The HVIP+ Community Model: A Community Violence Prevention Program in a Southern State
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 208
- 试验地点
- 1
- 主要终点
- Change in Risky Firearm Behaviors
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
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.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
BB, CM, G
Participants receive brief bedside, case management+ voucher, and SELF group intervention components.
干预措施: Brief Bedside (Behavioral)
BB, PS, G
Participants receive brief bedside, peer support, and SELF group intervention components.
干预措施: Brief Bedside (Behavioral)
BB, CM, G
Participants receive brief bedside, case management+ voucher, and SELF group intervention components.
干预措施: Case Management + Voucher (Behavioral)
BB, CM
Participants receive brief bedside and case management+ voucher intervention components.
干预措施: Brief Bedside (Behavioral)
BB, CM
Participants receive brief bedside and case management+ voucher intervention components.
干预措施: Case Management + Voucher (Behavioral)
BB, PS, G
Participants receive brief bedside, peer support, and SELF group intervention components.
干预措施: Peer Support (Behavioral)
BB, PS
Participants receive brief bedside and peer support intervention components.
干预措施: Brief Bedside (Behavioral)
BB, PS, G
Participants receive brief bedside, peer support, and SELF group intervention components.
干预措施: SELF Group Therapy Sessions (Behavioral)
BB, CM, G
Participants receive brief bedside, case management+ voucher, and SELF group intervention components.
干预措施: SELF Group Therapy Sessions (Behavioral)
BB
Participants receive brief bedside intervention component.
干预措施: Brief Bedside (Behavioral)
ALL
Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.
干预措施: SELF Group Therapy Sessions (Behavioral)
BB, PS, CM
Participants receive brief bedside, peer support, and case management+ voucher intervention components.
干预措施: Peer Support (Behavioral)
BB, G
Participants receive brief bedside and SELF group intervention components.
干预措施: Brief Bedside (Behavioral)
BB, G
Participants receive brief bedside and SELF group intervention components.
干预措施: SELF Group Therapy Sessions (Behavioral)
ALL
Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.
干预措施: Brief Bedside (Behavioral)
ALL
Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.
干预措施: Peer Support (Behavioral)
ALL
Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.
干预措施: Case Management + Voucher (Behavioral)
BB, PS, CM
Participants receive brief bedside, peer support, and case management+ voucher intervention components.
干预措施: Brief Bedside (Behavioral)
BB, PS, CM
Participants receive brief bedside, peer support, and case management+ voucher intervention components.
干预措施: Case Management + Voucher (Behavioral)
BB, PS
Participants receive brief bedside and peer support intervention components.
干预措施: Peer Support (Behavioral)
结局指标
主要结局
Change in Risky Firearm Behaviors
时间窗: 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)
次要结局
- 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)