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Qualitative Study of Telehealth Delivery of Suicide-Specific Group Treatment “Project Life Force”

Minimal evidence exists for suicide-specific group treatment for high-risk patients offered over telehealth. This qualitative study assessed the acceptability, feasibility, and impact of a telehealth suicide safety planning intervention (SPI) multi-session group. High-risk suicidal Veterans (n = 17)...

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Autores principales: Patel, Sapana R., Sullivan, Sarah R., Mitchell, Emily L., Jager-Hyman, Shari, Stanley, Barbara, Goodman, Marianne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9811055/
https://www.ncbi.nlm.nih.gov/pubmed/36618084
http://dx.doi.org/10.1007/s41347-022-00297-9
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author Patel, Sapana R.
Sullivan, Sarah R.
Mitchell, Emily L.
Jager-Hyman, Shari
Stanley, Barbara
Goodman, Marianne
author_facet Patel, Sapana R.
Sullivan, Sarah R.
Mitchell, Emily L.
Jager-Hyman, Shari
Stanley, Barbara
Goodman, Marianne
author_sort Patel, Sapana R.
collection PubMed
description Minimal evidence exists for suicide-specific group treatment for high-risk patients offered over telehealth. This qualitative study assessed the acceptability, feasibility, and impact of a telehealth suicide safety planning intervention (SPI) multi-session group. High-risk suicidal Veterans (n = 17) participating in “Project Life Force-telehealth” (PLF-T); a manualized, 10-session SPI video group completed semi-structured qualitative interviews including measures of acceptability, appropriateness, and feasibility. We also interviewed the PLF-T coordinator and PLF-T group facilitators to identify adaptations to deliver PLF-T and learn about barriers and facilitators to implementation. A summary template and matrix analysis approach was used to analyze qualitative data. Veteran group participants were mostly male (88%), age 50 (SD = 15.6), ethnically diverse, and either divorced or separated (54%). Suicide symptoms upon study entry included past month ideation with methods (100%); and past year aborted, interrupted, or actual suicide attempt (59%). Participant interviews revealed an overall positive endorsement of PLF-telehealth with enhanced suicidal disclosure, and improved ability to manage urges and mitigate loneliness. On scales from 1 to 20, PLF-T was rated as highly acceptable (M = 17.50; SD = 2.92), appropriate (M = 17.25; SD = 3.59), and feasible (M = 18; SD = 2.45) by participants. Adaptations to deliver PLF-T included using a communications coordinator to conduct assertive outreach and engagement, adding a telehealth orientation session, restructuring sessions to review suicide severity, and screen-sharing safety plans to maximize learning. PLF-T enhanced convenience and access without compromising safety. Concerns included privacy and technological limitations including connectivity. Project Life Force-telehealth is acceptable and feasible to deliver via telehealth. This opens the possibility of delivery to hard-to-reach high-risk populations. ClinicalTrials.gov Identifier: NCT0365363.
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spelling pubmed-98110552023-01-04 Qualitative Study of Telehealth Delivery of Suicide-Specific Group Treatment “Project Life Force” Patel, Sapana R. Sullivan, Sarah R. Mitchell, Emily L. Jager-Hyman, Shari Stanley, Barbara Goodman, Marianne J Technol Behav Sci Article Minimal evidence exists for suicide-specific group treatment for high-risk patients offered over telehealth. This qualitative study assessed the acceptability, feasibility, and impact of a telehealth suicide safety planning intervention (SPI) multi-session group. High-risk suicidal Veterans (n = 17) participating in “Project Life Force-telehealth” (PLF-T); a manualized, 10-session SPI video group completed semi-structured qualitative interviews including measures of acceptability, appropriateness, and feasibility. We also interviewed the PLF-T coordinator and PLF-T group facilitators to identify adaptations to deliver PLF-T and learn about barriers and facilitators to implementation. A summary template and matrix analysis approach was used to analyze qualitative data. Veteran group participants were mostly male (88%), age 50 (SD = 15.6), ethnically diverse, and either divorced or separated (54%). Suicide symptoms upon study entry included past month ideation with methods (100%); and past year aborted, interrupted, or actual suicide attempt (59%). Participant interviews revealed an overall positive endorsement of PLF-telehealth with enhanced suicidal disclosure, and improved ability to manage urges and mitigate loneliness. On scales from 1 to 20, PLF-T was rated as highly acceptable (M = 17.50; SD = 2.92), appropriate (M = 17.25; SD = 3.59), and feasible (M = 18; SD = 2.45) by participants. Adaptations to deliver PLF-T included using a communications coordinator to conduct assertive outreach and engagement, adding a telehealth orientation session, restructuring sessions to review suicide severity, and screen-sharing safety plans to maximize learning. PLF-T enhanced convenience and access without compromising safety. Concerns included privacy and technological limitations including connectivity. Project Life Force-telehealth is acceptable and feasible to deliver via telehealth. This opens the possibility of delivery to hard-to-reach high-risk populations. ClinicalTrials.gov Identifier: NCT0365363. Springer International Publishing 2023-01-04 /pmc/articles/PMC9811055/ /pubmed/36618084 http://dx.doi.org/10.1007/s41347-022-00297-9 Text en © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Patel, Sapana R.
Sullivan, Sarah R.
Mitchell, Emily L.
Jager-Hyman, Shari
Stanley, Barbara
Goodman, Marianne
Qualitative Study of Telehealth Delivery of Suicide-Specific Group Treatment “Project Life Force”
title Qualitative Study of Telehealth Delivery of Suicide-Specific Group Treatment “Project Life Force”
title_full Qualitative Study of Telehealth Delivery of Suicide-Specific Group Treatment “Project Life Force”
title_fullStr Qualitative Study of Telehealth Delivery of Suicide-Specific Group Treatment “Project Life Force”
title_full_unstemmed Qualitative Study of Telehealth Delivery of Suicide-Specific Group Treatment “Project Life Force”
title_short Qualitative Study of Telehealth Delivery of Suicide-Specific Group Treatment “Project Life Force”
title_sort qualitative study of telehealth delivery of suicide-specific group treatment “project life force”
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9811055/
https://www.ncbi.nlm.nih.gov/pubmed/36618084
http://dx.doi.org/10.1007/s41347-022-00297-9
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