The HVIP+ Community Model: A Community Violence Prevention Program in a Southern State
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- University of Arkansas
- Enrollment
- 208
- Locations
- 1
- Primary Endpoint
- Change in Risky Firearm Behaviors
Study Overview
Brief Summary
The present study will use an optimization randomized control trial design to test the preliminary efficacy of a Hospital-based Violence Intervention Program (HVIP) in Central Arkansas.
Detailed Description
Arkansas is a rural southern state with a high toll of homicide relative to its total population (AR ranks 8th nationally in firearm homicide rates). This study will engage community partners throughout Central Arkansas in a multi-level, multi-faceted intervention to reduce the toll of violent assault on individuals and communities. An optimization randomized control trial (ORCT) design will be used to test the preliminary efficacy of a multi-level intervention with an explicit focus on secondary violence prevention through hospital-community partnerships to prevent escalation of firearm violence among survivors living in counties in Central Arkansas, the region of the state where violent assault is greatest. The study will also incorporate key implementation science metrics to evaluate the feasibility and reach of the proposed intervention.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Factorial
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Masking Description
Interventionists (peer community health workers, case managers) will only know which participants are assigned to their intervention component. Only the UAMS PI and research staff will know the interventions assigned to each participant.
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Be at least 18 years of age or older
- •Currently live in Central Arkansas
- •Currently being treated for a penetrating gun assault injury at a local hospital
Exclusion Criteria
- •Participants must not:
- •Report any medical problems that would limit their ability to express thoughts and answer questions (i.e. active intoxication, developmental delays, dementia, psychosis, etc.)
- •Be currently under arrest or in police custody
Arms & Interventions
BB, CM, G
Participants receive brief bedside, case management+ voucher, and SELF group intervention components.
Intervention: Brief Bedside (Behavioral)
BB, PS, G
Participants receive brief bedside, peer support, and SELF group intervention components.
Intervention: Brief Bedside (Behavioral)
BB, CM, G
Participants receive brief bedside, case management+ voucher, and SELF group intervention components.
Intervention: Case Management + Voucher (Behavioral)
BB, CM
Participants receive brief bedside and case management+ voucher intervention components.
Intervention: Brief Bedside (Behavioral)
BB, CM
Participants receive brief bedside and case management+ voucher intervention components.
Intervention: Case Management + Voucher (Behavioral)
BB, PS, G
Participants receive brief bedside, peer support, and SELF group intervention components.
Intervention: Peer Support (Behavioral)
BB, PS
Participants receive brief bedside and peer support intervention components.
Intervention: Brief Bedside (Behavioral)
BB, PS, G
Participants receive brief bedside, peer support, and SELF group intervention components.
Intervention: SELF Group Therapy Sessions (Behavioral)
BB, CM, G
Participants receive brief bedside, case management+ voucher, and SELF group intervention components.
Intervention: SELF Group Therapy Sessions (Behavioral)
BB
Participants receive brief bedside intervention component.
Intervention: Brief Bedside (Behavioral)
ALL
Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.
Intervention: SELF Group Therapy Sessions (Behavioral)
BB, PS, CM
Participants receive brief bedside, peer support, and case management+ voucher intervention components.
Intervention: Peer Support (Behavioral)
BB, G
Participants receive brief bedside and SELF group intervention components.
Intervention: Brief Bedside (Behavioral)
BB, G
Participants receive brief bedside and SELF group intervention components.
Intervention: SELF Group Therapy Sessions (Behavioral)
ALL
Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.
Intervention: Brief Bedside (Behavioral)
ALL
Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.
Intervention: Peer Support (Behavioral)
ALL
Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.
Intervention: Case Management + Voucher (Behavioral)
BB, PS, CM
Participants receive brief bedside, peer support, and case management+ voucher intervention components.
Intervention: Brief Bedside (Behavioral)
BB, PS, CM
Participants receive brief bedside, peer support, and case management+ voucher intervention components.
Intervention: Case Management + Voucher (Behavioral)
BB, PS
Participants receive brief bedside and peer support intervention components.
Intervention: Peer Support (Behavioral)
Outcomes
Primary Outcomes
Change in Risky Firearm Behaviors
Time Frame: Baseline, 3-month, 6-month, 9-month, and 12 months
Composite measure uses items adapted from the Tulane University National Youth Study capturing frequency and severity of risky firearm-related behaviors (i.e. carriage, threats, etc.) (0=Never; 6=20+ Times)
Secondary Outcomes
- Change in PTSD(Baseline, 3-month, 6-month, 9-month, and 12 months)
- Change in Anxiety(Baseline, 3-month, 6-month, 9-month, and 12 months)
- Change in Depression(Baseline, 3-month, 6-month, 9-month, and 12 months)
- Change in Feasibility and Acceptability of Intervention(3-month, 6-month, 9-month, and 12 months)