The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario
Abstract Background Patients who present to emergency departments after intentional self-harm are at an increased risk of dying by suicide. This applies particularly to men, who represent nearly two-thirds of those who die by suicide in Ontario. One way of potentially addressing this gap is to offer...
Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-11-01
|
Series: | Trials |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s13063-020-04424-w |
id |
doaj-29eb895747964bc6b827f12f38b71d1b |
---|---|
record_format |
Article |
spelling |
doaj-29eb895747964bc6b827f12f38b71d1b2020-11-25T04:06:00ZengBMCTrials1745-62152020-11-0121111610.1186/s13063-020-04424-wThe BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in OntarioSimon Hatcher0Marnin Heisel1Oyedeji Ayonrinde2Julie K. Campbell3Ian Colman4Daniel J. Corsi5Nicole E. Edgar6Lindsay Gillett7Sidney H. Kennedy8Sophia Lakatoo Hunt9Paul Links10Sarah MacLean11Viraj Mehta12Christopher Mushquash13Alicia Raimundo14Sakina J. Rizvi15Refik Saskin16Ayal Schaffer17Alaaddin Sidahmed18Mark Sinyor19Claudio Soares20Monica Taljaard21Valerie Testa22Kednapa Thavorn23Venkatesh Thiruganasambandamoorthy24Christian Vaillancourt25Ottawa Hospital Research InstituteLawson Health Research InstituteQueen’s UniversityCanadian Association for Suicide PreventionUniversity of OttawaOttawa Hospital Research InstituteOttawa Hospital Research InstituteSioux Lookout Meno Ya Win Health CentreSt. Michael’s HospitalWilliam Osler Health SystemMcMaster UniversityOttawa Hospital Research InstituteWestern UniversityLakehead UniversityOttawa Hospital Research InstituteSt. Michael’s HospitalInstitute for Clinical Evaluative SciencesUniversity of TorontoWayne State UniversityUniversity of TorontoQueen’s UniversityOttawa Hospital Research InstituteOttawa Hospital Research InstituteOttawa Hospital Research InstituteOttawa Hospital Research InstituteOttawa Hospital Research InstituteAbstract Background Patients who present to emergency departments after intentional self-harm are at an increased risk of dying by suicide. This applies particularly to men, who represent nearly two-thirds of those who die by suicide in Ontario. One way of potentially addressing this gap is to offer a course of blended problem-solving therapy, comprised of a brief course of evidence-based psychotherapy for individuals at risk for suicide, facilitated by the use of a patient-facing smartphone application and a clinician-facing “dashboard.” This approach has the potential to combine the benefits of face-to-face therapy and technology to create a novel intervention. Methods This is a cohort study nested within a larger pragmatic multicentre pre- and post-design cluster randomised trial. Suicidal ideation assessed by the Beck Scale for Suicide Ideation is the primary outcome variable. Secondary outcome measures include depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder 7-item scale), post-traumatic stress disorder (Primary Care PTSD Screen), health-related quality of life (EuroQol 5-dimension 5-level questionnaire), meaning in life (Experienced Meaning in Life Scale), perceived social supports (Multidimensional Scale of Perceived Social Support), alcohol use (Alcohol Use Disorders Identification Test), drug use (Drug Abuse Screening Test Short Form 10), problem-solving skills (Social Problem-Solving Inventory–Revised Short Form), and self-reported healthcare costs, as well as health service use measured using Ontario administrative health data. A process evaluation will also be conducted following study completion. Discussion The cohort study will test whether better adherence to the intervention results in better outcomes. The value of the cohort study design is that we can examine in more detail certain subgroups or other variables that are not available in the larger cluster randomised trial. This trial will aim to improve standards by informing best practice in management of men who self-harm and present to hospitals in Ontario. Trial registration ClinicalTrials.gov , NCT03473535 . Registered on March 22, 2018.http://link.springer.com/article/10.1186/s13063-020-04424-wSelf-harmSuicideProblem-solving therapyBlended careCognitive behaviour therapyMen |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Simon Hatcher Marnin Heisel Oyedeji Ayonrinde Julie K. Campbell Ian Colman Daniel J. Corsi Nicole E. Edgar Lindsay Gillett Sidney H. Kennedy Sophia Lakatoo Hunt Paul Links Sarah MacLean Viraj Mehta Christopher Mushquash Alicia Raimundo Sakina J. Rizvi Refik Saskin Ayal Schaffer Alaaddin Sidahmed Mark Sinyor Claudio Soares Monica Taljaard Valerie Testa Kednapa Thavorn Venkatesh Thiruganasambandamoorthy Christian Vaillancourt |
spellingShingle |
Simon Hatcher Marnin Heisel Oyedeji Ayonrinde Julie K. Campbell Ian Colman Daniel J. Corsi Nicole E. Edgar Lindsay Gillett Sidney H. Kennedy Sophia Lakatoo Hunt Paul Links Sarah MacLean Viraj Mehta Christopher Mushquash Alicia Raimundo Sakina J. Rizvi Refik Saskin Ayal Schaffer Alaaddin Sidahmed Mark Sinyor Claudio Soares Monica Taljaard Valerie Testa Kednapa Thavorn Venkatesh Thiruganasambandamoorthy Christian Vaillancourt The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario Trials Self-harm Suicide Problem-solving therapy Blended care Cognitive behaviour therapy Men |
author_facet |
Simon Hatcher Marnin Heisel Oyedeji Ayonrinde Julie K. Campbell Ian Colman Daniel J. Corsi Nicole E. Edgar Lindsay Gillett Sidney H. Kennedy Sophia Lakatoo Hunt Paul Links Sarah MacLean Viraj Mehta Christopher Mushquash Alicia Raimundo Sakina J. Rizvi Refik Saskin Ayal Schaffer Alaaddin Sidahmed Mark Sinyor Claudio Soares Monica Taljaard Valerie Testa Kednapa Thavorn Venkatesh Thiruganasambandamoorthy Christian Vaillancourt |
author_sort |
Simon Hatcher |
title |
The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario |
title_short |
The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario |
title_full |
The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario |
title_fullStr |
The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario |
title_full_unstemmed |
The BEACON study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in Ontario |
title_sort |
beacon study: protocol for a cohort study as part of an evaluation of the effectiveness of smartphone-assisted problem-solving therapy in men who present with intentional self-harm to emergency departments in ontario |
publisher |
BMC |
series |
Trials |
issn |
1745-6215 |
publishDate |
2020-11-01 |
description |
Abstract Background Patients who present to emergency departments after intentional self-harm are at an increased risk of dying by suicide. This applies particularly to men, who represent nearly two-thirds of those who die by suicide in Ontario. One way of potentially addressing this gap is to offer a course of blended problem-solving therapy, comprised of a brief course of evidence-based psychotherapy for individuals at risk for suicide, facilitated by the use of a patient-facing smartphone application and a clinician-facing “dashboard.” This approach has the potential to combine the benefits of face-to-face therapy and technology to create a novel intervention. Methods This is a cohort study nested within a larger pragmatic multicentre pre- and post-design cluster randomised trial. Suicidal ideation assessed by the Beck Scale for Suicide Ideation is the primary outcome variable. Secondary outcome measures include depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder 7-item scale), post-traumatic stress disorder (Primary Care PTSD Screen), health-related quality of life (EuroQol 5-dimension 5-level questionnaire), meaning in life (Experienced Meaning in Life Scale), perceived social supports (Multidimensional Scale of Perceived Social Support), alcohol use (Alcohol Use Disorders Identification Test), drug use (Drug Abuse Screening Test Short Form 10), problem-solving skills (Social Problem-Solving Inventory–Revised Short Form), and self-reported healthcare costs, as well as health service use measured using Ontario administrative health data. A process evaluation will also be conducted following study completion. Discussion The cohort study will test whether better adherence to the intervention results in better outcomes. The value of the cohort study design is that we can examine in more detail certain subgroups or other variables that are not available in the larger cluster randomised trial. This trial will aim to improve standards by informing best practice in management of men who self-harm and present to hospitals in Ontario. Trial registration ClinicalTrials.gov , NCT03473535 . Registered on March 22, 2018. |
topic |
Self-harm Suicide Problem-solving therapy Blended care Cognitive behaviour therapy Men |
url |
http://link.springer.com/article/10.1186/s13063-020-04424-w |
work_keys_str_mv |
AT simonhatcher thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT marninheisel thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT oyedejiayonrinde thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT juliekcampbell thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT iancolman thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT danieljcorsi thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT nicoleeedgar thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT lindsaygillett thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT sidneyhkennedy thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT sophialakatoohunt thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT paullinks thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT sarahmaclean thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT virajmehta thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT christophermushquash thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT aliciaraimundo thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT sakinajrizvi thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT refiksaskin thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT ayalschaffer thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT alaaddinsidahmed thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT marksinyor thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT claudiosoares thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT monicataljaard thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT valerietesta thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT kednapathavorn thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT venkateshthiruganasambandamoorthy thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT christianvaillancourt thebeaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT simonhatcher beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT marninheisel beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT oyedejiayonrinde beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT juliekcampbell beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT iancolman beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT danieljcorsi beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT nicoleeedgar beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT lindsaygillett beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT sidneyhkennedy beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT sophialakatoohunt beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT paullinks beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT sarahmaclean beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT virajmehta beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT christophermushquash beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT aliciaraimundo beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT sakinajrizvi beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT refiksaskin beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT ayalschaffer beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT alaaddinsidahmed beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT marksinyor beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT claudiosoares beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT monicataljaard beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT valerietesta beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT kednapathavorn beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT venkateshthiruganasambandamoorthy beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario AT christianvaillancourt beaconstudyprotocolforacohortstudyaspartofanevaluationoftheeffectivenessofsmartphoneassistedproblemsolvingtherapyinmenwhopresentwithintentionalselfharmtoemergencydepartmentsinontario |
_version_ |
1724432898869690368 |