About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Trial design
Factorial
Treatments tested in this trial
Brief Bedside
Behavioral* Initial support (in-hospital or shortly after if discharged early) * Needs assessment * Resource Sheet of Vetted Partners
Peer Support
Behavioral* Weekly Check-ins * Status Check (Personal/family; Health; Mental Health; Spiritual, etc.) * Encouragement/Motivation (Staying safe, Doing right, etc.) * In-Person Visits (Home, Rehab, etc.) * Peer Social/Skill-building Activities (Money management, Job interviewing, Computer literacy, Creative arts, Critical thinking film discussions, etc.)
Case Management + Voucher
Behavioral* Service Plan \& Referrals * Service Check-in/Follow up with partners and participants * Navigation of Health Care and Social Service Follow up appointments * Transportation Assistance * Basic life skills for service provision (riding bus/public transportation, zoom, etc.) * Vouchers for Immediate Needs/Obstacles
SELF Group Therapy Sessions
Behavioral* Virtual Bi-weekly Group Therapy * SELF Curriculum- Trauma Focused Cognitive Behavioral Therapy * Lead by Therapists and Community Peer Volunteers * One-on-one Introductory/Intake Orientations
Treatment groups
8
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Change in Risky Firearm Behaviors
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)
Secondary outcomes
Change in PTSD
The Posttraumatic Stress Disorder Checklist (PCL-5) is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD (0=Not at all; 4=Extremely)
Change in Anxiety
OASIS is a brief measure of overall anxiety severity and impairment. (0=No/None; 4=Constant/Extreme)
Change in Depression
The PHQ-9 is a validated, self-reported tool used for screening, diagnosing, and measuring the severity of depression. (0= Not at all; 3=Nearly every day)
Change in Feasibility and Acceptability of Intervention
Composite measure uses items adapted from the Feasibility of Intervention Measure (FIM) and Acceptability of Intervention Measure (AIM), four-item measures of implementation outcomes. (1= Completely disagree; 5= Completely Agree)
Sponsors and contacts
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University of Arkansas
Lead sponsor
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator