At-risk Intervention and Mentoring Evaluation

Violence Clinical Trial

— AIM  

Official title:

Program Evaluation of a Hospital-based Violence Intervention Program (At-risk Intervention and Mentoring)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02174224
• Other study ID #: OJJDP-2013-3579
• Status: Completed
• Phase: N/A
• Start date: June 2014
• Est. completion date: April 2019

Study information

• Verified date: February 2021
• Source: Denver Health and Hospital Authority
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine if a hospital-based violence intervention programs can make sustainable behavior changes in at-risk youth using two key components, brief intervention at the hospital bedside and case management.

Description:

This study will be a randomized controlled trial. Youth presenting to the emergency department with an intentional injury (gunshot wound, stab wound, or assault) will be given a behavioral assessment. Participants will be categorized according to risk (low, moderate, high). Only moderate or high youth will continue in the study and be randomized. Low risk youths will receive the medical standard of care and be re-assessed at 18 months.

Randomization will place participants in one of two arms. Arm 1 will receive the standard of care PLUS a brief intervention with AIM outreach workers. Arm 2 will receive standard medical care PLUS a brief intervention PLUS case management.

Every randomized youth will be assessed for risk and protective factors and have have data collected at 6-month intervals (0, 6, 12, 18 months).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 133
• Est. completion date: April 2019
• Est. primary completion date: April 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 14 Years to 24 Years

Eligibility

Inclusion Criteria:

• 14-24 years of age , Intentional Injury (Gunshot Wound, Stab Wound, Assault)

Exclusion Criteria:

• Younger than 14, 25 or older, non-English speaking, unable to give informed consent/assent, sexual assaults, domestic violence, child neglect/abuse.

Related Conditions & MeSH terms

• Violence

Intervention

Behavioral:
• Brief Intervention
Goals of the bedside intervention will be to help the patient understand their risky behaviors that resulted in the injury and to assess and deescalate any threat of retaliatory violence by the patient. The outreach worker will: (1) develop a rapport with the patient by introducing themselves and describing their (outreach worker's) background and reason for the bedside visit; (2) assess the emotional response to the current injury; (3) ensure the patient and/or family understand the nature of the injury and ED course; (4) address any immediate concerns of the patient; and (5) develop a plan for staying safe following discharge.
• Case Management
Case management based on needs-assessment. Resource connection and mentoring.
• Standard Medical Care
This will include physician discretion for medical treatment and potentially a social worker visit as the physician sees fit for the patient. This will also include a list of resources that are typically needed and used for violently injured youth.

Locations

Country	Name	City	State
United States	Denver Health Medical Center	Denver	Colorado

Sponsors (1)

Lead Sponsor	Collaborator
Denver Health and Hospital Authority

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Violence Risk Scale	Violence Risk Scale (VRS) will be measured with each youth at 4 time points. Change over time will be assessed and compared among study arms.	0, 6, 12, 18 months
Secondary	Composite Score	Composite Score measures both risk and protective factors. This weighted scale uses the interplay between risk and protective factors to determine overall risk for youth to become violently injured.	0, 6, 12, 18 months
Secondary	School Enrollment	Self-report for school enrollment will be measured and compared among arms.	0, 6, 12, 18 months
Secondary	Hospital Recidivism	Every six month, patients' medical records will be scanned to determine if there has been violent injury recidivism. Medical release of Information forms will allow medical record searches from other local hospitals.	0, 6, 12, 18 months
Secondary	Justice System Recidivism	Self-report of criminal history.	0, 6, 12, 18 months
Secondary	Employment	Self-report of employment status.	0, 6, 12, 18 months
Secondary	Resource Utilization	Self report of resource utilization for health care and social needs.	0, 6, 12, 18 months.
Secondary	Mortality	Mortality will be assessed every 6 months.	0, 6, 12, 18 months