A Hospital-based Intervention for Youth Injured Through Violence

ConditionViolence
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age13-17
SponsorVirginia Commonwealth University

About this trial

The firearm violence epidemic is a major public health problem, especially for youth. Every day in the US, approximately 100 people fall casualty to firearms through forms of violence, such as homicide, suicide, and unintentional or accidental injuries. Among youth, firearm violence remains the leading cause of death, and each year the rate of firearm-related mortality is increasing. Beyond the significant and devastating cost of human life, firearm violence is an enormous economic burden to the US, which totals an estimated $229 billion annually. In urban communities with high rates of firearm-related violence, firearm-related emergency department visits are extremely draining on the hospital system. At the national level, firearm-related injuries account for $2.8 billion annually in emergency department care each.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged 13-17 years old

English speaking

Disqualifiers

Youth aged <13 years and >17 years old

Non-English speaking

Youth of caregivers younger than 18 years old

Trial design

Design model

Parallel

Treatments tested in this trial

  • Elevate Virtual Reality (VR)

    Other intervention

    Elevate VR is a brief violence intervention program founded on the principles of positive psychology, motivational goal setting (via gameplay), psychoeducation, cognitive-behavioral therapy, and dialectical behavioral therapy. Elevate VR includes five psychoeducational topic modules creating a 40-minute brief violence intervention. This duration is similar to well-established brief hospital-based violence interventions.

  • Assessement completion

    Other intervention

    Questionnaires will be administered to assess Firearm-related violence ( The Gun Violence Questionnaire), Violent crime (Violent Crime Assessment) and Firearm-related attitudes and beliefs (Firearm Aggression Questionnaire)

Treatment groups

360 Participants
are divided into 2 treatment groups
Group A: YouthExperimental treatment 1 intervention
Group B: CaregiverExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Firearm-related violence assessment

The Gun Violence Questionnaire is a 4-item screening tool used primarily in healthcare settings to predict the risk of future firearm violence among youth and young adults. Individuals are classified into low-risk (0 points), medium-risk (1-5 points), or high-risk (≥ 6 points)

Time frame
Baseline, Follow-up at 1 and 3 months post baseline
2

Violent crime assessment

Violent Crime Assessment is a process used by forensic, legal, and clinical professionals to estimate the likelihood, nature, and severity of future violent behavior. A 26-item tool that measures 6 static and 20 dynamic variables to assess both risk and potential for treatment change. Total scores typically range from -32 to +40; higher scores indicate a higher probability of re-offending.

Time frame
Baseline, Follow-up at 1 and 3 months post baseline
3

Firearm-related attitudes and beliefs assessment

Firearm Aggression Questionnaire contains subscales for reactive violence (e.g., using a gun when provoked) and proactive violence (e.g., using a gun to take things from others). Items are rated on a 3-point scale (0 = never, 1 = sometimes, 2 = often), with higher total scores indicating a greater frequency of firearm violence.

Time frame
Baseline, Follow-up at 1 and 3 months post baseline
4

Firearm-related re-injury

Number of injuries with and without hospitalization count. The lower the number is desired.

Time frame
Baseline, Follow-up at 1 and 3 months post baseline

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Virginia Commonwealth University

Lead sponsor

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator