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| Name | Class |
|---|---|
| Centers for Disease Control and Prevention | FED |
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The translation study aims to refine and package intervention and training materials essential to translating an efficacious Emergency Department (ED) based Brief Intervention (BI) for violence (SafERteens) for two delivery methods: by ED staff on site or by therapist remotely. The study will take place in two phases. During the Effectiveness phase, we will determine the effectiveness of the interventions [on-site therapist delivered BI + text messages (n=133); remote therapy delivered BI + text messages (n=133)], as compared to a usual care control (brochure; n=133), on violence outcomes at 3 months. Note that tailored text messages will be delivered daily for the first month post-discharge, and three times per week in the second month post-discharge to the BI groups. During the Implementation phase, components of the RE-AIM model will be assessed over a 4-month period.
Participants who screen positive for the study during the effectiveness phase, will be randomized to either the therapy or control at a rate of 2:1. Whether the participant receives the on-site therapist or the remote therapist will depend on day of week or shift. Over the course of the study, the proportion of shifts covered by on-site verses remote therapists will be balanced for seasonality and time of day (evening vs. day time).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| In-person Therapy by ED Staff | Experimental | Brief 30 minute on-on-one private motivation interviewing intervention during emergency department care delivered by ED staff in-person. |
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| Remote Therapy by Research Staff | Experimental | Brief 30 minute on-on-one private motivation interviewing intervention during emergency department care delivered remotely (over video) by research staff. |
|
| Comparison Group | No Intervention | This group will not receive an intervention, but did receive an informational pamphlet of resources in the area (enhanced usual care). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SafERteens | Behavioral | A 30 minute private on-on-one brief motivational interviewing intervention given during emergency department care. The goal of the intervention was to reduce and prevention youth violence using techniques to change behavior in a respectful, non-confrontational, and non-judgmental manner. This one-on one counseling approach emphasizes individual choice and responsibility and differentiates between future goals/values and current behavior |
| Measure | Description | Time Frame |
|---|---|---|
| Peer violence behaviors | as assessed with the modified Conflict Tactic Scale | Change from baseline to 3 months |
| Violence Consequences | as assessment with a scale developed in the original SafERteens study | Change from baseline to 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Self-Efficacy for non-violence | As assessed with the Teen Conflict Survey | Change from baseline to 3 months |
| Attitude towards viiolence | as assessed with the Attitudes Towards Violence Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Michigan Health System | Ann Arbor | Michigan | 48109 | United States | ||
| Hurley Medical Center Emergency Department |
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| Change from baseline to 3 months |
| Flint |
| Michigan |
| 48503 |
| United States |