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| ID | Type | Description | Link |
|---|---|---|---|
| UG3NR021232 | U.S. NIH Grant/Contract | View source | |
| UH3NR021232 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Nursing Research (NINR) | NIH |
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A prior violent injury is one of the strongest predictors of future violent injury, highlighting the importance of effective hospital-based interventions to prevent reinjury. This project will establish and evaluate the Houston Hospital-Based Violence Intervention Program (Houston-HVIP). Using a randomized controlled trial, the study will assess the effectiveness of Houston-HVIP in reducing violent reinjury and improving behavioral, mental, and physical health outcomes over a 12-month follow-up period among those enrolled in the study in ages 16-35 years of age.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Houston-HVIP treatment group | Experimental |
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| Standard of Care group | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Houston-HVIP treatment | Behavioral | Participants will be assigned a case manager to provide a brief assessment of , psychological and social needs and a risk assessment and create individualized discharge planning. Participants will be referred to tailored social service programs based on the needs, including assessments of social determinants of health, educational and financial needs, and subsequent referral for programs such as job training, educational support, housing assistance, or financial assistance programs for identified needs. Participants identified at risk for violence perpetration via a risk assessment screener will be referred to the violence interrupter services. Long-term opportunities for engagement with the trauma survivors' network within Memorial Hermann Hospital will be available and encouraged.Participants will receive a structured curriculum that will include regular check-in with an assigned case manager over 6 months to promote successful community-based program integration and completion. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in repeat violent victimization as assessed by the number of participants who return to the hospital system for for an intentional firearm injury | Baseline , 3 months, 6 months, 9 months and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in repeat non-firearm violent victimization as assessed by the number of participants who return to the hospital system for an intentional non-firearm injury | Baseline , 3 months, 6 months, 9 months and 12 months | |
| Change in attitudes towards firearm violence as assessed by Firearm Violences Attitudes (Sheley; Shapiro) questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sandra McKay, MD | Contact | (713) 500-5666 | Sandra.McKay@uth.tmc.edu | |
| Alexander Testa, PhD | Contact | (210) 276-9000 | Alexander.Testa@uth.tmc.edu |
| Name | Affiliation | Role |
|---|---|---|
| Sandra McKay, MD | The University of Texas Health Science Center, Houston | Principal Investigator |
| Alexander Testa, PhD | The University of Texas Health Science Center, Houston | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Texas Health Science Center at Houston | Recruiting | Houston | Texas | 77030 | United States |
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Participants will be partially blinded in that they will know some information about the intervention but will not be exposed to the details of the intervention or the intervention manual.
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| Standard of Care | Behavioral | Participants will be assigned a case manager to meet with the injured patients to briefly assess (a) psychological and social needs and (b) a risk assessment and create individualized discharge planning. Resources for the patient to connect with social service programs will be provided by the case manager. Long-term opportunities for engagement with the trauma survivors' network within Memorial Hermann Hospital will be available and encouraged. Follow-up contacts and services from an assigned case manager over two weeks following discharge from the hospital to ensure that the patient has contacted the community-level violence outreach organizations. |
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This is a 13-item questionnaire; however, only items 3,4,7,9,10,12 and 13 will be asked. Each is scored from 1(strongly disagree) - 4(strongly agree), Maximum score of 28 .Higher score indicates more aggression. |
| Baseline , 3 months, 6 months, 9 months and 12 months |
| Change in post-traumatic stress as assessed by the post-Traumatic Stress Disorder Checklist Version 5(PCL-5) | This is a 20-item questionnaire; however only items 1 and 4 of the PCL-20 will be asked. These 2 items will be anchored to a stressful experience. And each is scored form 0(not at all)-4(extremely), maximum score of 8, higher score indicating worse outcome | Baseline , 3 months, 6 months, 9 months and 12 months |
| Change in aggression as assessed by the Copeland-Linder questionnaire. | This is a 7-item questionnaire; however, only items 1, 5, and 6 will be asked. Each is scored from 1(strongly disagree) - 4(strongly agree). Maximum score is 12. Higher score indicates more aggression | Baseline , 3 months, 6 months, 9 months and 12 months |
| Change in general health as assessed by the 12-item Short Form Health Survey (SF-12) | This is a 12 item questionnaire; however, only item #1 will be asked. It is scored from 1(excellent) - 5(poor), higher number indicating worse outcome | Baseline , 3 months, 6 months, 9 months and 12 months |
| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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