Evidence map›Paper›PMID 39885488›Full record

Trial reportBMC public health2025

Implementation of the STEPPS program for the treatment of self-harm behaviors in Catalonia's prisons: barriers and facilitators.

Rosa Lorente-Català, Irene Jaén, Xavier Buscà-Huertas, Berta Framis, Azucena García-Palacios

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06297460 (Adaptation of the Systems Training for Emotional Predictability & Problem Solving), which is not on this map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

NCT06297460 naunknown statusnot on this map

Adaptation of the Systems Training for Emotional Predictability & Problem Solving (STEPPS) Program for Addressing Emotional Dysregulation and Self-harming Behaviors in Penitentiary Centers in Catalonia

TypeinterventionalSponsorUniversitat Jaume IRan2022 to 2025Enrolled50ConditionsSelf HarmArmsSystems Training for Emotional Predictability & Problem Solving (STEPPS)
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Rosa Lorente-CatalàDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellon, Spain.
Irene JaénDepartment of Psychology and Sociology, Universidad de Zaragoza (Campus Teruel), Teruel, Spain. ijaen@unizar.es.
Xavier Buscà-HuertasUnit of Specialized Intervention Programs, Directorate General of Penitentiary Affairs, Generalitat de Catalunya, Barcelona, Spain.
Berta FramisCriminal Execution Research Unit of the Center for Legal Studies and Specialized Training, Department of Justice, Rights and Memory, Generalitat de Catalunya, Barcelona, Spain.
Azucena García-PalaciosDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellon, Spain.

Funding

Consellería de Innovación, Universidades, Ciencia y Sociedad Digital, Generalitat Valencia (Spain). Subvenciones para la contratación de personal investigador de carácter predoctoral (ACIF/2020). ACIF/2020/332.Ministerio de Ciencia, Innovacion y Universidades (Spain). Instituto de Salud Carlos III. Convocatoria de Ayudas a la accion estrategica de salud. P19/00723.
6 · The paper itself

Abstract

backgroundThe Systems Training for Emotional Predictability and Problem Solving (STEPPS) is an evidence-based program that has been shown to be effective in reducing self-harm behaviors in Correctional Settings (CS). However, there is limited understanding of the contextual factors that impact the implementation of this intervention within such complex environments. A comprehensive understanding of the implementation process is crucial for the successful adoption of this program. This study aims to examine the factors that influence the implementation of the STEPPS program in CS, specifically regarding the management of self-harm behaviors.

methodA hybrid implementation effectiveness type III study was conducted in penitentiary centers in Catalonia (Spain). Eight Focus Group Discussions based on the Consolidated Framework for Implementation Research (CFIR) were conducted with 17 professionals who implemented the STEPPS program. Additionally, quantitative data were gathered using an open-closed questionnaire based on a CFIR questionnaire.

resultsThe results indicated that the scientific evidence and knowledge acquired during the implementation process were seen as facilitators. Also, meetings and support from the external research team were considered positive factors. Conversely, implementation barriers of the STEPPS program in CS included the complexity of the intervention format and the mobility of inmates between modules and centers during the duration of the program.

conclusionsThese findings represent the first attempt to address self-harm behaviors within CS while considering the implementation process. They provide valuable insight into adapting evidence-based interventions, such as STEPPS, for implementation in CS.

trial registrationNCT06297460 (ClinicalTrials.gov, retrospectively registered).

Indexed as

PrisonersPrisonsProblem SolvingSelf-Injurious BehaviorAdultFemaleFocus GroupsHumansMaleMiddle AgedProgram EvaluationSpainSurveys and QuestionnairesCorrectional facilitiesImplementation researchPenitentiary interventionSelf-harm behaviorsSTEPPS

Identifiers

PMID39885488
PMCPMC11781056

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LicenceCC BY-NC-ND
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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.