Integrated Electronic and Care Manager Support Intervention for Caregivers of Adolescents with Suicide Attempts

针对自杀未遂青少年的护理人员的综合电子和护理经理支持干预

• 批准号: 9894857
• 负责人: STEPHANIE S DANIEL
• 金额: $ 23.41万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-04-01 至 2023-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9894857
• 关键词: Address; Adolescence; Adolescent; Adolescent Behavior; Adult; Affect; Anxiety; Behavior; Behavioral; Caregivers; Caring; Case Manager; Child; Child Rearing; Client; Clinical Treatment; Communities; Complement; Data; Distal; Distress; Educational Materials; Emergency Care; Emergency Situation; Emergency department visit; Emotional; Emotions; Ensure; Equilibrium; Family; Feedback; Feeling; Feeling suicidal; Frequencies; Funding; Goals; Health Care Costs; Health Services Accessibility; Home environment; Hospitalization; Hospitals; Inpatients; Intervention; Intervention Studies; Knowledge; Longitudinal Studies; Mental Depression; Mental Health; Mental Health Services; Mobile Health Application; Modeling; Monitor; Mothers; National Institute of Mental Health; Outcome; Parents; Patient Recruitments; Patients; Preventive Intervention; Procedures; Psychiatric Emergency Services; Randomized Controlled Trials; Research; Risk; Safety; Self Efficacy; Services; Study Section; Suicide; Suicide attempt; Suicide prevention; System; Technology; Telephone; Testing; Time; Training; Treatment Effectiveness; Youth; adolescent suicide; care systems; caregiver interventions; collaborative care; effectiveness trial; emotional distress; empowered; expectation; experience; health application; high risk; improved; innovation; interest; intervention effect; mHealth; physical conditioning; prevent; relative effectiveness; research and development; service intervention; suicidal; suicidal adolescent; suicidal behavior; suicidal individual; suicidal morbidity; treatment as usual; treatment services

Adolescents suicida further need, vulnerable which recent period supports reduced who have been hospitalized after attempting suicide are at high r isk for engaging in additional l behavior. Following hospitalization, parents or guardians are typically tasked with helping to prevent suicidal episodes by monitoring youth, ensuring safety in the home, helping youth receive t he care they and parenting in a way that balances expectations for appropriate behavior with recognition of the status of the adolescents. Despite parental efforts, these adolescents often have additional c rises, sometimes ulminate in emergency department visits and repeat hospitalizations. Findings from our longitudinal study of mothers after adolescent hospitalization for suicide attempts suggested tha the of time following discharge from t he hospital can be a very important time for providing services and to youth and families. Parents i n that study described emotional distress (e.g., depression, anxiety), parenting self-efficacy, and said c t that they would have benefited from more information about suicidal youth and their treatment needs, parenting and monitoring of suicidal youth, and support in navigating the treatment system. Given these needs, the purpose of this study is to develop, refine, and preliminarily test an integrated electronic (mHealth) and care support manager services intervention for caregivers of adolescents who have made a recent suicide attempt. It is our expectation that such an intervention will provide needed information and supports to parents, increase their parenting self-efficacy, increase their ability to follow safety plans in the home, reduce their emotional distress, and help parents access needed services in the community. As a consequence of these proximal outcomes, we expect the intervention will help facilitate treatment engagement and follow through for youth and caregiver, and reduce use of emergency mental health services and hospitalizations. The first aim of the project is to develop and refine standard procedures for the care support manager and mHealth intervention. The second aim is to develop procedures for care manager training, as the care manager will provide the supports in this intervention. In the context of an open trial, the third aim is to assess the feasibility of this intervention, and to use experiences from implementing the intervention and feedback from caregivers and care support managers to refine the intervention. The last aim is to obtain, in a pilot randomized controlled trial, preliminary estimates of treatment effectiveness relative to enhanced treatment as usual. The proposed adaptive services intervention development research is intended to demonstrate the feasibility and potential utility of an intervention that will be embedded in the existing care system (psychiatric inpatient unit) for suicidal youth and their families, and ultimately, improve engagement in services and client outcomes in high-risk families.

青少年 自杀 进一步 需要， 弱势 这 最近 期间 支持 减少 自杀未遂后住院的人， l行为。住院后，父母或监护人通常负责帮助预防 通过监测青少年自杀事件，确保家庭安全，帮助青少年接受护理， 和养育子女的方式，平衡的期望，适当的行为与承认的， 青少年的地位。尽管父母的努力，这些青少年往往有额外的c上升， 有时最终导致急诊室就诊和重复住院。我们的调查结果 对青少年自杀未遂住院后母亲的纵向研究表明， 出院后的一段时间可能是提供服务的一个非常重要的时间， 青年和家庭。在这项研究中，父母描述了情绪困扰（例如，抑郁、焦虑）， 育儿自我效能，并表示， C 不 如果他们知道更多关于自杀的信息 青少年及其治疗需要，养育和监测自杀青年，并支持在导航 处理系统鉴于这些需要，本研究的目的是开发、完善和初步测试一个 综合电子（移动健康）和护理支持管理服务的青少年照顾者干预 最近有过自杀企图我们期望，这种干预将提供所需的 为父母提供信息和支持，提高他们的育儿自我效能，提高他们遵循安全的能力 计划在家里，减少他们的情绪困扰，并帮助父母获得所需的服务， 社区由于这些近端结果，我们预计干预将有助于促进 青少年和照顾者的治疗参与和后续行动，并减少使用紧急心理健康 服务和住院。该项目的第一个目标是制定和完善 护理支持经理和mHealth干预。第二个目标是为护理经理制定程序 培训，因为护理经理将在这一干预措施中提供支持。在公开审判的情况下， 第三个目标是评估这种干预措施的可行性，并利用实施 护理人员和护理支助管理人员的干预和反馈，以完善干预措施。最后一个目标 在一项初步随机对照试验中，获得相对于以下因素的治疗有效性的初步估计： 像往常一样加强治疗。拟议的适应性服务干预发展研究的目的是 证明将嵌入现有护理的干预措施的可行性和潜在效用 系统（精神病住院部）为自杀青年及其家人，并最终提高参与 高风险家庭的服务和客户成果。