Preventing Firearm Violence in Youth: A Hospital-based Prevention Strategy

Violence in Adolescence Clinical Trial

Official title:

Preventing Firearm Violence in Youth: A Hospital-based Prevention Strategy

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05078164
• Other study ID #: HM20022975
• Secondary ID: 1R01HD108025
• Status: Recruiting
• Phase: N/A
• Start date: May 4, 2022
• Est. completion date: May 2025

Study information

• Verified date: May 2024
• Source: Virginia Commonwealth University
• Contact: Nicholas Thomson
• Phone: 804-628-5541
• Email: Nicholas.Thomson[@]vcuhealth.org
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of the study is to understand if hospital-based violence interventions are effective for reducing youth violence among violently injured youth. This study will allow researchers to learn more about the intervention's effectiveness. The researchers also want to understand if the violence intervention impacts other behaviors, such as firearm use, drug use, aggression, risky behaviors, and rates of violent re-injury.

Description:

The purpose of this research study is to find out if a hospital-based violence intervention (Bridging the Gap) is effective for reducing youth violence. Researchers think that youth who receive the Bridging the Gap will see greater improvements than youth who do not receive the intervention. Approximately 300 youth patients and 300 adult caregivers will enroll in this study. Participants will be randomized into a study group (either Bridging the Gap or Treatment as Usual). If patients agree to the study but do not like the group they are assigned to, they can request to switch groups. Participants assigned to the Treatment as Usual intervention will receive a brief violence awareness brochure during their hospital stay. Participants assigned to the Bridging the Gap intervention will receive an in-hospital intervention and, once released from the hospital, will receive 3-months of community case management services with their families. The study team thinks that youth who receive the Bridging the Gap intervention will see greater improvements than youth who do not receive the intervention. Participation in this study will last up to 6 months.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 300
• Est. completion date: May 2025
• Est. primary completion date: May 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 10 Years to 17 Years

Eligibility

Inclusion Criteria:

1. Youth are aged 10-17 years and their adult caregivers are aged 18 years and older

2. Receiving treatment in the hospital for a violence-related injury (e.g., gunshot wound) or referred to BTG/IVPP services

3. English speaking

4. Eligible for BTG services (which includes living within the BTG catchment area for the hospital; Richmond City and neighboring counties)

Exclusion Criteria:

1. Youth are < 10 years old

2. Youth are > 18 years old

3. Prisoners

Related Conditions & MeSH terms

• Violence in Adolescence

Intervention

Behavioral:
• Bridging the Gap (BTG)
Bridging the Gap: Bridging the Gap is a hybrid model for violence prevention which integrates a hospital-based brief violence intervention (BVI) delivered to the patient while in hospital with a wrap-around community case management prevention strategy. Firearm Counseling Program: The firearm counseling program was developed to be administered in the hospital alongside the 6-step intervention program, as well as in the patient's home after hospital discharge. The firearm safety counseling program includes 3 components aimed at understanding patient risk, reducing firearm-related violence risk-factors, and helping patients increase firearm safety practices.

Locations

Country	Name	City	State
United States	Virginia Commonwealth University	Richmond	Virginia

Sponsors (2)

Lead Sponsor	Collaborator
Virginia Commonwealth University	Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Firearm-related violence	Total number of unique firearm-related violence incidents will be assessed multiple ways including self-report assessment and semi-structured clinical assessments.	6 months
Primary	Firearm-related carrying behaviors	Total number of firearm-related carrying behaviors will be assessed multiple ways including self-report assessment and semi-structured clinical assessments.	6 months
Primary	Firearm-related beliefs	Total number of firearm-related beliefs endorsed will be assessed multiple ways including self-report assessment and semi-structured clinical assessments.	6 months
Primary	Firearm-related re-injury	Total number of unique firearm-related re-injury incidents will be measured multiple ways including self-report, caregiver-report, hospital records, and the National Death Index.	6 months
Primary	Firearm-related mortality	Number of deaths will be collected from hospital records and the National Death Index.	6 months