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The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario

BACKGROUND: Patients who present to emergency departments after intentional self-harm are at an increased risk of dying by suicide. This applies particularly to men, who represent nearly two-thirds of those who die by suicide in Ontario. One way of potentially addressing this gap is to offer a cours...

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Autores principales: Hatcher, Simon, Heisel, Marnin, Ayonrinde, Oyedeji, Campbell, Julie K., Colman, Ian, Corsi, Daniel J., Edgar, Nicole E., Gillett, Lindsay, Kennedy, Sidney H., Hunt, Sophia Lakatoo, Links, Paul, MacLean, Sarah, Mehta, Viraj, Mushquash, Christopher, Raimundo, Alicia, Rizvi, Sakina J., Saskin, Refik, Schaffer, Ayal, Sidahmed, Alaaddin, Sinyor, Mark, Soares, Claudio, Taljaard, Monica, Testa, Valerie, Thavorn, Kednapa, Thiruganasambandamoorthy, Venkatesh, Vaillancourt, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7663866/
https://www.ncbi.nlm.nih.gov/pubmed/33187542
http://dx.doi.org/10.1186/s13063-020-04424-w
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author Hatcher, Simon
Heisel, Marnin
Ayonrinde, Oyedeji
Campbell, Julie K.
Colman, Ian
Corsi, Daniel J.
Edgar, Nicole E.
Gillett, Lindsay
Kennedy, Sidney H.
Hunt, Sophia Lakatoo
Links, Paul
MacLean, Sarah
Mehta, Viraj
Mushquash, Christopher
Raimundo, Alicia
Rizvi, Sakina J.
Saskin, Refik
Schaffer, Ayal
Sidahmed, Alaaddin
Sinyor, Mark
Soares, Claudio
Taljaard, Monica
Testa, Valerie
Thavorn, Kednapa
Thiruganasambandamoorthy, Venkatesh
Vaillancourt, Christian
author_facet Hatcher, Simon
Heisel, Marnin
Ayonrinde, Oyedeji
Campbell, Julie K.
Colman, Ian
Corsi, Daniel J.
Edgar, Nicole E.
Gillett, Lindsay
Kennedy, Sidney H.
Hunt, Sophia Lakatoo
Links, Paul
MacLean, Sarah
Mehta, Viraj
Mushquash, Christopher
Raimundo, Alicia
Rizvi, Sakina J.
Saskin, Refik
Schaffer, Ayal
Sidahmed, Alaaddin
Sinyor, Mark
Soares, Claudio
Taljaard, Monica
Testa, Valerie
Thavorn, Kednapa
Thiruganasambandamoorthy, Venkatesh
Vaillancourt, Christian
author_sort Hatcher, Simon
collection PubMed
description BACKGROUND: Patients who present to emergency departments after intentional self-harm are at an increased risk of dying by suicide. This applies particularly to men, who represent nearly two-thirds of those who die by suicide in Ontario. One way of potentially addressing this gap is to offer a course of blended problem-solving therapy, comprised of a brief course of evidence-based psychotherapy for individuals at risk for suicide, facilitated by the use of a patient-facing smartphone application and a clinician-facing “dashboard.” This approach has the potential to combine the benefits of face-to-face therapy and technology to create a novel intervention. METHODS: This is a cohort study nested within a larger pragmatic multicentre pre- and post-design cluster randomised trial. Suicidal ideation assessed by the Beck Scale for Suicide Ideation is the primary outcome variable. Secondary outcome measures include depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder 7-item scale), post-traumatic stress disorder (Primary Care PTSD Screen), health-related quality of life (EuroQol 5-dimension 5-level questionnaire), meaning in life (Experienced Meaning in Life Scale), perceived social supports (Multidimensional Scale of Perceived Social Support), alcohol use (Alcohol Use Disorders Identification Test), drug use (Drug Abuse Screening Test Short Form 10), problem-solving skills (Social Problem-Solving Inventory–Revised Short Form), and self-reported healthcare costs, as well as health service use measured using Ontario administrative health data. A process evaluation will also be conducted following study completion. DISCUSSION: The cohort study will test whether better adherence to the intervention results in better outcomes. The value of the cohort study design is that we can examine in more detail certain subgroups or other variables that are not available in the larger cluster randomised trial. This trial will aim to improve standards by informing best practice in management of men who self-harm and present to hospitals in Ontario. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03473535. Registered on March 22, 2018.
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spelling pubmed-76638662020-11-13 The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario Hatcher, Simon Heisel, Marnin Ayonrinde, Oyedeji Campbell, Julie K. Colman, Ian Corsi, Daniel J. Edgar, Nicole E. Gillett, Lindsay Kennedy, Sidney H. Hunt, Sophia Lakatoo Links, Paul MacLean, Sarah Mehta, Viraj Mushquash, Christopher Raimundo, Alicia Rizvi, Sakina J. Saskin, Refik Schaffer, Ayal Sidahmed, Alaaddin Sinyor, Mark Soares, Claudio Taljaard, Monica Testa, Valerie Thavorn, Kednapa Thiruganasambandamoorthy, Venkatesh Vaillancourt, Christian Trials Study Protocol BACKGROUND: Patients who present to emergency departments after intentional self-harm are at an increased risk of dying by suicide. This applies particularly to men, who represent nearly two-thirds of those who die by suicide in Ontario. One way of potentially addressing this gap is to offer a course of blended problem-solving therapy, comprised of a brief course of evidence-based psychotherapy for individuals at risk for suicide, facilitated by the use of a patient-facing smartphone application and a clinician-facing “dashboard.” This approach has the potential to combine the benefits of face-to-face therapy and technology to create a novel intervention. METHODS: This is a cohort study nested within a larger pragmatic multicentre pre- and post-design cluster randomised trial. Suicidal ideation assessed by the Beck Scale for Suicide Ideation is the primary outcome variable. Secondary outcome measures include depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder 7-item scale), post-traumatic stress disorder (Primary Care PTSD Screen), health-related quality of life (EuroQol 5-dimension 5-level questionnaire), meaning in life (Experienced Meaning in Life Scale), perceived social supports (Multidimensional Scale of Perceived Social Support), alcohol use (Alcohol Use Disorders Identification Test), drug use (Drug Abuse Screening Test Short Form 10), problem-solving skills (Social Problem-Solving Inventory–Revised Short Form), and self-reported healthcare costs, as well as health service use measured using Ontario administrative health data. A process evaluation will also be conducted following study completion. DISCUSSION: The cohort study will test whether better adherence to the intervention results in better outcomes. The value of the cohort study design is that we can examine in more detail certain subgroups or other variables that are not available in the larger cluster randomised trial. This trial will aim to improve standards by informing best practice in management of men who self-harm and present to hospitals in Ontario. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03473535. Registered on March 22, 2018. BioMed Central 2020-11-13 /pmc/articles/PMC7663866/ /pubmed/33187542 http://dx.doi.org/10.1186/s13063-020-04424-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Hatcher, Simon
Heisel, Marnin
Ayonrinde, Oyedeji
Campbell, Julie K.
Colman, Ian
Corsi, Daniel J.
Edgar, Nicole E.
Gillett, Lindsay
Kennedy, Sidney H.
Hunt, Sophia Lakatoo
Links, Paul
MacLean, Sarah
Mehta, Viraj
Mushquash, Christopher
Raimundo, Alicia
Rizvi, Sakina J.
Saskin, Refik
Schaffer, Ayal
Sidahmed, Alaaddin
Sinyor, Mark
Soares, Claudio
Taljaard, Monica
Testa, Valerie
Thavorn, Kednapa
Thiruganasambandamoorthy, Venkatesh
Vaillancourt, Christian
The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario
title The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario
title_full The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario
title_fullStr The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario
title_full_unstemmed The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario
title_short The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario
title_sort beacon study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in ontario
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7663866/
https://www.ncbi.nlm.nih.gov/pubmed/33187542
http://dx.doi.org/10.1186/s13063-020-04424-w
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