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Clinical Trials/NCT07539142
NCT07539142RecruitingNot Applicable

The HVIP+ Community Model: A Community Violence Prevention Program in a Southern State

University of Arkansas1 site in 1 country208 target enrollmentStarted: April 20, 2026Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Recruiting
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

Experimental

Participants receive brief bedside, case management+ voucher, and SELF group intervention components.

Intervention: Brief Bedside (Behavioral)

BB, PS, G

Experimental

Participants receive brief bedside, peer support, and SELF group intervention components.

Intervention: Brief Bedside (Behavioral)

BB, CM, G

Experimental

Participants receive brief bedside, case management+ voucher, and SELF group intervention components.

Intervention: Case Management + Voucher (Behavioral)

BB, CM

Experimental

Participants receive brief bedside and case management+ voucher intervention components.

Intervention: Brief Bedside (Behavioral)

BB, CM

Experimental

Participants receive brief bedside and case management+ voucher intervention components.

Intervention: Case Management + Voucher (Behavioral)

BB, PS, G

Experimental

Participants receive brief bedside, peer support, and SELF group intervention components.

Intervention: Peer Support (Behavioral)

BB, PS

Experimental

Participants receive brief bedside and peer support intervention components.

Intervention: Brief Bedside (Behavioral)

BB, PS, G

Experimental

Participants receive brief bedside, peer support, and SELF group intervention components.

Intervention: SELF Group Therapy Sessions (Behavioral)

BB, CM, G

Experimental

Participants receive brief bedside, case management+ voucher, and SELF group intervention components.

Intervention: SELF Group Therapy Sessions (Behavioral)

BB

Experimental

Participants receive brief bedside intervention component.

Intervention: Brief Bedside (Behavioral)

ALL

Experimental

Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.

Intervention: SELF Group Therapy Sessions (Behavioral)

BB, PS, CM

Experimental

Participants receive brief bedside, peer support, and case management+ voucher intervention components.

Intervention: Peer Support (Behavioral)

BB, G

Experimental

Participants receive brief bedside and SELF group intervention components.

Intervention: Brief Bedside (Behavioral)

BB, G

Experimental

Participants receive brief bedside and SELF group intervention components.

Intervention: SELF Group Therapy Sessions (Behavioral)

ALL

Experimental

Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.

Intervention: Brief Bedside (Behavioral)

ALL

Experimental

Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.

Intervention: Peer Support (Behavioral)

ALL

Experimental

Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.

Intervention: Case Management + Voucher (Behavioral)

BB, PS, CM

Experimental

Participants receive brief bedside, peer support, and case management+ voucher intervention components.

Intervention: Brief Bedside (Behavioral)

BB, PS, CM

Experimental

Participants receive brief bedside, peer support, and case management+ voucher intervention components.

Intervention: Case Management + Voucher (Behavioral)

BB, PS

Experimental

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)

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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