VCU Healthy Communities for Youth: Evaluation of Violence Prevention Strategies to Prevent and Reduce Community Levels of Youth Violence
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 3,390
- 试验地点
- 1
- 主要终点
- Firearm Aggression Questionnaire (FAQ)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •PAR-SEED Method:
- •Inclusion criteria:
- •Community residents, youth aged 12-17 and parents, living in one of the intervention communities (Community A and Community B)
- •Stakeholders who reside or work in one of the intervention communities (Community A and Community B) or who contribute other expertise
- •Be able to consent/assent
- •Exlcusion criteria:
- •Those who do not meet the inclusion criteria
- •Those with limited English proficiency
- •Emerging Leaders:
- •Inclusion criteria:
- •Violently injured or high-risk youth that have either received or are receiving treatment or had a family member or relative receive treatment at VCU Health, or who live in one of the intervention communities, or have been referred by a community partner.
- •Aged 14 through 24
- •Reside in one of the two intervention communities (Community A and Community B) or in the control community (Community C)
- •Be able to consent/assent
排除标准
- •Youth younger than 14 and older than 24 will be excluded.
- •Prisoners will be excluded.
- •Those living outside our community boundaries will be excluded.
- •PAR/Youth Voices:
- •Inclusion criteria:
- •Youth in grades 9 through 12
- •Reside in one of the intervention communities (Community A and Community B) and attend the designated high school(s) serving that community (Community A or Community B)
- •Be able to consent/assent
- •Exclusion criteria:
- •Youth in grades below 9th
- •Youth who have graduated from high school
- •Youth recruited for School A, cannot reside in the catchment areas for Communities B or C. Youth recruited for School B, cannot reside in the catchment areas for Communities A or C. Youth recruited for School C, cannot reside in the catchment areas for Communities A or B.
研究组 & 干预措施
Community A
干预措施: PAR - the SEED Method (Behavioral)
Community A
干预措施: PAR-Youth Voices (Behavioral)
Community A
干预措施: Emerging Leaders hospital-based intervention (Behavioral)
Community B
干预措施: PAR - the SEED Method (Behavioral)
Community B
干预措施: PAR-Youth Voices (Behavioral)
Community B
干预措施: Emerging Leaders hospital-based intervention (Behavioral)
Community C
结局指标
主要结局
Firearm Aggression Questionnaire (FAQ)
时间窗: Baseline and 6 months after baseline
Self-report assessments of violence involving firearms
Critical Consciousness
时间窗: 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)
时间窗: Baseline and 6 months after baseline
23 item measures of aggression and antisocial behavior
Beliefs About Aggression and Alternatives (BAA)
时间窗: 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)
时间窗: Baseline and 6 months after baseline
Self-report assessments of violence involving firearms
Peer Pressure for Fighting (PPF)
时间窗: 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)
时间窗: Baseline and 6 months after baseline
21 item measure that assesses youth dating violence perpetration
Engagement in Community Advocacy
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- Leadership Skills(Baseline and 17 weeks after baseline)
- Orientation Toward Leadership(Baseline and 17 weeks after baseline)
- Social and Emotional Skills(Baseline and 17 weeks after baseline)
- Adverse Childhood Experiences (ACES)(Baseline and 6 months after baseline)
- Ethnic-Racial Identity(Baseline and 17 weeks after baseline)
- Developmental Assets Profile (DAP)(Baseline and 6 months after baseline)
- Behavior Assessment System for Children (BASC)(Baseline and 6 months after baseline)
- Research skills & Orientation Toward Research(Baseline and 17 weeks after baseline)
- Involvement in Youth Oriented Activities(Baseline and 17 weeks after baseline)
- Satisfaction & Experiences in the Youth Voices Program(Baseline and 17 weeks after baseline)