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| ID | Type | Description | Link |
|---|---|---|---|
| 4UH3MD019172-02 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
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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.
Arkansas is a rural southern state with a high toll of homicide relative to its total population (AR ranks 8th nationally in firearm homicide rates). This study will engage community partners throughout Central Arkansas in a multi-level, multi-faceted intervention to reduce the toll of violent assault on individuals and communities. An optimization randomized control trial (ORCT) design will be used to test the preliminary efficacy of a multi-level intervention with an explicit focus on secondary violence prevention through hospital-community partnerships to prevent escalation of firearm violence among survivors living in counties in Central Arkansas, the region of the state where violent assault is greatest. The study will also incorporate key implementation science metrics to evaluate the feasibility and reach of the proposed intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BB, CM, G | Experimental | Participants receive brief bedside, case management+ voucher, and SELF group intervention components. |
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| BB, CM | Experimental | Participants receive brief bedside and case management+ voucher intervention components. |
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| BB, G | Experimental | Participants receive brief bedside and SELF group intervention components. |
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| BB | Experimental | Participants receive brief bedside intervention component. |
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| ALL | Experimental | Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brief Bedside | Behavioral |
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| Measure | Description | Time Frame |
|---|---|---|
| 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) | Baseline, 3-month, 6-month, 9-month, and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| 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) | Baseline, 3-month, 6-month, 9-month, and 12 months |
| Change in Anxiety |
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Inclusion Criteria:
Exclusion Criteria:
Participants must not:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nakita Lovelady, PhD, MPH | Contact | 501-526-6731 | nnlovelady@uams.edu | |
| Joyce Raynor, BS | Contact | 501-372-3800 | raynorjoyce@uams.edu |
| Name | Affiliation | Role |
|---|---|---|
| Nakita Lovelady, PhD, MPH | University of Arkansas | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arkansas for Medical Sciences | Recruiting | Little Rock | Arkansas | 72205 | United States |
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| ID | Term |
|---|---|
| D019090 | Case Management |
| ID | Term |
|---|---|
| D010347 | Patient Care Planning |
| D003191 | Comprehensive Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
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The optimization randomized control trial design will entail a factorial experiment with eight experimental conditions to test the targeted outcomes. The eight conditions will include various combinations of four intervention components (brief bedside, peer support, case management, and group therapy), with the brief bedside serving as the constant and the other components being on or off across conditions. Additionally, the investigators will maintain a hybrid effectiveness implementation approach by assessing health outcomes along with implementation outcomes.
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Interventionists (peer community health workers, case managers) will only know which participants are assigned to their intervention component. Only the UAMS PI and research staff will know the interventions assigned to each participant.
| BB, PS, CM | Experimental | Participants receive brief bedside, peer support, and case management+ voucher intervention components. |
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| BB, PS, G | Experimental | Participants receive brief bedside, peer support, and SELF group intervention components. |
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| BB, PS | Experimental | Participants receive brief bedside and peer support intervention components. |
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| Peer Support | Behavioral |
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| Case Management + Voucher | Behavioral |
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| SELF Group Therapy Sessions | Behavioral |
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OASIS is a brief measure of overall anxiety severity and impairment. (0=No/None; 4=Constant/Extreme)
| Baseline, 3-month, 6-month, 9-month, and 12 months |
| 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) | Baseline, 3-month, 6-month, 9-month, and 12 months |
| 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) | 3-month, 6-month, 9-month, and 12 months |