Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area
- Conditions
- Firearm Injury
- Interventions
- Behavioral: Houston-HVIP treatmentBehavioral: Enhanced Case Management
- Registration Number
- NCT06263647
- Brief Summary
The purpose of this study is to evaluate the effectiveness of Houston-HVIP in reducing the occurrence of repeat firearm violence among adults receiving care at Memorial Hermann Hospital in Houston,to determine the impact of the community-engaged Houston-HVIP program on violent victimization and mental and behavioral health, to assess the impact of the Houston-HVIP program on reducing racial and ethnic disparities among individuals impacted by firearm violence injury, to determine the impact of the community-engaged Houston-HVIP program on physical and behavioral health during the 12-month follow-up period and to identify the predictors of implementation success, including dosage, reach, fidelity, and acceptability from the perspective of gun violence victims, health care providers, and community violence intervention specialists.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 274
- presented for a gunshot injury stemming from community violence at Memorial Hermann Hospital
- English or Spanish-speaking
- provide informed voluntary consent to participate in the study
- live in Harris County at time of enrollment
- presenting for a firearm injury arising from a self-inflicted gunshot or unintentional gun violence
- actively detained by criminal justice systems at time of enrollment
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Houston-HVIP treatment group Houston-HVIP treatment - Case Manager group Enhanced Case Management -
- Primary Outcome Measures
Name Time Method Change in repeat violent victimization as assessed by the number of participants who return to the hospital system for for an intentional firearm injury Baseline , 3 months, 6 months, 9 months and 12 months
- Secondary Outcome Measures
Name Time Method Change in repeat non-firearm violent victimization as assessed by the number of participants who return to the hospital system for an intentional non-firearm injury Baseline , 3 months, 6 months, 9 months and 12 months Change in attitudes towards firearm violence as assessed by Firearm Violences Attitudes (Sheley; Shapiro) questionnaire Baseline , 3 months, 6 months, 9 months and 12 months This is a 13-item questionnaire; however, only items 3,4,7,9,10,12 and 13 will be asked. Each is scored from 1(strongly disagree) - 4(strongly agree), Maximum score of 28 .Higher score indicates more aggression.
Change in post-traumatic stress as assessed by the post-Traumatic Stress Disorder Checklist Version 5(PCL-5) Baseline , 3 months, 6 months, 9 months and 12 months This is a 20-item questionnaire; however only items 1 and 4 of the PCL-20 will be asked. These 2 items will be anchored to a stressful experience. And each is scored form 0(not at all)-4(extremely), maximum score of 8, higher score indicating worse outcome
Change in aggression as assessed by the Copeland-Linder questionnaire. Baseline , 3 months, 6 months, 9 months and 12 months This is a 7-item questionnaire; however, only items 1, 5, and 6 will be asked. Each is scored from 1(strongly disagree) - 4(strongly agree). Maximum score is 12. Higher score indicates more aggression
Change in general health as assessed by the 12-item Short Form Health Survey (SF-12) Baseline , 3 months, 6 months, 9 months and 12 months This is a 12 item questionnaire; however, only item #1 will be asked. It is scored from 1(excellent) - 5(poor), higher number indicating worse outcome
Trial Locations
- Locations (1)
The University of Texas Health Science Center at Houston
🇺🇸Houston, Texas, United States