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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02642224
Other study ID # UN2013-67786
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date May 2014
Est. completion date May 2018

Study information

Verified date June 2018
Source University of Pittsburgh
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Primary outcome: Research participants and their network contacts will be followed over 6 months to assess whether a social work case management protocol results in reduction of trauma services recidivism and criminal violence arrests.


Description:

Allegheny County, PA continues to suffer between 100-120 homicides each year, with perhaps 2-3 times as many gunshot injuries that require hospitalization. Firearm homicides overwhelmingly affect African American men aged 15-35. Building on prior efforts in violence prevention, the investigators propose to launch a hospital trauma service intervention that will take advantage of a "teachable moment" in the emergency room. All four hospitals providing Level I Trauma services in Allegheny County have agreed to host the program, an evidence-based effort developed by the National Network of Hospital Violence Intervention (NNHVI). Adaptation of the NNHVI model will focus on the social networks of gunshot victims as well as the victims themselves. Intervention efforts will range from job training and mentoring to relocation to different communities. The investigators will offer the opportunity to participate in the research and receive the intervention to all gunshot victims identified in county Level I trauma services. Participants in the research protocol will be asked to recruit their high-risk social network members for the intervention.


Recruitment information / eligibility

Status Completed
Enrollment 111
Est. completion date May 2018
Est. primary completion date May 2018
Accepts healthy volunteers No
Gender All
Age group 18 Years to 60 Years
Eligibility Inclusion Criteria:

1. Age 18+

2. Gunshot victim treated and discharged from Level I trauma facility; or member of social network of gunshot victim who may be high risk of firearm violence -

Exclusion Criteria:

1. Gunshot wound because of suicide attempt

2. Gunshot wound because of non-violent episode (e.g., hunting accident)

3. Unable to participate in research interview because of cognitive deficit

4. Planning to leave community as result of shooting

5. Discharged from trauma service to prison

6. Unable to provide informed consent -

Study Design


Intervention

Behavioral:
Social Work Case Management
The National Network of Hospital Violence Intervention (NNHVI) suggests that intervening when gunshot victims are receiving treatment in hospital trauma services may be effective in linking high-risk individuals to appropriate case management services, and that this service linkage may lower the risk of further violence. Our adaptation of the NNHVI model will focus on the social networks of gunshot victims as well as the victims themselves. Intervention efforts will range from job training and mentoring to relocation to different communities.

Locations

Country Name City State
United States University of Pittsburgh, Graduate School of Public Health Pittsburgh Pennsylvania

Sponsors (4)

Lead Sponsor Collaborator
University of Pittsburgh Hillman Foundation, RK Mellon Foundation, The Pittsburgh Foundation

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Trauma services recidivism Readmission to hospital trauma service because of firearm injury 6 months
Primary Arrest for violent crime Arrests involving criminal violence noted in DA docket 6 months
Secondary Social work case management goals Educational program enrollment, job training, receipt of drug and alcohol treatment, trauma counseling 6 months