Knowledge, Attitudes, PracticeCCM-CNCT06359574
Core Competency Model for Corrections
A study testing Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training in people with Knowledge, Attitudes, Practice, run by University of North Carolina, Charlotte at 1 site in United States.
Trial summary
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). Read more about this study
- Who is it for?
- Ages 18 to 99 years
- Conditions the study is for
- Knowledge, Attitudes, Practice
- What is being tested?
- Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- 1 siteUnited States
- Study dates
- 5 Apr 2024to 30 Jan 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 99 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Behavioral Health Clinician (BHC)
- 18 years of age or older
- Living in the U.S.
- Currently employed by the NC DAC
Who cannot join
- Decisional or cognitive impairments that preclude being able to consent to study participation
- Being a member of the study correctional advisory panel (CAP)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site
North Carolina Department of Adult Corrections
Raleigh, North Carolina, 27699
About this study
Official title: Development and Implementation of a Self-Directed Violence (SDV) Prevention Training Program for the North Carolina Department of Adult Corrections
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:
Aim 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.
Read the detailed description
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.
- Conditions
- Knowledge, Attitudes, Practice
- Being tested
- Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training
- Keywords
- Suicide prevention, Self-injury, Risk assessment, Attitudes, Competency, Mental health provider
- Medical subject headings
- Behavior, Suicide Prevention, Self-Injurious Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention TrainingOther
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.
| Study group | Role | What they receive |
|---|---|---|
| Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training group 1 | Experimental | Receives CCM-C training two weeks after baseline assessment. Receives: Other: Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training |
| Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training group 2 | Experimental | Receives CCM-C training two weeks after follow-up 1 assessment. Receives: Other: Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: Immediately post-training
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.
Measured: Immediately post-training
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.
Measured: Immediately post-training
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.
Measured: Immediately post-training
Secondary outcomes (5)
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.
Measured: Immediately post-training
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.
Measured: Immediately post-training
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.
Measured: Immediately post-training
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.
Measured: Immediately post-training
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.
Measured: Immediately post-training
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Apr 2024
- Study start5 Apr 2024
- Primary completion31 Dec 2024 (estimated)
- Study completion30 Jan 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Knowledge, Attitudes, PracticeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of North Carolina, Charlotte
- Sponsor type
- University, hospital or other
- Collaborators
- North Carolina Department of Adult Corrections, North Carolina Department of Health and Human Services
- Responsible party
- Principal investigator, Robert J. Cramer, PhD, University of North Carolina, Charlotte
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06359574
- Sponsor's protocol ID
- IRB-24-0209
- Acronym
- CCM-C
- Status last verified
- Dec 2024
- First submitted
- 6 Mar 2024
- Last updated
- 6 Dec 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
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/ser0000624. Epub 2022 Feb 7.
PubMed 35130009Prowten 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/s12889-025-23853-3.
PubMed 40764547Peiper 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/s40814-024-01533-0.
PubMed 39118161
Study at a glance
From the registry record, last updated by the sponsor on 6 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Development and Implementation of a Self-Directed Violence (SDV) Prevention Training Program for the North Carolina Department of Adult Corrections
- ClinicalTrials.gov ID
- NCT06359574
- Acronym / sponsor ID
- CCM-C / IRB-24-0209
- Conditions
- Knowledge, Attitudes, Practice
- Keywords
- Suicide prevention, Self-injury, Risk assessment, Attitudes, Competency, Mental health provider
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- University of North Carolina, CharlotteUniversity, hospital or other
- Collaborators
- North Carolina Department of Adult Corrections, North Carolina Department of Health and Human Services
- Study start
- 5 Apr 2024 (actual)
- Primary completion
- 31 Dec 2024 (estimated)
- Study completion
- 30 Jan 2025 (estimated)
- First posted
- 11 Apr 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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:
Aim 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.
Detailed description
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.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training group 1 | Experimental | Other: Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention TrainingReceives CCM-C training two weeks after baseline assessment. |
| Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training group 2 | Experimental | Other: Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention TrainingReceives CCM-C training two weeks after follow-up 1 assessment. |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Behavioral Health Clinician (BHC)
- 18 years of age or older
- Living in the U.S.
- Currently employed by the NC DAC
Key exclusion criteria (2 listed)
- Decisional or cognitive impairments that preclude being able to consent to study participation
- Being a member of the study correctional advisory panel (CAP)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention TrainingThe 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. | Other | 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 |
Primary outcome
Feasibility of the CCM-C training intervention
Time frame: Immediately post-training
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.
Acceptability
Time frame: Immediately post-training
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.
Appropriateness
Time frame: Immediately post-training
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.
Usability
Time frame: Immediately post-training
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.
5 secondary outcomes
Perceived self-directed violence prevention skills
Time frame: Immediately post-training
Willingness to intervene with a suicidal person
Time frame: Immediately post-training
Beliefs about incarcerated persons engaging in self-directed violence
Time frame: Immediately post-training
Self-directed violence prevention knowledge
Time frame: Immediately post-training
Perceived importance of training
Time frame: Immediately post-training
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Dec 2024.
- Background: PubMed 35130009Cramer 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/ser0000624. Epub 2022 Feb 7.
- Derived from this study: PubMed 40764547Prowten 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/s12889-025-23853-3.
- Derived from this study: PubMed 39118161Peiper 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/s40814-024-01533-0.
- Individual participant dataSharing planned: No
Related trials for Knowledge, Attitudes, Practice
Not yet recruiting
Pilot Study to Co-create and Implement a Multicomponent Intervention to Reduce Mental Health Stigma in Primary Care
Mental Health, Stigma of Mental Illness
Active, not recruiting
A Multilevel Intervention to Improve Adherence to Childhood Cancer Survivorship
Childhood Cancer, Survivorship
Recruiting
Frailty Training for Emergency Nurses: A Cluster RCT in Morocco
Frail Elderly, Frailty
Not yet recruiting
Simulation-Based Medical Waste Training for Palliative Caregivers
Medical Waste Management
Active, not recruiting
Engaging Adolescents in Decisions About Return of Genomic Research Results
Genetic Screening, Adolescent
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Core Competency Model for Corrections (CCM-C) Self-Directed Violence Prevention Training in people with Knowledge, Attitudes, Practice, run by University of North Carolina, Charlotte at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: enrolling by invitation, as of the sponsor's last update on 6 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Feasibility of the CCM-C training intervention (time frame: Immediately post-training). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06359574, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Dec 2024.