TRUsted rEsidents and Housing Assistance to Decrease Violence Exposure in New Haven
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: TRUE HAVEN.
- Who it may be relevant to
- Registry conditions: Firearm Injury. Basic parameters: No limits · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
TRUE HAVEN: TRUsted rEsidents and Housing Assistance to Decrease Violence Exposure in New Haven
Overview
The overall objective of this study is to implement and test a strengths-based, community-driven intervention to reduce gun violence by (1) improving housing stability through providing financial assistance coupled with comprehensive financial education for the re-entry population as well as their family members, and (2) fostering greater support for mental health by training a trusted network of community members in trauma-informed counseling.
Detailed description
Proposed is a type I hybrid effectiveness/implementation study using a neighborhood-level, stepped-wedge trial design across seven primarily socially vulnerable neighborhoods in New Haven. Residents of each neighborhood who have been affected by incarceration (i.e., currently have a family member incarcerated or a person returning to the community from prison within the last 12 months) will be eligible for our intervention for a period of 6 months. The Consolidated Framework for Implementation Research (CFIR) and the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) implementation science frameworks will be used to measure and track processes in achieving outcomes. A mixed methods approach will be used, primarily the use of quantitative methods for this study, along with qualitative focus groups will be conducted to assess some implementation outcomes. The primary outcome, rates of gun violence at the neighborhood level, are obtained from administrative data. Survey data will be collected for some implementation process measures (e.g., assessing acceptability and appropriateness of the intervention).
Interventions
- Behavioral TRUE HAVEN
The two components of the TRUE HAVEN intervention are: housing support for recently incarcerated people as well as family members of currently incarcerated people, and mental wellness training for neighborhood residents to participate in trauma-informed care training sessions.
Primary outcome measures
- Change in rates of gun violence [Time frame: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months, and 36 months]
Secondary outcome measures (4)
- Change in neighborhood social cohesion using the Social Cohesion sub-scale of the Sampson Collective Efficacy Scale [Time frame: Baseline, 6 months, 12 months, and 24 months]
- Change in participant self-efficacy based on the Generalized Self-Efficacy Scale [Time frame: Baseline, 6 months, 12 months, and 24 months]
- Change in perceived health and well-being based on the Well-being Assessment [Time frame: Baseline, 6 months, 12 months, and 24 months]
- Change in financial security [Time frame: Baseline, 6 months, 12 months, and 24 months]
Eligibility criteria
All residents in the study neighborhoods are eligible for outcome assessment. For the intervention component of housing support, the below inclusion and exclusion criteria apply.
Inclusion criteria
- Age 18 or above
- Family member currently incarcerated or person returning from prison within the last 12 months
- Live in one of the seven neighborhoods with highest rates of gun violence in New Haven, Connecticut
Exclusion criteria
- Plans to leave the study area within 1 year
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Sequential
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
United States · 7 centers
- Beaver Hills — New Haven
- Dixwell — New Haven
- Dwight/West River — New Haven
- Fair Haven — New Haven
- Hill North and South — New Haven
- Newhallville — New Haven
- West Rock/West Hills — New Haven
Publications
- Tong G, Spell VT, Horton N, Thornhill T, Keene D, Montgomery C, Spiegelman D, Wang EA, Roy B. Trusted residents and housing assistance to decrease violence exposure in New Haven (TRUE HAVEN): a strengths-based and community-driven stepped-wedge intervention to reduce gun violence. BMC Public Health. 2023 Aug 14;23(1):1545. doi: 10.1186/s12889-023-15997-x. PMID 37580653
- Tong G, Spell VT, Horton N, Thornhill T, Keene D, Montgomery C, Spiegelman D, Wang EA, Roy B. TRUsted rEsidents and Housing Assistance to decrease Violence Exposure in New Haven (TRUE HAVEN): A strengths-based and community-driven stepped-wedge intervention to reduce gun violence. Res Sq [Preprint]. 2023 May 10:rs.3.rs-2874381. doi: 10.21203/rs.3.rs-2874381/v1. PMID 37214890
Identifiers
NCT: NCT05723614 · 2000032184 · 1R01MD017526-01