2.50
Hdl Handle:
http://hdl.handle.net/10755/183086
Category:
Abstract
Type:
Presentation
Title:
Implementation of a Telehealth Intervention for Patients with Schizophrenia and Suicidality
Author(s):
MacShane, Sharon; Kasckow, John; Taylor, Melissa; Bender, Elaine; Kirkland, Jewelene; Crofutt, Rich; Murray, Teresa; Richmond, Ira; Gurklis, John; Haas, Gretchen
Author Details:
Sharon MacShane, RN, BSN, VA Pittsburgh Health Care System, Pittsburgh, PA, email: sharon.macshane@va.gov; John Kasckow, MD, PhD; Melissa Taylor, RN, PhD; Elaine Bender, RN, BSN; Jewelene Kirkland, RN, MSN; Rich Crofutt, RN, BSN; Teresa Murray, RN, MSN; Ira Richmond, RN, MS, CS, CNAA; John Gurklis, MD; Gretchen Haas, PhD
Abstract:
Purpose: Suicide in patients with schizophrenia is a major public health concern. Innovative treatments are needed for this public health problem. Our aim is to present a study that uses a Telehealth intervention designed to enhance care and reduce suicidality among individuals with schizophrenia. The project demonstrates how clinical research operations can be integrated into ongoing clinical services.
Method: This IRB approved randomized clinical trial involves collaboration between MIRECC and nursing service. Nurses completed research credentialing and engaged in ongoing research seminars, which included inter-rater reliability training for the Scale of Suicidal Ideation (SSI) and the Personal Health Questionaire-9 (PHQ9). Eligible patients are 18 years or older, score at least 1 on items 4 and 5 of the SSI, score > 8 on the HAMD-17, and are diagnosed with schizophrenia or schizoaffective disorder. Upon discharge, all subjects enter a 6-month intensive case management program consisting of twice weekly phone calls and weekly face-to-face visits. Half of the sample is randomized to the Health Buddy (Telehealth) intervention. Protocol assessments completed by nurses include the SSI and PHQ9. Inpatient nurses check daily "Downloads" from each Health Buddy participant. Safety concerns are immediately discussed with the study clinician. In addition nurses are available to answer incoming calls if participating patients are in crisis.
Findings: Our study is in the early phases. At present 14 patients have been recruited and randomized to the protocol. Initial progress shows the viability of integrating direct care nurses into the clinical research process.
Discussion: Clinical research at the point of care is needed to validate innovative care approaches for patients who are high risk for suicide. Our study demonstrates how clinical research can be successfully incorporated into clinical practice, with the ultimate aim of contributing to the development and refinement of best practices.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImplementation of a Telehealth Intervention for Patients with Schizophrenia and Suicidalityen_GB
dc.contributor.authorMacShane, Sharonen_US
dc.contributor.authorKasckow, Johnen_US
dc.contributor.authorTaylor, Melissaen_US
dc.contributor.authorBender, Elaineen_US
dc.contributor.authorKirkland, Jeweleneen_US
dc.contributor.authorCrofutt, Richen_US
dc.contributor.authorMurray, Teresaen_US
dc.contributor.authorRichmond, Iraen_US
dc.contributor.authorGurklis, Johnen_US
dc.contributor.authorHaas, Gretchenen_US
dc.author.detailsSharon MacShane, RN, BSN, VA Pittsburgh Health Care System, Pittsburgh, PA, email: sharon.macshane@va.gov; John Kasckow, MD, PhD; Melissa Taylor, RN, PhD; Elaine Bender, RN, BSN; Jewelene Kirkland, RN, MSN; Rich Crofutt, RN, BSN; Teresa Murray, RN, MSN; Ira Richmond, RN, MS, CS, CNAA; John Gurklis, MD; Gretchen Haas, PhDen_US
dc.identifier.urihttp://hdl.handle.net/10755/183086-
dc.description.abstractPurpose: Suicide in patients with schizophrenia is a major public health concern. Innovative treatments are needed for this public health problem. Our aim is to present a study that uses a Telehealth intervention designed to enhance care and reduce suicidality among individuals with schizophrenia. The project demonstrates how clinical research operations can be integrated into ongoing clinical services. <br/>Method: This IRB approved randomized clinical trial involves collaboration between MIRECC and nursing service. Nurses completed research credentialing and engaged in ongoing research seminars, which included inter-rater reliability training for the Scale of Suicidal Ideation (SSI) and the Personal Health Questionaire-9 (PHQ9). Eligible patients are 18 years or older, score at least 1 on items 4 and 5 of the SSI, score &gt; 8 on the HAMD-17, and are diagnosed with schizophrenia or schizoaffective disorder. Upon discharge, all subjects enter a 6-month intensive case management program consisting of twice weekly phone calls and weekly face-to-face visits. Half of the sample is randomized to the Health Buddy (Telehealth) intervention. Protocol assessments completed by nurses include the SSI and PHQ9. Inpatient nurses check daily &quot;Downloads&quot; from each Health Buddy participant. Safety concerns are immediately discussed with the study clinician. In addition nurses are available to answer incoming calls if participating patients are in crisis. <br/>Findings: Our study is in the early phases. At present 14 patients have been recruited and randomized to the protocol. Initial progress shows the viability of integrating direct care nurses into the clinical research process. <br/>Discussion: Clinical research at the point of care is needed to validate innovative care approaches for patients who are high risk for suicide. Our study demonstrates how clinical research can be successfully incorporated into clinical practice, with the ultimate aim of contributing to the development and refinement of best practices.en_GB
dc.date.available2011-10-28T16:13:57Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:13:57Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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