[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT06359574":3,"trial-entities:NCT06359574":111,"trial-summary:NCT06359574":115},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":20,"study_type":27,"primary_purpose":14,"phases":28,"enrollment_info":30,"interventions":33,"primary_outcomes":40,"secondary_outcomes":54,"sex":70,"minimum_age":71,"maximum_age":72,"healthy_volunteers":15,"eligibility_criteria":73,"std_ages":83,"locations":86,"central_contacts":96,"overall_officials":97,"references":98,"see_also_links":110},"NCT06359574","IRB-24-0209","Core Competency Model for Corrections","Development and Implementation of a Self-Directed Violence (SDV) Prevention Training Program for the North Carolina Department of Adult Corrections","ENROLLING_BY_INVITATION","2025-01-30","2024-12","2024-12-06","2024-04-05","University of North Carolina, Charlotte","OTHER",false,"The overall goal of this project is to design, implement, and revise the Core Competency Model for Corrections (CCM-C), an evidence-based Self-Directed Violence (SDV) prevention training program for correctional mental health providers in the North Carolina Department of Adult Corrections (DAC). The proposed specific aims are:\n\nAim 1: To create the CCM-C training program. Aim 2: To assess preliminary training effectiveness. Aim 3: To gather training program quality improvement feedback from corrections stakeholders.","Investigators will conduct a pilot feasibility and preliminary effectiveness evaluation of the Core Competency Model for Corrections (CCM-C; Cramer et al., 2022). This training approach involves psycho-educational content, self-assessment tools, interactive exercises to address 10 clinical care and practitioner-focused skill sets for suicide and self-injury risk assessment and management. The protocol employs a waitlist control sequential cross-over design and mixed-method evaluation approach targeting 50-100 NC correctional behavioral health clinicians (BHCs). Through an ongoing academic-community partnership, investigators will employ a Corrections Advisory Panel (CAP) to provide expert review of training. The CAP will comprise six NC-DAC BHCs and 4-6 external BHCs with experience in correctional behavioral health. Two training groups will each provide three assessments via an online self-report evaluation battery gathering information regarding participant demographics; SDV prevention knowledge, attitudes, and perceived skills; incarceration-related attitudes; and perceived importance of and intention to use SDV prevention practices.",[19],"Knowledge, Attitudes, Practice",[21,22,23,24,25,26],"Suicide prevention","Self-injury","Risk assessment","Attitudes","Competency","Mental health provider","INTERVENTIONAL",[29],"NA",{"count":31,"type":32},100,"ESTIMATED",[34],{"type":14,"name":35,"description":36,"armGroupLabels":37},"Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training","The Core Competency Model (CCM; Cramer et al., 2013, 2019) is an evidence-based educational training program for BHCs in suicide prevention core suicide prevention skills. The ten core competencies are: (1) Manage personal attitudes and reactions to suicide; (2) Maintain a collaborative stance toward the client; (3) Elicit evidence-based risk and protective factors; (4) Focus on current suicide plan and intent of suicidal ideation; (5) Determine risk level; (6) Enact a collaborative evidence-based treatment plan; (7) Notify and involve other persons; (8) Document risk, plan, and reasoning for clinical decisions; (9) Know the law concerning suicide, and; (10) Engage in debriefing and self-care. The CCM will be adapted for this pilot trial. In light of the SDV problem in carceral settings, the CCM for Corrections (CCM-C; Cramer, Kaniuka, \\& Peiper, 2022) was adapted to address both suicide and self-injury assessment, treatment, and prevention.",[38,39],"Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training group 1","Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training group 2",[41,45,48,51],{"measure":42,"description":43,"timeFrame":44},"Feasibility of the CCM-C training intervention","Feasibility of CCM-C training as measured by the Feasibility of Intervention Measure (FIM; Weiner et al., 2017); the scale ranges from 5-20 where higher scores indicate greater feasibility.","Immediately post-training",{"measure":46,"description":47,"timeFrame":44},"Acceptability","Acceptability of CCM-C training as measured by the self-report subscale on the Feasibility of Intervention Measure (FIM; Weiner et al., 2017); the scale ranges from 5-20 where higher scores indicate greater acceptability.",{"measure":49,"description":50,"timeFrame":44},"Appropriateness","Appropriateness of CCM-C training as measured by the self-report subscale of the Feasibility of Intervention Measure (FIM; Weiner et al., 2017); the scale ranges from 5-20 where higher scores indicate greater appropriateness.",{"measure":52,"description":53,"timeFrame":44},"Usability","Usability of CCM-C training as measured by the self-report subscale of the Feasibility of Intervention Measure (FIM; Weiner et al., 2017); the scale ranges from 5-20 where higher scores indicate greater usability.",[55,58,61,64,67],{"measure":56,"description":57,"timeFrame":44},"Perceived self-directed violence prevention skills","The Suicide Competency Assessment Form (SCAF; Cramer et al., 2013, 2020) will be used to measure participants' perceived SDV prevention skill mastery. The SCAF is a self-report questionnaire that contains 10 items capturing core competencies of the CCM-C training; these items are measured on a four-point scale of perceived competency (1 = incapable; 4 = advanced) where higher scores denote better competency. For the present study, these 10 items was adapted to capture SDV-focused skills.",{"measure":59,"description":60,"timeFrame":44},"Willingness to intervene with a suicidal person","The Attitudes about Intervening with a Suicidal Person (AIBS; Aldrich et al., 2014) self-report questionnaire will be used to measure SDV prevention-focused attitudes and the willingness to intervene in an event where a person is experiencing SDV. The AIBS is a subscale of the larger, recently revised Willingness to Intervene against a Suicidal Person Enhanced questionnaire (Aldrich \\& Cerel, 2023). Higher scores (range 14-90) convey more positive attitudes and greater willingness to intervening with someone in distress.",{"measure":62,"description":63,"timeFrame":44},"Beliefs about incarcerated persons engaging in self-directed violence","The Attitudes toward Prisoners who Self-Harm (APSH; Garbutt \\& Casey, 2015; Ireland \\& Quinn, 2007) scale is a self-report questionnaire that will be used to measure SDV prevention-focused attitudes and stigma. The APSH consists of 25 items with a total score; higher scores (range 25-125\\_ denote more stigmatizing beliefs.",{"measure":65,"description":66,"timeFrame":44},"Self-directed violence prevention knowledge","For this pilot evaluation, investigators created a 10 multiple-choice CCM-C Knowledge Quiz. Correct answers are summed for a total score (range 0-10) where higher scores indicate greater understanding of the CCM-C.",{"measure":68,"description":69,"timeFrame":44},"Perceived importance of training","Investigators will use the intention to use training content scale (Cramer et al., 2019), a brief self-report questionnaire, to capture BHC's perceived importance in using (pre-training) and intent to use (post-training) CCM-C training content. Across seven items, higher scores (item mean 1-5) denote greater perceived importance of the training.","ALL","18 Years","99 Years",{"inclusion":74,"exclusion":79,"raw_text":82},[75,76,77,78],"Behavioral Health Clinician (BHC)","18 years of age or older","Living in the U.S.","Currently employed by the NC DAC",[80,81],"Decisional or cognitive impairments that preclude being able to consent to study participation","Being a member of the study correctional advisory panel (CAP)","Inclusion Criteria:\n\n* Behavioral Health Clinician (BHC)\n* 18 years of age or older\n* Living in the U.S.\n* Currently employed by the NC DAC\n\nExclusion Criteria:\n\n* Decisional or cognitive impairments that preclude being able to consent to study participation\n* Being a member of the study correctional advisory panel (CAP)",[84,85],"ADULT","OLDER_ADULT",[87],{"facility":88,"city":89,"state":90,"zip":91,"country":92,"geoPoint":93},"North Carolina Department of Adult Corrections","Raleigh","North Carolina","27699","United States",{"lat":94,"lon":95},35.7721,-78.63861,[],[],[99,103,107],{"pmid":100,"type":101,"citation":102},"35130009","BACKGROUND","Cramer RJ, Kaniuka AR, Peiper LJ. The core competency model for corrections: An education program for managing self-directed violence in correctional institutions. Psychol Serv. 2022 Nov;19(4):658-670. doi: 10.1037\u002Fser0000624. Epub 2022 Feb 7.",{"pmid":104,"type":105,"citation":106},"40764547","DERIVED","Prowten SD, Cacace SC, Moxie J, Peters A, Corral A, Bowman M, Peiper LJ, Cramer RJ. Core competency model self-directed violence prevention training program for corrections: a hybrid feasibility-effectiveness trial. BMC Public Health. 2025 Aug 5;25(1):2655. doi: 10.1186\u002Fs12889-025-23853-3.",{"pmid":108,"type":105,"citation":109},"39118161","Peiper LJ, Cramer RJ, Cacace SC, Peters A, Corral AR, Post AF, Prowten SD, Moxie J. Development and implementation of a self-directed violence prevention training program for correctional behavioral health providers: a clinical trial study protocol. Pilot Feasibility Stud. 2024 Aug 8;10(1):107. doi: 10.1186\u002Fs40814-024-01533-0.",[],{"nct_id":4,"conditions":112,"biomarkers":114},[113,21],"Self-Injury",[],{"nct_id":4,"found":15,"summary":116,"prompt_version":116},null]