Enhancing an Existing Prevention Strategy to Reduce Intentional Firearm Injuries Among High-risk Youth (Phase 1)

ConditionPrevention
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age13-17
SponsorVirginia Commonwealth University

About this trial

Over the past three decades, substantial resources have been devoted to developing youth violence prevention (YVP) programs. These programs have demonstrated positive effects on reducing aggression and related behaviors, firearm-specific risk factors were largely overlooked due to historical barriers to firearm research. This omission is concerning, as firearms are now the leading cause of injury and death among U.S. youth. Existing YVP strategies such as Emerging Leaders address general violence risk but do not directly target firearm-related risks or suicide prevention. There remains a critical gap in prevention strategies that integrate firearm-specific content while leveraging established program infrastructure.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Youth aged approximately 13-17 years.

Identified as at elevated risk for firearm-related injury (e.g., history of violent injury, referred by violence prevention programs).

Able to provide assent (and parental/guardian consent if under 18).

Sufficient proficiency in English to complete study procedures.

Disqualifiers

Significant cognitive impairment or developmental disability that would preclude comprehension of the intervention content or study procedures.

Current psychiatric or medical instability requiring immediate treatment or hospitalization. - Non-English speaking (due to limited resources for translation of study measures and intervention materials in this pilot).

Trial design

Design model

Parallel

Treatments tested in this trial

  • Establish an advisory board of high-risk youth

    Other intervention

    Fifteen high-risk youth will be recruited to establish an advisory board

  • Feedback and advice sessions

    Other intervention

    The youth advisory board will provide feedback and advice on the research questions, methodology, and interpretation of data through approximately fifteen, 60-minute meetings

  • Youth advisory board training

    Other intervention

    Youth will be trained in the social-ecological model and health behavior change theories, to better conceptualize the link between theory and intervention content, and to participate in the research process more actively.

  • Semi-structured focus groups

    Other intervention

    Will participate in a semi-structured focus group protocol developed in collaboration with the youth advisory board while incorporating knowledge from the empirical literature and health behavior change theories.

Treatment groups

45 Participants
are divided into 2 treatment groups
Group A: IntervieweesOther 1 intervention
Group B: Youth Participatory Action Research (YPAR) Advisory BoardOther 4 interventions

Trial outcomes

Primary outcomes

1

Grounded theory of firearm related change

A document that outlines the description of the attitudes, norms, personal agency, and contextual influences that promote or deter youth from engaging in risky and safe firearm behaviors (e.g., gun carrying, safe storage), designed by the Youth Participatory Action Research (YPAR) Advisory Board during their fifteen, 60-min meetings.

Time frame
Fifteen, 60-minute meetings (Baseline to the completion of the document)
2

SAFE Futures content

Intervention manual developed by the focus group interactions with the interviewees

Time frame
After the development of the document and through the end of the focus group development of the Intervention manual

Secondary outcomes

Other outcomes

Sponsors and contacts

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Virginia Commonwealth University

Lead sponsor

Centers for Disease Control and Prevention

Collaborator

This trial is not recruiting at the moment. You can still explore other options: