Integrated Screening and Safety Planning (ISSP)

My Role

Design Coach

As a Design Coach, I consult with the ISSP team on utilizing methods and facilitate reflection when the team transitions between phases of the design process. I’ve also created the protocol for the usability assessments conducted and am co-leading the analysis of usability assessment data.

Timeline of Involvement

November 2023 – Ongoing

Design Phase(s) of Involvement

Design/Build

Overview

Adolescents and young adults with suicidal ideation are often seen in medical settings, and detection has increased with the addition of screening protocols. However, pediatric clinicians report that they do not feel well prepared or have adequate resources to support these youth. The ISSP study seeks to address this gap by empowering health care clinicians, youth, and their parents through innovative tools seamlessly integrated into pediatric outpatient medical settings (OMS) to increase effective assessment and provide timely, evidence-based resources to increase self-efficacy and reduce suicidality. Jaspr Health is a digital tool focused on enhanced assessment and evidence-based prevention for suicidal ideation originally designed for the emergency department. The ISSP team is adapting the Jaspr Health tool for adolescents and young adults in pediatric OMS.

Goals

The ISSP project has three goals. My involvement focused on the first of these.

Optimize a digital tool for assessment and collaborative safety planning through a co-design workgroup.
Design clinic flow procedures, as well as training and support materials to guide implementation in outpatient medical clinics.
Pilot and compare the digital tool to usual care in pediatric outpatient medical settings.

Research Team

Laura Richardson, MD, MPH: Principal Investigator
Cari McCarty, PhD: Co-principal investigator
Shanise Owens, MA, MSc, AMFT: Clinical Research Scientist
Adia Abler: Research Scientist
Becca Vu: Research Assistant

Methods

The ISSP Project is focused on the Design/Build and Test Phases of the Discover, Design/Build, & Test Framework (DDBT). These phases will accomplish the Preparation Phase Goals for the Multiphase Optimization Strategy (MOST) Framework. You can learn more about how we’ve utilized a DDBT + MOST methodological framework at SCRC here. Learn more about the specific methods we used in the ISSP project below.

Since November 2023, we have conducted scenario-based usability assessments with clinicians, adolescent and young adult patients, and their families. I created the protocol for these assessments and co-led the analysis.
During these assessments, participants utilize the Jaspr Health tool as if they were providing treatment/being treated in an outpatient clinic. Additionally, we administered four quantitative measures to assess components of the JASPR tool: Acceptability of Intervention Measure (AIM), Feasibility of Intervention Measure (FIM), Intervention Appropriateness Measure (IAM), and System Usability Scale (SUS). These quantitative metrics were required standard measures for all studies funded by SCRC.
While conducting assessments, we’ve leveraged a Rapid Group Analysis Process (Rap-GAP) to analyze feedback into a set of user needs for each user group (clinicians, adolescents & young adults, and their families), as well as a list of usability issues for implementing the Jaspr Health tool into OMS. These needs and usability issues have informed the iterative development of a new instance of the Jaspr Health tool, which has been adapted for adolescents and young adults in OMS.
Starting in late 2025, the adapted version of the Jaspr Health tool will be piloted in four Seattle Children’s Hospital outpatient clinics.

Results

While the full results of this study are not yet available, the video below shares preliminary results from our Design/Build Phase activities. This section will be updated once results are publicly available.