Recovery Legal Care Randomized Trial
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age14+
SponsorUniversity of Chicago
About this trial
Hospital-Based Violence Intervention Programs (HVIPs) affiliated with U.S. trauma centers often focus on individual behavior modification to reduce re-victimization. There is a lack of reproducible evidence that has demonstrated effectiveness, given the exclusion of addressing social and economic risks, often the root cause of violent injury and preventable homicide. This study tests a novel Medical-Legal Partnership that offers legal support to address social and economic risks, reduce perceived stress, and reduce firearm injury, while collaborating with the CFVP Coordinating Center for broad trauma center distribution and public health impact.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Treatment for an interpersonal violent injury at the University of Chicago Trauma Center (e.g., gunshot, stab wound, assault)
Ages 14+ years
Able to provide informed consent (18 years and older) or assent (14-17 years)
Disqualifiers
Unable to provide informed consent due to mental status or severe mental illness
Prior receipt of legal services at UCMC within the past year
Currently imprisoned or incarcerated
Residing at a non-Illinois address
Trial design
Design model
Parallel
Treatments tested in this trial
Recovery Legal Care
Other interventionThese patients will receive support from our HVIP standard of care (Violence Recovery Program) plus our Medical Legal Partnership (Recovery Legal Care) for additional legal support to address health-harming legal needs and public benefits.
HVIP Standard of Care
Other interventionThese patients will receive HVIP standard of care (Violence Recovery Program Support).
Treatment groups
200 Participants
are divided into 2 treatment groupsGroup A: HVIP-MLPExperimental treatment 1 intervention
Group B: HVIPActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Perceived Stress
The Perceived Stress Scale-10 (PSS-10) is a 10-item psychological questionnaire used to measure how unpredictable, uncontrollable, and overloaded a person feels over the last month. Scores range from 0 to 40, with higher numbers meaning higher stress.
Time frame
Baseline, 3 months, 6 months, 12 monthsSecondary outcomes
1
Firearm victimization and aggression
The adapted Conflict Tactics Scale 2 (CTS2) measures behaviors related to firearm victimization and aggression. The adapted version includes 3 items on non-partner victimization and 3 items on non-partner aggression, each rated on a 7-point frequency scale (never to 20+ times). Each domain generates a score from 0 to 18 with a higher score indicating higher victimization or aggression.
Time frame
Baseline, 3 months, 6 months, 12 months2
Legal needs self-efficacy
Adapted Bandura Self-Efficacy Scale measures belief in one's ability to have legal needs addressed and is scored on a scale from 0 to 100, with a higher score indicating higher self-efficacy.
Time frame
Baseline, 3 months, 6 months, 12 monthsOther outcomes
1
Health-related quality of life
The SF-12 (12-Item Short-Form Health Survey) is a brief, 12-question patient-reported tool used to measure physical and mental health-related quality of life. Derived from the longer SF-36 survey, it takes about two minutes to complete and evaluates eight core health domains. The SF-12 survey yields two primary summary scores-the Physical Component Summary (PCS-12) and the Mental Component Summary (MCS-12). Both scores use norm-based calculations scaled to a general population average (mean) of 50 and a standard deviation of 10, with higher scores indicating higher quality of life.
Time frame
Baseline, 3 months, 6 months, 12 months2
Post-Traumatic Stress Disorder (PTSD) Symptoms
The PCL-5 (Posttraumatic Stress Disorder Checklist for DSM-5) is a 20-question self-test that tracks post-traumatic stress disorder (PTSD) symptoms. You rate each question from 0 to 4. Add all numbers for a total score between 0 and 80, with higher scores indicating more severe PTSD symptoms.
Time frame
Baseline, 3 months, 6 months, 12 monthsSponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Chicago
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator
Source ClinicalTrials.gov