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Recruiting NCT07539142

The HVIP+ Community Model

No phase Interventional Hospital-based Violence Intervention Community Firearm Violence Firearm Behaviors

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: Brief Bedside, Peer Support, Case Management + Voucher, SELF Group Therapy Sessions.
Who it may be relevant to
Registry conditions: Hospital-based Violence Intervention, Community Firearm Violence, Firearm Behaviors. Basic parameters: from 18 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 →
Official title

The HVIP+ Community Model: A Community Violence Prevention Program in a Southern State

Overview

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.

Detailed description

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.

Interventions

  • Behavioral Brief Bedside
    * Initial support (in-hospital or shortly after if discharged early) * Needs assessment * Resource Sheet of Vetted Partners
  • Behavioral Peer Support
    * Weekly Check-ins * Status Check (Personal/family; Health; Mental Health; Spiritual, etc.) * Encouragement/Motivation (Staying safe, Doing right, etc.) * In-Person Visits (Home, Rehab, etc.) * Peer Social/Skill-building Activities (Money management, Job interviewing, Computer literacy, Creative arts, Critical thinking film discussions, etc.)
  • Behavioral Case Management + Voucher
    * Service Plan \& Referrals * Service Check-in/Follow up with partners and participants * Navigation of Health Care and Social Service Follow up appointments * Transportation Assistance * Basic life skills for service provision (riding bus/public transportation, zoom, etc.) * Vouchers for Immediate Needs/Obstacles
  • Behavioral SELF Group Therapy Sessions
    * Virtual Bi-weekly Group Therapy * SELF Curriculum- Trauma Focused Cognitive Behavioral Therapy * Lead by Therapists and Community Peer Volunteers * One-on-one Introductory/Intake Orientations

Primary outcome measures

  • Change in Risky Firearm Behaviors [Time frame: Baseline, 3-month, 6-month, 9-month, and 12 months]
Secondary outcome measures (4)
  • Change in PTSD [Time frame: Baseline, 3-month, 6-month, 9-month, and 12 months]
  • Change in Anxiety [Time frame: Baseline, 3-month, 6-month, 9-month, and 12 months]
  • Change in Depression [Time frame: Baseline, 3-month, 6-month, 9-month, and 12 months]
  • Change in Feasibility and Acceptability of Intervention [Time frame: 3-month, 6-month, 9-month, and 12 months]

Eligibility criteria

Inclusion criteria

  • Be at least 18 years of age or older
  • Currently live in Central Arkansas
  • Currently being treated for a penetrating gun assault injury at a local hospital

Exclusion criteria

Participants must not:

  • Report any medical problems that would limit their ability to express thoughts and answer questions (i.e. active intoxication, developmental delays, dementia, psychosis, etc.)
  • Be currently under arrest or in police custody

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
Factorial
Masking
Single blind
Primary purpose
Treatment

Study locations

United States · 1 center
  • University of Arkansas for Medical Sciences — Little Rock

Identifiers

NCT: NCT07539142 · 276233 · 4UH3MD019172-02

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗