Viewing Study NCT04565951



Ignite Creation Date: 2024-05-06 @ 3:14 PM
Last Modification Date: 2024-10-26 @ 1:45 PM
Study NCT ID: NCT04565951
Status: COMPLETED
Last Update Posted: 2024-03-28
First Post: 2020-09-21

Brief Title: Increasing Help-Seeking Behavior Among Transitioning Veterans at Risk for Suicide With Online Gatekeeper Training
Sponsor: VA Office of Research and Development
Organization: VA Office of Research and Development

Study Overview

Official Title: Increasing Help-Seeking Behavior Among Transitioning Veterans at Risk for Suicide With Online Gatekeeper Training A Pilot Study of PsychArmor SAVE
Status: COMPLETED
Status Verified Date: 2023-09
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The purpose of this study is to evaluate the feasibility and acceptability of a gatekeeper training called VA SAVE which was developed through a partnership between the VA and the PsychArmor Training Institute Gatekeeper training teaches gatekeepers skills in how to identify a person with suicide risk inquire about suicidal thoughts and help make a connection to professional treatment VA SAVE is a brief novel online gatekeeper training that was created and designed specifically for Veterans and their family and friends In this study the investigators will recruit Veterans who have recently transitioned out of the military as well as their family and friends Participants in the study will be asked to complete a survey watch the VA SAVE training and complete several follow-up surveys over six months A small subset of participants will also be invited to participate in an interview
Detailed Description: Background Suicide is an urgent public health crisis and transitioning Veterans those who have recently separated from the military are a high-risk group for suicide A key component to advancing suicide prevention efforts among at-risk Veterans is to address low levels of help-seeking and engagement in treatment including Veterans Health Administration VHA care Veterans are most likely to disclose suicidal thoughts to their close supports-family members friends and their peers However Veterans and their close supports rarely receive training in how to help a peer at risk of suicide despite strong interest in such training Gatekeeper training is a key strategy with potential to help address these challenges Gatekeeper training teaches gatekeepers skills in how to identify a Veteran with suicide risk inquire about suicidal thoughts and help make a connection to professional treatment it may benefit the trainees own mental health too VA SAVE developed through a partnership between the VA and the PsychArmor Training Institute is a brief novel online gatekeeper training designed for Veterans and their close supports

SignificanceImpact This project focuses on VAs topic clinical priority suicide prevention The 2019 VA and Department of Defense Clinical Practice Guidelines also identified gatekeeper training as an important research gap and priority for future research This research design addresses three separate goals and objectives contained in VAs National Strategy for Preventing Veteran Suicide including involvement of Veterans close supports

Innovation This proposal employs the novel approach of recruiting Veterans and their close supports through online social media advertisements allowing for broad outreach suicide prevention targeting Veterans outside the VA network and the potential to test the effectiveness of gatekeeper training on a large scale Online gatekeeper trainings are highly scalable public health strategies with the potential to diffuse through online social networks

Specific Aims The primary objective is to conduct a pilot randomized controlled trial RCT to evaluate the feasibility and acceptability of the online gatekeeper training VA SAVE To reach this objective the investigators will achieve these aims 1 Determine the feasibility of recruiting participants via social media engaging them to participate in an online gatekeeper training program and retaining them in an online intervention study and 2 Determine the acceptability of VA SAVE in a pilot RCT and evaluate measures for use in a future larger-scale RCT

Methodology This is a two-arm pilot randomized clinical trial involving 200 participants Participants will be recruited through social media advertisements targeting transitioning Veterans and their close supports family and friends Participants will be randomized to take the VA SAVE gatekeeper training or a sham control training and followed for 6 months Mixed quantitative and qualitative methods will be used to assess outcomes on feasibility and acceptability Additional data collection and analysis of measures related to suicide prevention such as gatekeeper behaviors knowledge stigma self-efficacy and social norms measures will help prepare for a larger-scale RCT

ImplementationNext Steps By using an extremely scalable intervention and building off existing VA practices and partnerships this project will be very well-positioned for further evaluation and implementation into VA practice if found to be effective It is freely available online making it highly amenable to being rapidly taken to scale Results of this project will inform future efforts to disseminate andor revise VA SAVE

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: False
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
HX003249 OTHER_GRANT VA HSRD None