Feasibility of recruitment and retention in a remote trial of gatekeeper training for close supports of military veterans: Mixed methods study.
Feasibility of recruitment and retention in a remote trial of gatekeeper training for close supports of military veterans: Mixed methods study.
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DOI：
10.1016/j.conctc.2022.100993
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发表时间：
2022-12
影响因子：
1.5
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中科院分区：
文献类型：
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VA S.A.V.E.（标志;问;（c）鼓励/加快）是一个看门人培训，旨在教个人如何识别和帮助有自杀风险的退伍军人。本试验旨在确定VA S.A.V.E.远程试验中招募和保留的可行性、障碍和促进因素。我们通过Facebook赞助的广告招募了退伍军人的亲密支持者（家人和朋友），自动将他们随机分配到VA S.A.V.E.。或者一个无关的视频训练，然后跟踪他们六个月。一个小组完成了访谈，我们使用了一个混合的方法框架，以整合定量和定性的结果。在214名参与者中，61%的人是退伍军人的配偶或伴侣，48%的人知道至少有一名退伍军人死于自杀。在三个先验可行性基准中，两个达到（平均每周招募20名参与者，在6个月研究终点时失访率低于50%），一个未达到（招募至少50%的合格个体）。有三个障碍（通用广告，广告文本提到“研究”，Facebook作为广告平台）和五个促进因素（受众细分集中在退伍军人的家人和朋友，紧急呼吁采取行动帮助退伍军人，之前暴露于自杀，强调接受培训的好处，并使用大学作为竞选信使）来研究参与。VA S.A.V.E.的远程试验守门人培训在退伍军人的密切支持人群中是可行的。几种策略可以进一步提高研究参与。
VA S.A.V.E. (Signs; Ask; Validate; Encourage/Expedite) is a gatekeeper training, designed to teach individuals how to identify and assist military veterans at risk for suicide. The aim of this pilot was to determine feasibility, barriers, and facilitators of recruitment and retention in a remote trial of VA S.A.V.E. We recruited close supports (family and friends) of veterans through Facebook sponsored ads, automatically randomized them to VA S.A.V.E. or an unrelated video training, and followed them for six months. A subgroup completed interviews, and we used a mixed methods framework to integrate quantitative and qualitative findings. Of 214 participants, 61% were spouses or partners of veterans and 48% knew at least one veteran who had died by suicide. Of the three a priori feasibility benchmarks, two were achieved (enrollment, on average, of twenty participants per week and less than 50% loss to follow-up at the 6-month study endpoint) and one was not (enrollment of at least 50% of eligible individuals). There were three barriers (generic ads, ad text referring to “research,” and Facebook as an ad platform) and five facilitators (audience segmentation focused on veterans’ family members and friends, an urgent call to action to help a veteran, prior exposure to suicide, emphasizing the benefit of receiving training, and using a university as the campaign messenger) to study participation. A fully remote trial of VA S.A.V.E. gatekeeper training was feasible in a population of close supports of veterans. Several strategies may further enhance study participation.