Dysautonomia International

The HVIP+ Community Model

Purpose

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.

Conditions

Hospital-based Violence Intervention
Community Firearm Violence
Firearm Behaviors

Eligibility

Eligible Ages: Over 18 Years
Eligible Sex: All
Accepts Healthy Volunteers: No

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

Study Design

Phase: N/A
Study Type: Interventional
Allocation: Randomized
Intervention Model: Factorial Assignment
Intervention Model Description: The optimization randomized control trial design will entail a factorial experiment with eight experimental conditions to test the targeted outcomes. The eight conditions will include various combinations of four intervention components (brief bedside, peer support, case management, and group therapy), with the brief bedside serving as the constant and the other components being on or off across conditions. Additionally, we will maintain a hybrid effectiveness implementation approach by assessing health outcomes along with implementation outcomes.
Primary Purpose: Treatment
Masking: Single (Participant)
Masking Description: Interventionists (peer community health workers, case managers) will only know which participants are assigned to their intervention component. Only the UAMS PI and research staff will know the interventions assigned to each participant.

Arm Groups

Arm	Description	Assigned Intervention
Experimental BB, CM, G	Participants receive brief bedside, case management+ voucher, and SELF group intervention components.	Behavioral: Brief Bedside - Initial support (in-hospital or shortly after if discharged early) - Needs assessment - Resource Sheet of Vetted Partners 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
Experimental BB, CM	Participants receive brief bedside and case management+ voucher intervention components.	Behavioral: Brief Bedside - Initial support (in-hospital or shortly after if discharged early) - Needs assessment - Resource Sheet of Vetted Partners 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
Experimental BB, G	Participants receive brief bedside and SELF group intervention components.	Behavioral: Brief Bedside - Initial support (in-hospital or shortly after if discharged early) - Needs assessment - Resource Sheet of Vetted Partners 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
Experimental BB	Participants receive brief bedside intervention component.	Behavioral: Brief Bedside - Initial support (in-hospital or shortly after if discharged early) - Needs assessment - Resource Sheet of Vetted Partners
Experimental ALL	Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.	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
Experimental BB, PS, CM	Participants receive brief bedside, peer support, and case management+ voucher intervention components.	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
Experimental BB, PS, G	Participants receive brief bedside, peer support, and SELF group intervention components.	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: 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
Experimental BB, PS	Participants receive brief bedside and peer support intervention components.	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.)

Recruiting Locations

University of Arkansas for Medical Sciences
Little Rock, Arkansas 72205

Contact:
Nakita Lovelady, PhD, MPH
501-526-6731
nnlovelady@uams.edu

More Details

Status: Recruiting
Sponsor: University of Arkansas

Study Contact

Nakita Lovelady, PhD, MPH
501-526-6731
nnlovelady@uams.edu

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.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.