让利益相关者参与为路易斯安那州枪支培训课程开发一个自杀预防学习模块。
Engaging stakeholders to develop a suicide prevention learning module for Louisiana firearm training courses.
作者信息
Houtsma Claire, Powers Jeffrey, Raines Amanda M, Bailey Matthew, Barber Catherine, True Gala
机构信息
Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA, 70119, USA.
South Central Mental Illness Research, Education and Clinical Center, New Orleans, LA, USA.
出版信息
Inj Epidemiol. 2023 Jan 11;10(1):3. doi: 10.1186/s40621-023-00413-0.
BACKGROUND
Firearm suicide is a significant public health problem in the United States of America among the general and veteran populations. Broad-based preventive strategies, including lethal means safety, have been emphasized as a key approach to suicide prevention. Prior research has identified ways to improve the reach and uptake of lethal means safety messages. However, few resources have been created with these lessons in mind.
METHODS
Louisiana firearm owners and instructors were recruited through a larger project, Veteran-Informed Safety Intervention and Outreach Network, as well as a publicly available database of firearm instructors to participate in focus groups to provide feedback on an existing suicide prevention learning module (developed in Utah) for use by firearm instructors. Their feedback was used to adapt the module, which included a brief video and PowerPoint presentation. Firearm owners and instructors were then invited back for another round of focus groups to provide feedback on this adapted learning module. Team-based rapid qualitative analysis was conducted to identify themes across transcripts from these four focus groups.
RESULTS
Firearm owners and instructors agreed on several key themes, including the importance of messenger relatability and aligning the lethal means safety message with firearm owner values. Feedback suggested these themes were adequately addressed in the adapted learning module and contributed to overall module acceptability. The final theme, present across the original and adapted learning modules (i.e., Utah and Louisiana), was openness to further information and training on firearm suicide prevention.
CONCLUSION
Consistent with a public health approach to suicide prevention, the current study used stakeholder engagement to develop a suicide prevention learning module perceived as representative, accurate, and acceptable to Louisiana firearm owners and instructors. These findings can be used to inform firearm suicide prevention efforts in other states.
背景
在美国普通人群和退伍军人中，枪支自杀是一个重大的公共卫生问题。包括致命手段安全在内的广泛预防策略已被强调为预防自杀的关键方法。先前的研究已经确定了提高致命手段安全信息传播范围和接受度的方法。然而，很少有资源是根据这些经验教训创建的。
方法
通过一个更大的项目“退伍军人知情安全干预与外展网络”以及一个公开可用的枪支教练数据库，招募了路易斯安那州的枪支所有者和教练，让他们参加焦点小组，就现有的（在犹他州开发的）用于枪支教练的自杀预防学习模块提供反馈。他们的反馈被用于调整该模块，该模块包括一个简短的视频和PowerPoint演示文稿。然后邀请枪支所有者和教练回来参加另一轮焦点小组，就这个经过调整的学习模块提供反馈。进行了基于团队的快速定性分析，以确定这四个焦点小组的记录中的主题。
结果
枪支所有者和教练在几个关键主题上达成了一致，包括传达者的亲和力以及使致命手段安全信息与枪支所有者价值观保持一致的重要性。反馈表明，这些主题在经过调整的学习模块中得到了充分体现，并有助于提高模块的整体可接受性。最后一个主题贯穿于原始学习模块和经过调整的学习模块（即犹他州和路易斯安那州的模块），即愿意接受关于枪支自杀预防的更多信息和培训。
结论
与预防自杀的公共卫生方法一致，当前的研究利用利益相关者的参与来开发一个被路易斯安那州枪支所有者和教练认为具有代表性、准确且可接受的自杀预防学习模块。这些发现可用于为其他州的枪支自杀预防工作提供信息。
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