Table 1 PSG Adaptation feedback across methodologies
Original PSG | CT adaptation suggestions | Qual feedback | |
|---|---|---|---|
Participants | Firearm-owning Mississippi National Guard members | “Total force”/universal delivery among all ADSM and embedded civilians, regardless of firearm ownership | “Total force”/universal delivery among all ADSM and embedded civilians, regardless of firearm ownership, as well as their families |
Domain | Firearm suicide prevention (universal/upstream) | Secure firearm storage promotion to prevent variety of firearm-involved injuries and deaths | Secure firearm storage promotion to prevent firearm-involved injuries and deaths, including suicide, domestic violence, and child access |
Topic | Self-protective environments—either all the time, or planning in case crisis arises | Self- and peer-protective environments, both all the time and planning in case crisis arises | Self- and peer-protective environments, both all the time and planning in case crisis arises |
Facilitator | Study psychologists & psychologist trainees | Trained peers; unit members that are passionate about topic and respected by unit members | Trained peers and leaders; unit members that are passionate about topic and respected by unit members |
Delivery setting | Lab-based delivery; private space | “Real world” during normal working hours; private, safe space | “Real world” during normal working hours; private, safe space |
Method of delivery | Face-to-face, one-on-one | Face-to-face, one-on-one | Face-to-face, one-on-one |
Dose/duration | Single session, 10–15 min | Single session, 10–15 min | Brief single sessions held regularly and made available as needed |
Intervention components | Based on motivational interviewing | Maintain integration of motivational interviewing and encouragement of documenting planned behavior | Maintain integration of motivational interviewing and encouragement of documenting planned behavior |
Participant wrote down their behavior plan on a piece of paper at conclusion | Add educational “primer” campaign proceeding facilitator training and delivery of 1:1 conversation | Include hands-on activities such as taking participants to shooting ranges or creating family-friendly events | |
Facilitator training | Annual, 2 day workshop | 4-h training | Ongoing fidelity monitoring |
Ongoing fidelity monitoring | Role-play/mock sessions included in training | ||
Participant materials | Cable locks provided (if assigned to that trial arm) | Lockboxes available to all participants | Secure locking device of participant’s choosing to all participants |
Installation-specific information and resources |