Enhancing an Existing Prevention Strategy to Reduce Intentional Firearm Injuries Among High-risk Youth (Phase 1)

Обзор

Over the past three decades, substantial resources have been devoted to developing youth violence prevention (YVP) programs. These programs have demonstrated positive effects on reducing aggression and related behaviors, firearm-specific risk factors were largely overlooked due to historical barriers to firearm research. This omission is concerning, as firearms are now the leading cause of injury and death among U.S. youth. Existing YVP strategies such as Emerging Leaders address general violence risk but do not directly target firearm-related risks or suicide prevention. There remains a critical gap in prevention strategies that integrate firearm-specific content while leveraging established program infrastructure.

Подробное описание

This study will utilize youth participatory action research (YPAR) to co-develop the SAFE Futures intervention. The SAFE Futures Intervention is a grounded theory of firearm-related behavior change, and it has developed the SAFE Futures single-session intervention through focus groups and youth participatory action research.

The study is designed to determine whether adding SAFE Futures to the Emerging Leaders program reduces risk factors associated with intentional firearm violence and suicide among high-risk youth. An advisory board of N=15 high-risk youth will be recruited, and data from focus groups will be analyzed using grounded theory methodology to examine attitudes, norms, personal agency, and contextual influences that promote or deter youth from engaging in risky and safe firearm behaviors (e.g., gun carrying, safe storage). The youth advisory board will use the resulting theory to develop SAFE Futures.

Вмешательства

• Другое Establish an advisory board of high-risk youth
  Fifteen high-risk youth will be recruited to establish an advisory board
• Другое Feedback and advice sessions
  The youth advisory board will provide feedback and advice on the research questions, methodology, and interpretation of data through approximately fifteen, 60-minute meetings
• Другое Youth advisory board training
  Youth will be trained in the social-ecological model and health behavior change theories, to better conceptualize the link between theory and intervention content, and to participate in the research process more actively.
• Другое Semi-structured focus groups
  Will participate in a semi-structured focus group protocol developed in collaboration with the youth advisory board while incorporating knowledge from the empirical literature and health behavior change theories.

Первичные конечные точки

• Grounded theory of firearm related change [Срок оценки: Fifteen, 60-minute meetings (Baseline to the completion of the document)]
• SAFE Futures content [Срок оценки: After the development of the document and through the end of the focus group development of the Intervention manual]

Критерии участия

Критерии включения

• Youth aged approximately 13-17 years.
• Identified as at elevated risk for firearm-related injury (e.g., history of violent injury, referred by violence prevention programs).
• Able to provide assent (and parental/guardian consent if under 18).
• Sufficient proficiency in English to complete study procedures.

Критерии исключения

• Significant cognitive impairment or developmental disability that would preclude comprehension of the intervention content or study procedures.
• Current psychiatric or medical instability requiring immediate treatment or hospitalization. - Non-English speaking (due to limited resources for translation of study measures and intervention materials in this pilot).

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Другое

Центры проведения

США · 1 центр

• Virginia Commonwealth University — Richmond

Идентификаторы

NCT: NCT07305467 · HM300000392 Phase 1

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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