Enhancing Social Connectedness Among Veterans at High Risk for Suicide through Community Engagement

通过社区参与加强自杀高风险退伍军人之间的社会联系

• 批准号: 10450644
• 负责人: Jason I Chen
• 金额: --
• 依托单位: PORTLAND VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10450644
• 关键词: Address; Administrator; Area; Award; Awareness; Behavior; Clinical; Clinical Trials; Collaborations; Communication; Communities; Community Integration; Competence; Conduct Clinical Trials; Data; Development; Doctor of Philosophy; Dropout; Evaluation; Family; Friends; Future; General Population; Goals; Health Services; Health Services Research; Hospitalization; Hybrids; Individual; Inpatients; Intervention; Interview; K-Series Research Career Programs; Lead; Learning; Life; Manuscripts; Mental Health; Mental Health Services; Mentors; Mentorship; Methodology; Motivation; Nonprofit Organizations; Outcome; Pathway interactions; Perception; Population; Preparation; Program Development; Psychiatrist; Psychiatry; Psychological Theory; Qualitative Methods; Randomized; Reporting; Research; Research Activity; Research Personnel; Resources; Risk; Site; Social support; Specialist; Structure; Students; Suicide; Suicide prevention; System; Time; Training; Veterans; acceptability and feasibility; base; career; community center; community engagement; efficacy evaluation; high risk; high risk population; implementation barriers; implementation science; improved; meetings; member; mortality risk; multi-component intervention; operation; peer support; pilot trial; preference; protective factors; reducing suicide; skills; social; social contact; stressor; suicidal; suicidal behavior; suicidal morbidity; suicidal risk; suicide rate; systematic review; therapy design; therapy development; treatment risk; tutoring; volunteer

The objective of this HSR&D Career Development Award-2 Proposal is to facilitate Dr. Jason Chen's transition into an independent, VA mental health services research career focused on intervention development for Veterans at high-risk of suicide. The goal of the project is to develop a multicomponent intervention focused on increasing social connectedness among Veterans with recent psychiatric hospitalizations through supported participation in community activities. This intervention will be informed by input from Veteran, VHA clinical (e.g. psychiatrists, administrators), and community (e.g. non-profit organizations, family) stakeholders. Research Plan: Although multiple national efforts have been introduced to address Veteran suicide, suicide rates remain high. Systematic reviews have identified few interventions that effectively decrease suicide risk. One promising area for intervention is social connectedness which has been identified as a strong protective factor. However, few interventions directly target social connectedness among at-risk individuals. Increasing Veteran participation in community activities may be one way to improve social connectedness difficulties. The current project proposes the following research aims: 1) Identify Veterans' current behaviors, needs, and preferences for community engagement following psychiatric hospitalization, 2) Identify VHA staff and community stakeholder perceptions and perceived needs related to Veteran community engagement following psychiatric hospitalization, and 3) Develop and pilot a multicomponent, peer-support facilitated intervention for increasing social connectedness among Veterans at elevated risk of death by suicide. Expected outcomes from these aims include clinical toolkits for VA and community stakeholders, academic manuscripts and presentations, and two HSR&D IIR submissions over the course of the CDA award period. Career Plan: Dr. Chen has assembled a mentorship team who will support his development as a VA mental health services researcher. Team members include: Steven Dobscha, MD (Primary Mentor), Julie Lowery, PhD (Co-Mentor; Implementation Science/Qualitative Methods), Paul Pfeiffer, MD, MS (Co-Mentor; Peer Support Intervention Development), Sarah Ono, PhD (Consultant; Veteran Engagement/Qualitative Methods), and Alan Teo, MD, MS (Consultant; Social Support). Dr. Chen will also have three Operations Partners/Consultants: Aimee Johnson, LCSW (Office of Mental Health and Suicide Prevention), Tracy Weistreich, PhD (Office of Community Engagement/Center for Compassionate Intervention), and Jason Zimmerman, CPSC (Peer Support Lead). Dr. Chen and his mentorship team have developed the following training goals which align with his research aims: 1) Develop advanced qualitative health services research skills, 2) Acquire intervention development and evaluation skills for conducting clinical trials, 3) Gain didactic and applied training in implementation science, and 4) Achieve further competence in program development to support effective VA-community collaborations including peer support. Dr. Chen will achieve these training goals through coursework, mentorship/consultant meetings, and applied training during CDA research activities. Following the completion of these training goals, Dr. Chen will be well-prepared to become an independent VA HSR&D mental health services researcher with expertise in utilizing qualitative methodology, clinical trials, implementation science, and program development to enhance current Veteran suicide prevention efforts.

本次HSR&D职业发展奖-2提案的目的是促进Jason Chen博士的过渡 进入一个独立的，VA心理健康服务研究事业，专注于干预发展， 退伍军人自杀风险高。该项目的目标是制定一项多方面的干预措施， 通过支持，增加最近精神病住院的退伍军人之间的社会联系 参与社群活动。该干预将根据VHA临床退伍军人的输入（例如 精神科医生、行政人员）和社区（如非营利组织、家庭）利益相关者。研究 计划：尽管已经采取了多项国家努力来解决退伍军人自杀问题，但自杀率仍然存在 高系统性综述已经确定了一些有效降低自杀风险的干预措施。一个有希望 干预领域是社会联系，这已被确定为一个强有力的保护因素。然而，在这方面， 很少有干预措施直接针对高危个人的社会联系。增加退伍军人 参加社群活动可能是改善社会联系困难的一种方法。当前 本计画提出以下研究目标：1）了解退伍军人目前的行为、需求与偏好 对于精神病住院后的社区参与，2）确定VHA工作人员和社区 利益相关者的看法和感知的需要与退伍军人社区参与精神病后 （3）制定和试行一项多成分、同伴支持的促进干预措施， 退伍军人自杀死亡风险增加的社会联系。预期成果 目标包括VA和社区利益相关者的临床工具包，学术手稿和演示文稿， 以及在CDA授予期间提交的两份HSR&D IIR。职业规划：陈博士 组建了一个导师团队，将支持他作为VA心理健康服务研究员的发展。 团队成员包括：Steven Dobscha，医学博士（初级导师），Julie Lowery，博士（共同导师; 实施科学/定性方法），Paul Pfeiffer，医学博士，理学硕士（共同导师;同伴支持干预 开发），Sarah Ono博士（顾问;退伍军人参与/定性方法）和Alan Teo博士， MS（顾问;社会支助）。陈博士还将有三个运营合作伙伴/顾问：Aimee 约翰逊，LCSW（心理健康和自杀预防办公室），特雷西·韦斯特雷奇，博士（社区办公室 Engagement/Center for Compounds Intervention）和Jason齐默尔曼，CPSC（同行支持负责人）。博士 Chen和他的导师团队制定了以下培训目标，这些目标与他的研究目标相一致： 1)发展先进的定性卫生服务研究技能，2）获得干预发展， 进行临床试验的评估技能，3）获得实施科学的教学和应用培训， 和4）在项目开发中获得更高的能力，以支持VA-社区的有效合作 包括同伴支持。陈博士将通过课程、指导/顾问来实现这些培训目标 会议，并在CDA研究活动中进行应用培训。在完成这些培训目标后， 博士Chen将为成为独立的VA HSR&D心理健康服务研究员做好充分准备， 利用定性方法学、临床试验、实施科学和项目开发的专业知识 以加强目前的退伍军人自杀预防工作。