Emergency Department Healthcare Education Assessment and Response for Teen Relationships: A Pilot Feasibility Study

Not Applicable

Completed

Conditions: Intimate Partner Violence
Adolescent Behavior
Abuse Domestic
Abuse Mental
Emergency Department
Abuse Physical
Abuse Verbal
HEART

Brief Summary: This is a single-site, randomized, controlled trial. Investigators will evaluate feasibility of the Emergency Department Healthcare Education Assessment and Response for Teen Relationships (ED-HEART) intervention among adolescents age 14-19 years receiving care in the Children's Mercy emergency department.

Detailed Description: This study is a mixed methods feasibility evaluation that will use a randomized controlled trial to assess feasibility of Emergency Department Healthcare Education Assessment and Response for Teen Relationships (ED-HEART) (intervention arm: ED-HEART + teen resource list; control arm: enhanced standard care \[standard care + teen resource list\]). Adolescents age 14-19 years will be recruited and enrolled during an emergency department visit. Investigators will evaluate feasibility using the eight Bowen model feasibility constructs: acceptability, demand, implementation, practicality, adaptation, integration, expansion, and limited-efficacy testing. Investigators will also examine theory of planned behavior constructs (attitudes, beliefs, perceived behavioral control, intention) to facilitate exploratory analysis of factors that may contribute to differential outcomes.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Developmental delay, severe illness, or cognitive impairment precluding informed consent/assent or completion of study activities, as determined by ED team or study team.
Current ED evaluation for acute sexual assault/abuse.
Current mental or behavioral health symptoms precluding completion of study activities, as determined by ED team or study team.
Caregiver declines to step out to allow assent/consent in private or adolescent declines for caregiver to step out to allow assent/consent or participation in private.
Adolescent is non-English speaking.
Parent is non-English or non-Spanish speaking.

Arm && Interventions

Group	Intervention	Description
ED-HEART (Intervention Arm)	ED-HEART	All adolescents take a baseline survey in the Emergency Department (ED), receive Emergency Department Healthcare Education Assessment and Response for Teen Relationships (ED HEART) by a trained health educator, complete an exit survey while in the ED, complete a 6-week check-in to confirm contact information and aid retention, and complete a 12-week follow up survey.

Primary Outcome Measures

Name	Time	Method
Participant Acceptability Ratings for Healthcare Provider Discussions on Relationships in ED-Heart Intervention Arm	12 weeks	1 survey item (investigator-developed) on acceptability of healthcare providers discussing healthy/unhealthy relationships, rated using 5-point Likert scale (strongly disagree/1 to strongly agree/5)
Participant Acceptability Ratings for ED-based Relationship Intervention in ED-Heart Intervention Arm	12 weeks	1 survey item (investigator-developed) on acceptability of emergency department based healthy/unhealthy relationships intervention, rated using 5-point Likert scale (strongly disagree/1 to strongly agree/5)

Secondary Outcome Measures

Name	Time	Method
ARA Victimization	12 weeks	Report of ARA victimization will be considered positive for any positive answer to one or more of six survey items assessing physical ARA, sexual ARA, sexual exploitation within a dating relationship, and (among females) reproductive coercion.
Recognition of Abusive Behaviors	12 weeks	19 survey items, adapted from the Recognition of ARA Scale. Each item answered with 5-point Likert scale that categorizes each behavior from not abusive (1) to extremely abusive (5). Scored as mean; higher score indicates increased recognition of behaviors as abusive.