Evaluation of a Community Suicide Prevention Project (Roots of Hope): Protocol for an Implementation Science Study
BackgroundRoots of Hope (RoH) is a multisite Canadian community-based suicide prevention initiative developed by the Mental Health Commission of Canada (MHCC), which is based on evidence for intervention effectiveness and World Health Organization recommendations. Seven commu...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-06-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2023/1/e39978 |
| _version_ | 1797734040476844032 |
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| author | Brian L Mishara Anh Tu Tran Lianna Chondo Amanda Demmer Laura Harris-Lane Sheila Harper Jalila Jbilou Hazel Williams-Roberts Tanya Wilson |
| author_facet | Brian L Mishara Anh Tu Tran Lianna Chondo Amanda Demmer Laura Harris-Lane Sheila Harper Jalila Jbilou Hazel Williams-Roberts Tanya Wilson |
| author_sort | Brian L Mishara |
| collection | DOAJ |
| description |
BackgroundRoots of Hope (RoH) is a multisite Canadian community-based suicide prevention initiative developed by the Mental Health Commission of Canada (MHCC), which is based on evidence for intervention effectiveness and World Health Organization recommendations. Seven communities developed local activities in the following 5 pillars: specialized supports, training and networks, public awareness, means safety, and evaluation research.
ObjectiveWe aim to use an implementation research approach to understand the RoH model for reducing suicidal behaviors and their impacts in communities, and the lessons learned for the equitable development and implementation of RoH in different contexts. Moreover, we want to understand how the program is implemented in relation to the context, the causal pathways, and the factors influencing successful implementation. The evaluation includes assessments of short-term and intermediate effects at each site and overall.
MethodsThe principal investigator (PI) developed a consensus among local research coordinators on common approaches and indicators through ongoing participation in an online community of practice, and regular virtual and in-person meetings. At the completion of the pilot phase, the PI will summarize evaluation results across sites and conduct pooled analyses. The RoH theory of change and evaluation model shows how evaluation activities from the planning phase through the implementation of activities in each of the pillars can help clarify the viability of the RoH model and identify factors that facilitate and inhibit effective and equitable implementation in different contexts. Beginning with a situational analysis to identify resources in each community and local specificities, we will examine the implementation characteristics of conformity, dosage, coverage, quality, utility, equity, appreciation, facilitators, and impediments. Evaluation of short-term effects will focus on changes in knowledge, attitudes, behaviors, help-seeking, service use, stigma, media reports, empowerment, and care experiences. Intermediate effects, long-term effects, and impact will include assessments of the changes in suicides, suicide attempt rates, and suicide risk indicators. A variety of data sources, both quantitative and qualitative, will be used.
ResultsThe quantitative and qualitative data from all sites will be summarized by the PI in March 2023 to draw conclusions to help the MHCC in its improvements to the RoH model, and to inform communities about how to better implement RoH. Since the COVID-19 pandemic occurred at the beginning of program implementation, its impact and influence will be documented. The validity of RoH in contributing to the prevention of suicides and suicidal behaviors will be clarified in a variety of contexts. The final evaluation report will be available in September 2023.
ConclusionsThe evaluation results, including the identification of factors that facilitate and inhibit the implementation of RoH and the adaptations to challenges, will be useful to the MHCC, current RoH communities, and those considering adopting the RoH model.
International Registered Report Identifier (IRRID)DERR1-10.2196/39978 |
| first_indexed | 2024-03-12T12:38:30Z |
| format | Article |
| id | doaj.art-8ce3451d6aca421cb36b2ab1324e8fe6 |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-03-12T12:38:30Z |
| publishDate | 2023-06-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-8ce3451d6aca421cb36b2ab1324e8fe62023-08-29T00:03:08ZengJMIR PublicationsJMIR Research Protocols1929-07482023-06-0112e3997810.2196/39978Evaluation of a Community Suicide Prevention Project (Roots of Hope): Protocol for an Implementation Science StudyBrian L Misharahttps://orcid.org/0000-0003-2449-6269Anh Tu Tranhttps://orcid.org/0000-0002-2025-5006Lianna Chondohttps://orcid.org/0009-0005-4662-9933Amanda Demmerhttps://orcid.org/0009-0008-4941-4876Laura Harris-Lanehttps://orcid.org/0000-0002-0559-5969Sheila Harperhttps://orcid.org/0009-0004-8776-5133Jalila Jbilouhttps://orcid.org/0000-0002-1776-4141Hazel Williams-Robertshttps://orcid.org/0000-0002-8040-3779Tanya Wilsonhttps://orcid.org/0009-0004-3178-1732 BackgroundRoots of Hope (RoH) is a multisite Canadian community-based suicide prevention initiative developed by the Mental Health Commission of Canada (MHCC), which is based on evidence for intervention effectiveness and World Health Organization recommendations. Seven communities developed local activities in the following 5 pillars: specialized supports, training and networks, public awareness, means safety, and evaluation research. ObjectiveWe aim to use an implementation research approach to understand the RoH model for reducing suicidal behaviors and their impacts in communities, and the lessons learned for the equitable development and implementation of RoH in different contexts. Moreover, we want to understand how the program is implemented in relation to the context, the causal pathways, and the factors influencing successful implementation. The evaluation includes assessments of short-term and intermediate effects at each site and overall. MethodsThe principal investigator (PI) developed a consensus among local research coordinators on common approaches and indicators through ongoing participation in an online community of practice, and regular virtual and in-person meetings. At the completion of the pilot phase, the PI will summarize evaluation results across sites and conduct pooled analyses. The RoH theory of change and evaluation model shows how evaluation activities from the planning phase through the implementation of activities in each of the pillars can help clarify the viability of the RoH model and identify factors that facilitate and inhibit effective and equitable implementation in different contexts. Beginning with a situational analysis to identify resources in each community and local specificities, we will examine the implementation characteristics of conformity, dosage, coverage, quality, utility, equity, appreciation, facilitators, and impediments. Evaluation of short-term effects will focus on changes in knowledge, attitudes, behaviors, help-seeking, service use, stigma, media reports, empowerment, and care experiences. Intermediate effects, long-term effects, and impact will include assessments of the changes in suicides, suicide attempt rates, and suicide risk indicators. A variety of data sources, both quantitative and qualitative, will be used. ResultsThe quantitative and qualitative data from all sites will be summarized by the PI in March 2023 to draw conclusions to help the MHCC in its improvements to the RoH model, and to inform communities about how to better implement RoH. Since the COVID-19 pandemic occurred at the beginning of program implementation, its impact and influence will be documented. The validity of RoH in contributing to the prevention of suicides and suicidal behaviors will be clarified in a variety of contexts. The final evaluation report will be available in September 2023. ConclusionsThe evaluation results, including the identification of factors that facilitate and inhibit the implementation of RoH and the adaptations to challenges, will be useful to the MHCC, current RoH communities, and those considering adopting the RoH model. International Registered Report Identifier (IRRID)DERR1-10.2196/39978https://www.researchprotocols.org/2023/1/e39978 |
| spellingShingle | Brian L Mishara Anh Tu Tran Lianna Chondo Amanda Demmer Laura Harris-Lane Sheila Harper Jalila Jbilou Hazel Williams-Roberts Tanya Wilson Evaluation of a Community Suicide Prevention Project (Roots of Hope): Protocol for an Implementation Science Study JMIR Research Protocols |
| title | Evaluation of a Community Suicide Prevention Project (Roots of Hope): Protocol for an Implementation Science Study |
| title_full | Evaluation of a Community Suicide Prevention Project (Roots of Hope): Protocol for an Implementation Science Study |
| title_fullStr | Evaluation of a Community Suicide Prevention Project (Roots of Hope): Protocol for an Implementation Science Study |
| title_full_unstemmed | Evaluation of a Community Suicide Prevention Project (Roots of Hope): Protocol for an Implementation Science Study |
| title_short | Evaluation of a Community Suicide Prevention Project (Roots of Hope): Protocol for an Implementation Science Study |
| title_sort | evaluation of a community suicide prevention project roots of hope protocol for an implementation science study |
| url | https://www.researchprotocols.org/2023/1/e39978 |
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