Michigan Youth Violence Prevention Center: Building Evidence for Gun Violence Prevention - SafERteens Implementation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Michigan
- Enrollment
- 171
- Locations
- 14
- Primary Endpoint
- Preliminary Efficacy: monthly reach by providers
Study Overview
Brief Summary
The purpose of this study is to determine the preliminary efficacy (via a micro-randomized trial [MRT] design) of augmenting Enhanced-Replicating Effective Program (E-REP) with engagement strategies to increase and sustain reach by healthcare providers (e.g., nurses, social workers) during implementation of the SafERteens program across multiple healthcare settings.
Detailed Description
This proposal examines whether augmenting the Enhanced-Replicating Effective Program (E-REP) implementation strategy with theory-based engagement strategies (ES) for healthcare providers (i.e., nurses; social workers) improves reach during the implementation of SafERteens across multiple healthcare settings.
SafERteens is a single-session behavioral intervention combining motivational interviewing (MI) and cognitive-behavioral skills training (CBT) shown to reduce multiple violence outcomes, including non-partner (i.e., peer) aggression, non-partner and partner victimization, and violence consequences (e.g., truancy) among emergency department (ED) youth with recent fighting and drinking.
No prior studies have examined the effect of adding individual engagement strategies to an E-REP package or examined the effect of repeatedly applying such strategies over time to enhance implementation of an evidence-based intervention.
In this study, the researchers will test four ES: Narrative Persuasion Strategies, Reciprocity Strategies, Personalized Feedback Strategies, and Commitment Strategies.
The researchers will employ a micro-randomized trial (MRT) design - - a novel experimental design for constructing time-varying m-health interventions. In MRTs, individuals are randomly assigned to intervention options, repeatedly-- at multiple time points over the course of the trial. The data can be used to examine the causal effects of specific ES on a proximal outcome (i.e., reach), changes in these effects over time, and the individual or contextual factors that moderate ES.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Employed at study site
- •Participate in screening and/or SafERteens delivery.
Exclusion Criteria
- •Would not be expected to complete screening and/or intervention delivery
- •Would not begin screening and/or delivering SafERteens within the first 9 months of cohort implementation
Arms & Interventions
Narrative Persuasion (randomized weekly, 1 of 4 options)
Narrative persuasion will be youth or provider testimonial about violence in their community and/or how SafERteens helped their development and reduced violence. Randomized weekly.
Intervention: Narrative Persuasion (Behavioral)
Reciprocity (randomized weekly, 1 of 4 options)
The reciprocity engagement strategy (ES) will be operationalized as an unsolicited $5 gift card with the SafERteens Logo. Randomized weekly.
Intervention: Reciprocity (Behavioral)
Commitment (randomized weekly, 1 of 4 options)
Commitment will be operationalized as a pledge committing to screening and/or delivering SafERteens (depending on role). Randomized weekly.
Intervention: Commitment (Behavioral)
Engagement Strategy Control (randomized weekly, 1 of 4 options)
The control condition will involve no ES for the weekly Engagement Strategies. Randomized weekly.
Personalized feedback control (randomized monthly, 1 of 2 options)
The control condition will involve no personalized feedback. Randomized monthly
Personalized feedback (randomized monthly, 1 of 2 options)
The feedback ES will be operationalized as a visual graphic of their personal performance screening and/or delivering SafERteens in relation to the mean of the provider group and/or towards a pre-set standard (i.e., screening 75% of adolescents; delivery rate of 75% of eligible youth). Personalized feedback or none will be randomized on a monthly basis.
Intervention: Personalized Feedback (Behavioral)
Outcomes
Primary Outcomes
Preliminary Efficacy: monthly reach by providers
Time Frame: From the start of implementation to 52 weeks or the end of provider's employment if before 52 weeks.
Reach is defined as the number of participants screened or the number of participants to whom the intervention was delivered. The researchers hypothesize that during months where providers receive personalized feedback, reach will be higher than months where no ES is received.
Preliminary Efficacy: weekly reach by providers
Time Frame: From the start of implementation to 52 weeks or the end of provider's employment if before 52 weeks.
Reach is defined as the number of participants screened or the number of participants to whom the intervention was delivered. The researchers hypothesize that during weeks where providers receive an engagement strategy (ES), reach will be higher than weeks where no ES is received.
Secondary Outcomes
No secondary outcomes reported
Investigators
Patrick Carter
Director, University of Michigan Institute for Firearm Injury Prevention Associate Professor, Department of Emergency Medicine
University of Michigan