Violence in Adolescence
Conditions
Brief summary
The purpose of this research study is to test if a hospital-based violence prevention strategy with a community-level initiative is effective for cross-cutting violence prevention in violently injured youth.
Detailed description
This study will test if youth who receive the Bridging the Gap (BTG) and Communities that Care (CTC Plus) will see greater improvements than youth who either receive BTG only, CTC Plus only or no intervention. This study will allow researchers to learn more about the intervention's effectiveness for a range of violent outcomes. It will also help researchers understand if violence prevention efforts affect other behaviors, such as drug use and rates of violent re-injury. Participants will be asked to complete surveys about their behavior, personality, and experiences, and their parent/child's personality, behavior, and experiences. These surveys take about 45-60 minutes to complete. These questionnaires will be completed before the intervention has taken place and then again 6 months later. Participation in this study will last up to 6 months. Approximately 408 individuals will participate in this study.
Interventions
BEHAVIORALBridging the Gap
Bridging the Gap is a hybrid model for violence prevention which integrates a hospital-based brief violence intervention (BVI) delivered to the patient while in hospital with a wrap-around community case management prevention strategy.
OTHERCommunities that Care (CTC)
In CTC programs stakeholders elect evidence-based prevention strategies that are most appropriate for their community. These evidence-based strategies target their community's specific needs, such as reducing risk factors while supporting and increasing protective factors.
OTHERTreatment as usual
Treat and release
Sponsors
Centers for Disease Control and Prevention
Virginia Commonwealth University
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
12 Years to 21 Years
Healthy volunteers
No
Inclusion criteria
1. Violently injured youth receiving treatment at VCU 2. Aged between 12 and 21 years old 3. Living in Richmond City 1\. Parent/caregiver of the youth participant 2. Parent/caregivers must be 18 years old or older
Exclusion criteria
1. Non-English speaking 2. Ages \<12 and \>21 years 3. Prisoners are excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in youth violence - self report | Baseline to 6 months | Self-report aggression |
| Change in youth violence - caregiver report | Baseline to 6 months | Caregiver-report of youth aggression |
| Change in youth dating violence | Baseline to 6 months | Self-report physical and psychological dating aggression |
| Change in youth sexual violence | Baseline to 6 months | Self-report sexual aggression |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in substance use | Baseline to 6 months | Self-report of substance use |
| Re-injury rate | 6 months | Hospital records of number of youth participants who experienced another injury due to violence between the intervention and 6-month follow-up |
| Change in alcohol use | Baseline to 6 months | Self-report of alcohol use |
| Community resources | 6 months | Self-report: Number of community resources youth are engaging in |
| Lost to follow-up rates | 6 months | Study report: The number of youth who we are unable to complete the follow-up assessment for because they are unreachable or decline to continue participation. |
| Change in trauma symptoms | Baseline to 6 months | Self-report trauma symptoms |
Countries
United States
Outcome results
None listed