User-centered Design and Evaluation of a Virtual Human Patient to Improve Safety Planning Skills

以用户为中心的虚拟人类患者设计和评估，以提高安全规划技能

• 批准号: 10400150
• 负责人: Aaron Martin Norr
• 金额: $ 15.98万
• 依托单位: SEATTLE INST FOR BIOMEDICAL/CLINICAL RES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2024-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10400150
• 关键词: Accident and Emergency department; Adoption; Age; Area; Behavioral; COVID-19 pandemic; Clinical; Clinical Skills; Code; Computer software; Computers; Continuing Education; Control Groups; Data; Development; Distance Learning; Evaluation; Feedback; Feeling suicidal; Focus Groups; Gender; Goals; Gold; Health Personnel; Healthcare Systems; Human; Individual; Infrastructure; Institutes; Internet; Intervention; Interview; Joints; Knowledge; Learning; Manuals; Measures; Medical; Medical center; Mental Health; Methods; National Institute of Mental Health; Outpatients; Patient Self-Report; Patient-Focused Outcomes; Patients; Persons; Phase; Physical Examination; Pilot Projects; Population; Populations at Risk; Prevention; Provider; Public Health; Randomized; Randomized Controlled Trials; Recording of previous events; Research; Resources; Risk; Running; Safety; Sampling; Self Efficacy; Site; Standardization; Structure; Suicide; Suicide prevention; Technology; Testing; Training; Training Programs; United States Department of Veterans Affairs; Veterans; Visit; Work; base; blind; clinical practice; cost; cost effective; design; educational atmosphere; effective intervention; efficacy evaluation; experience; formative assessment; hands-on learning; heuristics; human centered design; improved; informant; innovation; learning strategy; military service; novel; pilot test; provider behavior; randomized trial; rehearsal; research data dissemination; safety practice; satisfaction; service member; simulation; skills; sound; statistics; suicidal; suicidal behavior; suicidal risk; suicide rate; technology development; tool; usability; user centered design; virtual; virtual assessment; virtual human

PROJECT SUMMARY Despite unprecedented suicide prevention efforts undertaken in the last decade, suicide rates among veterans and military service members remain elevated relative to the pre-9/11 era, highlighting the need for improved development and implementation of scientifically supported interventions for this at-risk population. This project will develop an online, interactive Virtual Standardized Patient (VSP) to train providers within the Department of Veterans Affairs (VA) to administer the brief suicide Safety Planning Intervention (SPI). Research has demonstrated the SPI to be an acceptable, feasible, and effective intervention for veterans at elevated risk of suicide. However, training to conduct the SPI has been limited and no currently available training provides the opportunity for behavioral rehearsal and interactive practice in an online format available at the convenience of the provider. The current proposal will develop a VSP using best practices in user-centered design to create a standardized training tool to assist providers in developing clinical skills to more effectively implement the SPI. The project will include a two-phase study. Phase I will include a formative evaluation to inform the design of the VSP with SPI specific content and will involve iterative revisions based on user- centered design feedback from VA healthcare providers (N = 10). Once the final version of the VSP is completed, it will be evaluated in a mixed methods pilot study with 30 VA healthcare providers to examine changes in provider SPI clinical skills, knowledge, confidence, and self-efficacy (phase II). This evaluation of the VSP will encourage future research and dissemination of this novel training tool, if effective. The resulting VSP will be cost-effective and highly scalable, and will require only a desktop computer with Internet access to run. The VSP will be developed to target training for a wide range of providers, not just those in mental health. Similarly, the technology will be developed such that it could be disseminated to providers who work with veteran and non-veteran patients outside of the VA. This training tool will be useful for providers initially learning the SPI, as well as those who wish to refresh their skills. Our proposal brings together two teams (VA Puget Sound and the USC Institute for Creative Technologies) with a history of high impact mental health technology development. These teams have unique, and complementary, expertise in order to successfully execute this proposal. Results have the potential to make a substantial impact on the VA healthcare system and its at-risk patients. Next steps will include a fully powered randomized controlled trial to examine the efficacy of the developed VSP on provider behaviors (clinical skills) and patient outcomes, followed by dissemination of the VSP to other VA and non-VA sites, if efficacious.

项目摘要 尽管过去十年中实施了前所未有的自杀预防措施，但退伍军人的自杀率和自杀率 相对于9/11之前的时代，兵役成员仍然提高了，强调了改善发展的需求 并实施科学支持的高危人群的干预措施。这个项目将开发一个 在线，交互式虚拟标准化患者（VSP），以培训退伍军人事务部（VA）的提供者 管理简短的自杀安全计划干预（SPI）。研究表明，SPI是可以接受的， 可行的，有效干预自杀风险较高的退伍军人。但是，进行SPI的培训 受到限制，目前没有可用的培训为行为排练和互动提供了机会 在提供商的方便下以在线格式练习。当前的建议将使用 以用户为中心的设计中的最佳实践，以创建标准化的培训工具，以帮助提供者开发临床 更有效地实施SPI的技能。该项目将包括一项两阶段研究。第一阶段将包括一个形成性的 评估以通知使用SPI特定内容的VSP的设计，并将涉及基于用户的迭代修订 VA医疗保健提供商的中心设计反馈（n = 10）。一旦完成VSP的最终版本，它将 在一项与30个VA医疗保健提供者的混合方法试点研究中进行评估，以检查提供商SPI临床的变化 技能，知识，信心和自我效能感（第二阶段）。对VSP的这种评估将鼓励未来的研究和 传播这种新颖的培训工具，即使有效。由此产生的VSP将具有成本效益和高度可扩展性，并且将 仅需要一台具有Internet访问运行的台式计算机。 VSP将开发以针对范围的培训 提供者范围，不仅是精神健康的提供者。同样，将开发该技术，以便它可能是 传播给与VA之外的老将和非退伍军人患者一起工作的提供者。这个培训工具将是 对于最初学习SPI的提供者以及希望刷新技能的人都有用。我们的建议带来了 两支团队（VA Puget Sound和USC创意技术研究所）具有高影响力的历史 心理健康技术发展。这些团队具有独特的和互补的专业知识 成功执行此建议。结果有可能对VA医疗保健系统产生重大影响 及其高危患者。下一步将包括一项完全动力的随机对照试验，以检查该试验的功效 开发了有关提供者行为（临床技能）和患者结果的VSP，然后将VSP传播到 如果有效的话，其他VA和非VA站点。