Youth Participatory Action Research to Prevent Community Violence Among Black Youth

Обзор

This behavioral intervention study aims to evaluate the effectiveness of Youth Empowered Advocating for Health (YEAH) on youth prosocial behavior and aggressive behavior and assess racial identity and future orientation as mediators of prevention effects.

Подробное описание

Structural determinants of violence such as residential segregation, concentrated poverty, and limited access to education and employment, disproportionately affect Black youth. This group subsequently faces the highest rates of violence exposure and related injuries, with homicide being a leading cause of death. In addition, the consequences of violence exposure include academic decline, psychological issues, and chronic health conditions.

It is important to address the long-lasting effects of structural violence among Black youth including emotional distress and eroding family and community ties. Current violence prevention methods often overlook the impact of structural violence.

The proposed solution is a Youth Participatory Action Research (YPAR) intervention, called Youth Empowered Advocating for Health (YEAH), which aims to empower Black youth and improve their outcomes. The YEAH program, developed over ten years in partnership with youth, focuses on empowering youth to explore topics of concern in their community and generate solutions. This study will evaluate YEAH's effectiveness in reducing community violence in Metro Atlanta, emphasizing community healing and empowerment as well as narrative change as vital strategies for prevention.

Вмешательства

• Поведенческое YEAH: Youth Empowered Advocating for Health
  The Youth Empowered Advocating for Health (YEAH) program is a Youth Participatory Action Research (YPAR) intervention aimed at addressing community violence by fostering youth and community healing. It combines photovoice and theater arts performances. In photovoice sessions, Black youth explore structural determinants of community violence through a participatory research process. Guided by trained facilitators, youth learn the method after obtaining parental consent and youth assent. Using th

Первичные конечные точки

• Change in prosocial behavior: Multidimensional Well-being Assessment Scale [Срок оценки: Baseline, Week 8, Month 3]
• Change in aggressive behavior: California Healthy Kids Survey adaptation [Срок оценки: Baseline, Week 8, Month 3]
• Change in community violence exposure: Community Experiences Questionnaire [Срок оценки: Baseline, Week 8, Month 3]

Вторичные конечные точки (2)

• Racial identity: multidimensional inventory of Black identity-teen (MIBI-T)score [Срок оценки: Baseline, Week 8, Month 3]
• Future orientation: Hemingway Measure of Adolescent Connectedness [Срок оценки: Baseline, Month 3]

Критерии участия

Критерии включения

• Identify their race or ethnicity as Black or African American
• Speak English
• Able to understand the project and give full consent to participate if eligible
• Have a parent or guardian provide consent for them to participate
• Member of Boys and Girls Clubs or other Youth Serving Organization (YEAH immediate intervention and delayed intervention groups)

Критерии исключения

• Non-English speakers

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

США · 2 центра

• Emory University — Atlanta
• Boys & Girls Club of Metro Atlanta — Atlanta

Идентификаторы

NCT: NCT06886204 · STUDY00006694 · R01CE003580

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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