectively, and/or individual interviews. The program that was developed, “‘Just in Case’: Discussing means safety with veterans at elevated risk for suicide,” addresses knowledge and skills learning objectives, and includes video demonstrations and skills practice. Survey data obtained just prior to the pilot training sessions showed low self-reported rates of discussing firearms safety with veterans who may be at elevated risk for suicide. Immediate post-training data showed generally high satisfaction with the program and significant improvements in participant self-reported ratings of the importance of, and comfort with FSS. This interactive knowledge and skill-based means safety curriculum shows promise as a means for educating primary care staff to deliver messaging about firearms safety to veterans. Additional research is needed to refine and evaluate impacts of this or similar training programs on clinician and veteran behaviors over time.
登录
查看更多内容
影响因子：
3.1
作者：
Naureckas Li C;Sacks CA;McGregor KA;Masiakos PT;Flaherty MR
通讯作者：
Flaherty MR
影响因子：
3.1
作者：
Naganathan, Sonya;Mueller, Kristen L.
通讯作者：
Mueller, Kristen L.
影响因子：
2.2
作者：
Cleveland EC;Azrael D;Simonetti JA;Miller M
通讯作者：
Miller M
影响因子：
5.5
作者：
Barber, Catherine W.;Miller, Matthew J.
通讯作者：
Miller, Matthew J.
影响因子：
7.2
作者：
Conwell, Y;Duberstein, PR;Caine, ED
通讯作者：
Caine, ED