Launching the Houston Hospital-Based Violence Intervention Program (Houston-HVIP): Developing and Evaluating a Hospital-Based Intervention to Reduce Recurrent Violence
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: Houston-HVIP treatment, Standard of Care.
- Who it may be relevant to
- Registry conditions: Firearm Injury. Basic parameters: 16 years — 35 years · 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 →
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Official title
Launching the Houston-HVIP: Developing and Evaluating a Hospital-Based Intervention to Reduce Recurrent Violence
Overview
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.
Interventions
- Behavioral Houston-HVIP treatment
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 identifie - Behavioral Standard of Care
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 ca
Primary outcome measures
- Change in repeat violent victimization as assessed by the number of participants who return to the hospital system for for an intentional firearm injury [Time frame: Baseline , 3 months, 6 months, 9 months and 12 months]
Secondary outcome measures (5)
- 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 [Time frame: 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 [Time frame: 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) [Time frame: Baseline , 3 months, 6 months, 9 months and 12 months]
- Change in aggression as assessed by the Copeland-Linder questionnaire. [Time frame: 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) [Time frame: Baseline , 3 months, 6 months, 9 months and 12 months]
Eligibility criteria
Inclusion criteria
- presented for a gunshot injury stemming from community violence at Memorial Hermann Hospital
- English or Spanish-speaking
- provide informed voluntary consent to participate in the study
- live in Harris County at time of enrollment
Exclusion criteria
- presenting for a firearm injury arising from a self-inflicted gunshot or unintentional gun violence
- actively detained by criminal justice systems at time of enrollment
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Prevention
Study locations
United States · 1 center
- The University of Texas Health Science Center at Houston — Houston
Identifiers
NCT: NCT06263647 · HSC-MS-23-0904 · UG3NR021232 · UH3NR021232