Evidence map›Paper›PMID 33926577›Full record

ArticleImplementation science communications2021

Implementing eScreening for suicide prevention in VA post-9/11 transition programs using a stepped-wedge, mixed-method, hybrid type-II implementation trial: a study protocol.

James O E Pittman, Laurie Lindamer, Niloofar Afari, Colin Depp, Miguel Villodas, Alison Hamilton, Bo Kim, Maria K Mor, Erin Almklov, John Gault and 1 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Implementation science communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04506164 nacompletednot on this map

Effectiveness and Implementation of eScreening in Post 9/11 Transition Programs

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2021 to 2024Enrolled72ConditionsDepression, Stress Disorders, Post-Traumatic, SuicideArmseScreening, Screening As Usual
NCT07387393 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Peau o le Vasa: Accelerating the Currents of Health Advances for Pasifika People

TypeinterventionalSponsorUniversity of HawaiiRan2026 to 2028Enrolled400ConditionsCardiometabolic Conditions, Hypertension (HTN), Dyslipidemia, Pre-diabetesArmsPILI (Partnership for Improving Lifestyle Intervention) Pasifika Program
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

James O E PittmanVA Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr, San Diego, CA, USA. james.pittman@va.gov.
Laurie LindamerVA Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr, San Diego, CA, USA.
Niloofar AfariVA Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr, San Diego, CA, USA.
Colin DeppVA Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr, San Diego, CA, USA.
Miguel VillodasSan Diego State University, 5500 Campanile Dr, San Diego, CA, USA.
Alison HamiltonVA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Los Angeles, CA, USA.
Bo KimHSR&D Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 South Huntington Avenue, Boston, MA, USA.
Maria K MorVA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Erin AlmklovVA Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr, San Diego, CA, USA.
John GaultVA Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr, San Diego, CA, USA.
Borsika RabinVA Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr, San Diego, CA, USA.
University of California, San Diego · USVA San Diego Healthcare System · USSan Diego State University · USVA Boston Healthcare System · USVA Greater Los Angeles Healthcare System · USVA Pittsburgh Healthcare System · US

Funding

Effectiveness and Implementation of eScreening in Post 9/11 Transition ProgramsI01HX003079 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI PITTMAN, JAMES · 2020 to 2025
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Health Services Research and Development 1I01HX003079-01A1HSRD VA I01 HX003079
6 · The paper itself

Abstract

backgroundPost-9/11 veterans who enroll in VA health care frequently present with suicidal ideation and/or recent suicidal behavior. Most of these veterans are not screened on their day of enrollment and their risk goes undetected. Screening for suicide risk, and associated mental health factors, can lead to early detection and referral to effective treatment, thereby decreasing suicide risk. eScreening is an innovative Gold Standard Practice with evidence to support its effectiveness and implementation potential in transition and care management (TCM) programs. We will evaluate the impact of eScreening to improve the rate and speed of suicide risk screening and referral to mental health care compared to current screening methods used by transition care managers. We will also evaluate the impact of an innovative, multicomponent implementation strategy (MCIS) on the reach, adoption, implementation, and sustained use of eScreening.

methodsThis is an eight-site 4-year, stepped-wedge, mixed-method, hybrid type-II implementation trial comparing eScreening to screening as usual while also evaluating the potential impact of the MCIS focusing on external facilitation and Lean/SixSigma rapid process improvement workshops in TCM. The aims will address: 1) whether using eScreening compared to oral and/or paper-based methods in TCM programs is associated with improved rates and speed of PTSD, depression, alcohol, and suicide screening & evaluation, and increased referral to mental health treatment; 2) whether and to what degree our MCIS is feasible, acceptable, and has the potential to impact adoption, implementation, and maintenance of eScreening; and 3) how contextual factors influence the implementation of eScreening between high- and low-eScreening adopting sites. We will use a mixed methods approach guided by the RE-AIM outcomes of the Practical Robust Implementation and Sustainability Model (PRISM). Data to address Aim 1 will be collected via medical record query while data for Aims 2 and 3 will be collected from TCM staff questionnaires and qualitative interviews. DISCUSSION: The results of this study will help identify best practices for screening in suicide prevention for Post-9/11 veterans enrolling in VA health care and will provide information on how best to implement technology-based screening into real-world clinical care programs.

trial registrationClinicalTrials.gov : NCT04506164; date registered: August 20, 2020; retrospectively registered.

Indexed as

eScreeningFacilitationImplementationPRISMRE-AIMSuicideVeterans

Identifiers

PMID33926577
PMCPMC8082763
OpenAlexW3158492277

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.