Violence, Non-accidental Clinical Trial
Official title:
A Youth Violence Prevention Initiative: A VCUHS and Boys and Girls Club of Metro Richmond Initiative
This study will evaluate the effectiveness of a hospital-community based violence prevention
pilot study designed to increase protective factors and reduce negative risk factors
associated with violence of children aged 10-15. Behaviors and attitudes that relate to
violence and behavior change will be assessed through a series of questionnaires administered
in an interview format. Assessments will occur every nine weeks. Additionally, objective long
term measures for violence related hospital visits, delinquency, and educational development
will be obtained.
The study will include the following interventions:
1. Brief violence prevention (BVP): a case manager administered psycho-educational
intervention that will include an interactive discussion with youth regarding resources
for remaining safe and preventing violence. The intervention will address the concerns
and questions of youth and youth will be given information on how to access community
based resources if needed.
2. Brief violence awareness (BVA): a packet of information about violence prevention and
local community resources.
3. Emerging Leaders: East End: a semester (17 weeks) long curriculum based positive youth
development education program held at the Boys and Girls Club of Metro Richmond, Martin
Luther King Middle School site that includes case management to ensure continued
engagement and participation.
Specifically, it is hypothesized that:
1. Participants will report more positive youth behaviors as compared to their initial
assessment.
2. Participants will report lower levels of risky youth behaviors compared to their initial
assessment.
3. Participants will report increased interest in and knowledge of health professions.
4. Participants will report reduced levels of delinquency compared to their initial
assessment.
5. Participants will report a reduction in the number of violence related hospital visits
compared to the general 23223 population.
6. Hospital data will show a reduction in violence related activities that led to hospital
visits, or delinquent behavioral involvement.
The study will include children living in the 23223 zip code of the City of Richmond, who
attend Martin Luther King Middle School, and who are between the ages 10-15. The study will
recruit from two sites. These sites include the Pediatric Emergency Department at VCU Medical
Center and the Boys and Girls Club of Metro Richmond, Martin Luther King Middle School site.
Upon recruitment, consent, and assessment, the children will receive either 1) a BVP only, 2)
a BVA only or 3) a BVP as well as participation in a semester-long positive youth development
program called Emerging Leaders: East End. The randomization process among all three groups
will be done through sequential selection. Youth will be assigned to one of the three groups
on a rotating, sequential basis as they enroll.
The study will assess behaviors, attitudes, family function, violence exposure, mental
health, medical needs and service needs. The study will compare within group differences
between a group that receives the BVP intervention and attends the Emerging Leaders: East End
program, one that only receives the BVP intervention, one that receives a BVA intervention
package only and one that receives the BVA or BVP and attends the Boys and Girls club but
does not participate in the Emerging Leaders: East End program.
All groups will take an assessment every nine weeks through Grade 12 or until youth end their
participation in this study. The assessment tool includes topics such as exposure to
violence, family functioning and mental health. Case managers will administer the assessment.
Within the overall goal of reducing subsequent health risk for young victims of intentional
injuries and their families, the violence reduction effort will address the following
objectives:
- Develop detailed profiles of participants treated at the Pediatric Emergency Department
through a detailed behavior and attitude assessment battery given in an interview
format. Additionally, this information will be used to increase understanding of the
needs of this at-risk population for the purpose of developing preventive services. Data
from these assessments will also be used in the preparation of scholarly papers on this
patient population and the impact of this program on their recidivism.
- Provide brief violence prevention (BVP) intervention to youth to review
conflict-resolution strategies, increase their awareness of youth's risk factors for
recidivism, explore coping skills, and develop safety plan services and supports that
may be responsive to their needs and reduce the likelihood of future risk of intentional
injury.
- Provide brief violence awareness (BVA) intervention to provide basic information on the
prevalence, impact of violence and the available community resources.
- Provide comprehensive case management to participants in order to maintain program
involvement.
- Provide a curriculum consisting of skill building, educational development, increased
exposure to health careers and internship opportunities.
;
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