A Randomised Controlled Trial to Evaluate a Violence Brief Intervention (VBI) for Adult Male Patients With Facial Injuries Sustained as a Result of Interpersonal Violence
试验速览
- 阶段
- 不适用
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Re-admission for trauma injury
研究概览
简要总结
This study is a randomised controlled trial of a new brief intervention with young (16-29) adult male patients who have a facial injury sustained as a result of interpersonal violence (fighting or assaults). It will be undertaken at the Maxillofacial outpatient trauma clinic at the Southern General Hospital, Glasgow. The major risk factors associated with facial injury in Scotland are male gender, young age, interpersonal violence and alcohol. Previous research with facial injury patients attending this clinic has shown that an Alcohol Brief Intervention (ABI) is effective in helping reduce alcohol consumption, so all patients are now offered ABI as standard practice. ABI is delivered by trained nurses from Addiction Services. This will not be withdrawn. In addition we wish to offer some patients a Violence Brief Intervention (VBI). This will be delivered by the same nurses who deliver the ABI. The study is randomised so only those selected at random will receive this extra intervention and all others will receive treatment as normal (ABI only). VBI is a short psychological intervention which uses Brief Motivational Interviewing (BMI) to encourage reflection of involvement in violence and consideration of strategies to avoid future violence. The intervention also compares participants' attitudes towards violence to those of their peers. The intervention takes about 15 minutes, and patients will be involved for an additional 30-45 minutes longer than normal when they attend the clinic, including consent and baseline data collection. Patients will be followed up by telephone at 1, 3 and 6 months, and asked a suite of questions which will take approximately 15 minutes on each occasion. We wish to determine whether a VBI of this type has any effect on attitudes to violence or propensity for involvement in violence or on reinjury, examined through self report measures and routinely collected health and criminal justice data at 12 months post intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 28 Years（Child, Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •facial trauma patients
- •Facial injury resulting from interpersonal violence (whether victim or perpetrator)
- •Able to give informed consent
- •Willing to commit to screening intervention and follow up programme lasting 6 months
- •Within 28 days of injury
- •Willing to provide either a contact telephone number or email address for the followup surveys
- •Participants score ≥ 3/16 on the Fast Alcohol Screening Test (FAST)
排除标准
- •Unable to give informed e.g. adults with dementia, severe psychiatric problems, patients with learning difficulties who cannot consent for themselves
- •Under 16 or over 29 years of age.
- •Injury more than 28 days old
- •Participants score ≤ 2/16 on the FAST measure
研究组 & 干预措施
Violence Brief Intervention
Participants receive a standard of care brief motivational intervention (BMI) to address alcohol consumption (ABI) based on self reported use and their relationship between consumption and behavior, followed by an additional BMI to address how involvement in violence (VBI) impacts their life, relationship to social norms, and strategies to avoid violence.
干预措施: Violence Brief Intervention (Behavioral)
Control
Participants receive only ABI
干预措施: ABI (Behavioral)
结局指标
主要结局
Re-admission for trauma injury
时间窗: 12 months post-intervention
Named in police crime report as perpetrator, victim or witness of violence
时间窗: 12 months post-intervention
Attitudes toward violence
时间窗: 1, 3 and 6 months post intervention
次要结局
- Participant relationships to alcohol measured using the Fast Alcohol screening test(Baseline)