Evaluation of Violence Prevention Strategies to Prevent and Reduce Community Levels of Youth Violence
- Conditions
- Exposure to Violent EventViolenceAdolescent Behavior
- Interventions
- Behavioral: PAR - the SEED MethodBehavioral: PAR-Youth VoicesBehavioral: Emerging Leaders hospital-based intervention
- Registration Number
- NCT06176300
- Lead Sponsor
- Virginia Commonwealth University
- Brief Summary
The goal of this research study is to implement and evaluate a comprehensive community-level approach, Healthy Communities for Youth, that includes both a selective hospital-based prevention strategy, Emerging Leaders, and universal prevention strategies that increase Positive Youth Development opportunities through participatory action research, stakeholder education, community mobilization, and an overall focus on increasing community capacity for prevention. Key project aims are to evaluate the impact of Healthy Communities for Youth on community rates of youth violence using surveillance data and evaluate the impact of each violence prevention strategy on proximal outcomes including their impact on risk factors and protective processes related to multiple forms of youth violence.
- Detailed Description
This project focuses on three communities in Richmond selected based on US Census Bureau block groups and their high rates of youth violence and concentrated poverty. The community-level effects of implementing the comprehensive community-level approach will be evaluated using a multiple baseline design. The three communities were randomly assigned such that the intervention would begin in one community starting in the fourth quarter of Year 1, a second community in the fourth quarter of Year 2, and the third community will represent a no-intervention control community receiving training and technical assistance at the end of the project. Analyses will be conducted on community-level surveillance data on violence-related variables to determine if the introduction of the community-level intervention within each community is associated with subsequent changes in outcome measures.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 3390
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description Community B PAR-Youth Voices - Community B PAR - the SEED Method - Community B Emerging Leaders hospital-based intervention - Community A PAR - the SEED Method - Community A PAR-Youth Voices - Community A Emerging Leaders hospital-based intervention -
- Primary Outcome Measures
Name Time Method Firearm Aggression Questionnaire (FAQ) Baseline and 6 months after baseline Self-report assessments of violence involving firearms
Critical Consciousness Baseline and 17 weeks later Youth report on how much they agree with statements that reflect the awareness, perception, and reflection on societal experiences of inequality.
Reactive-Proactive Aggression Questionnaire (RPQ) Baseline and 6 months after baseline 23 item measures of aggression and antisocial behavior
Beliefs About Aggression and Alternatives (BAA) Baseline and 6 months after baseline 12 item measures that uses a 4-point Likert scale to assess agreement and disagreement on items involving the use of aggression
Gun Violence Questionnaire (GVQ) Baseline and 6 months after baseline Self-report assessments of violence involving firearms
Peer Pressure for Fighting (PPF) Baseline and 6 months after baseline A questionnaire about peer pressure for fighting is a subscale derived from the Problem Behavior Frequency Scales-Adolescent Report
Youth Dating Violence Questionnaire (YDVQ) Baseline and 6 months after baseline 21 item measure that assesses youth dating violence perpetration
Engagement in Community Advocacy Baseline and 17 weeks later Youth report on the frequency with which they have engaged in these specified community advocacy activities.
Orientation to Community Advocacy Baseline and 17 weeks later Youth report on how much they agree with statements that indicate and orientation of working cooperatively with others for community advocacy and change.
Emotional Motivation to Engage in Community Advocacy Baseline and 17 weeks later Youth report on how much they agree with statements about feeling anger in the face of thinking about and learning about social injustice and the extent to which they engage in specific emotion regulation strategies when feeling this anger.
Civic Engagement Baseline and 17 weeks later Youth report on how important it is to have certain social responsibility and political beliefs, the frequency with which they volunteer, their voting intentions in the future, and their news consumption.
- Secondary Outcome Measures
Name Time Method Orientation Toward Leadership Baseline and 17 weeks after baseline Youth report on how much they agree that they have the capacity and responsibility to engage in leadership behaviors.
Social and Emotional Skills Baseline and 17 weeks after baseline Youth report on how easy or difficult it is for them to engage in certain positive social and emotional behaviors.
Adverse Childhood Experiences (ACES) Baseline and 6 months after baseline It is a 10-item measure intended to assess 10 types of childhood adversity in three different areas of abuse, including emotional and physical abuse, physical neglect, and abuse associated with living in a dysfunctional household. An ACE Score of 0 suggest that the person reported no exposure to childhood trauma. An ACE Score of 10 suggests that the person reported exposure to childhood trauma. The higher the ACE Score, the greater the likelihood that a person will develop one or more of the following health problems: ischemic heart disease, cancer, chronic bronchitis or emphysema, hepatitis or jaundice skeletal fractures, diabetes, smoking, sexually transmitted diseases , depression, etc.Measure administered to determine emotional, physical, and sexual abuse; emotional and physical neglect; and growing up with domestic violence, parental marital discord, substance abuse, mental illness, and incarceration of a household member experienced during the first 18 years of life
Ethnic-Racial Identity Baseline and 17 weeks after baseline Youth report on their own views about being a member of their ethnic-racial group, how central their ethnic-racial group membership is to their identity, and how they think others view people of their ethnic-racial group.
Developmental Assets Profile (DAP) Baseline and 6 months after baseline 58 item measure that was developed for youth aged 11-18 to assess the strengths and qualities that are believed to promote resilience and positive development.
Behavior Assessment System for Children (BASC) Baseline and 6 months after baseline 189 item survey that assesses hyperactivity, aggression, conduct problems, and executive function in youth. It also assesses anxiety, depression, attention and learning problems, as well as the lack of certain essential skills
Research skills & Orientation Toward Research Baseline and 17 weeks after baseline Youth report on the extent to which they know how to use certain research skills and whether they believe that research skills can be useful for community change.
Leadership Skills Baseline and 17 weeks after baseline Youth report on the extent to which they believe they possess certain leadership skills.
Involvement in Youth Oriented Activities Baseline and 17 weeks after baseline Youth report their participation and frequency of participation in 25 types of youth-oriented activities at school or in the community.
Satisfaction & Experiences in the Youth Voices Program Baseline and 17 weeks after baseline Youth report their overall satisfaction, perception, and important experiences from participating in the Youth Voices program and working together in a group.
Trial Locations
- Locations (1)
Virginia Commonwealth University
🇺🇸Richmond, Virginia, United States