Evidence map›Paper›PMID 34721114›Full record

ArticleFrontiers in psychiatry2021

Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot Study.

Sara J Landes, Susan M Jegley, JoAnn E Kirchner, John P Areno, Jeffery A Pitcock, Traci H Abraham, Sacha A McBain, R Sonia Singh, Mary J Bollinger, Jacob Painter and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.8field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
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

16 authors at 7 institutions in 1 country.

Sara J LandesBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
Susan M JegleyBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
JoAnn E KirchnerBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
John P ArenoSouth Central VA Health Care Network, Ridgeland, MS, United States.
Jeffery A PitcockBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
Traci H AbrahamCenter for Mental Healthcare & Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
Sacha A McBainSouth Central Mental Illness Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
R Sonia SinghSouth Central Mental Illness Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
Mary J BollingerDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United States.
Jacob PainterDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United States.
Jack A WoodsBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
Nyssa D CurtisBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
Donald E JonesBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
Bridget B MatarazzoRocky Mountain Mental Illness Research Education and Clinical Center, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, CO, United States.
Mark A RegerVA Puget Sound Health Care System, Tacoma, WA, United States.
Katherine Anne ComtoisDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, United States.
Central Arkansas Veterans Healthcare System · USUniversity of Arkansas for Medical Sciences · USMental Illness Research, Education and Clinical Centers · USQuality Enhancement Research Initiative · USSouth Central VA Health Care Network · USUniversity of Washington · USVA Puget Sound Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transitions in care, such as discharge from an emergency department (ED), are periods of increased risk for suicide and effective interventions that target these periods are needed. Caring Contacts is an evidence-based suicide prevention intervention that targets transitions, yet it has not been widely implemented. This pilot study adapted Caring Contacts for a Department of Veterans Affairs (VA) ED setting and population, created an implementation toolkit, and piloted implementation and evaluation of effectiveness. To inform adaptation, qualitative interviews were conducted with stakeholders. Data were used by an advisory board comprised of stakeholders, experts, and veterans to make adaptations and develop an implementation planning guide to delineate steps needed to implement. Key decisions about how to adapt Caring Contacts included recipients, author, content, and the schedule for sending. Pilot implementation occurred at one VA ED. Caring Contacts involved sending patients at risk of suicide brief, non-demanding expressions of care. Program evaluation of the pilot used a type 2 hybrid effectiveness-implementation design to both pilot an implementation strategy and evaluate effectiveness of Caring Contacts. Evaluation included qualitative interviews with veteran patients during implementation. VA electronic health records were used to evaluate VA service utilization in the 6-month periods immediately before and after veterans were delivered their first Caring Contact. Hundred and seventy-five veterans were mailed Caring Contacts and the facility continued adoption after the pilot. Participants were positive about the intervention and reported feeling cared about and connected to VA as a result of receiving Caring Contacts. This project developed an implementation planning process that successfully implemented Caring Contacts at one site. This can be used to further implement Caring Contacts at additional VA or community EDs.

Indexed as

caring contactsemergency deparmentimplementationsuicide preventionveteran

Identifiers

PMID34721114
PMCPMC8548725
OpenAlexW3207396362

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.