Violence Clinical Trial
Official title:
Optimization Study of the Wraparound Care for Youth Injured by Violence Program
NCT number | NCT02573480 |
Other study ID # | H2015:311 |
Secondary ID | |
Status | Terminated |
Phase | N/A |
First received | |
Last updated | |
Start date | November 2015 |
Est. completion date | May 2018 |
Verified date | August 2018 |
Source | University of Manitoba |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study is an optimization study to evaluate how a wraparound program for youth who have been injured by violence helps to change violence related attitudes and beliefs, change individual risk factors for violence and reduce the risk of future injury due to violence. Wraparound care involves linking the youth with a support worker who will work with the youth to develop positive support networks and help them link with services that address risk factors towards future violence.
Status | Terminated |
Enrollment | 11 |
Est. completion date | May 2018 |
Est. primary completion date | May 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 14 Years to 24 Years |
Eligibility |
Inclusion Criteria: 1) Age 14 - 24, and 2) Presentation with an injury due to violence (defined as an injury inflicted by someone else and one caused by a gunshot wound, stab wound, blunt object, or bodily force). Exclusion Criteria: 1) Unable to consent due to language or brain injury, 2) Sexual assault, 3) Child Abuse, 4) Self-Inflicted Injury, or 5) Transfer from hospital > 1 hr from Winnipeg, Canada |
Country | Name | City | State |
---|---|---|---|
Canada | Winnipeg Health Sciences Centre | Winnipeg | Manitoba |
Lead Sponsor | Collaborator |
---|---|
University of Manitoba |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Violence risk scores | The Violence Risk Scale: Youth Version (YRS-YV) will be completed at intake and then again at 3 months, 6 months and 1 year. The total change score for each time period will be determined. | 1 year post injury | |
Secondary | Report risk/protective factors of youth injured by violence | Many risk and protective factors such as education, employment, family, child protective services, access to health care, addictions, mental health, housing and interaction with the justice system have all been shown to be risk and in some cases protective (active education or employment) factors for violent injury among youth. | Within 1 month post injury | |
Secondary | Prevalence of post-traumatic stress disorder (PTSD) among participants | As indicated by PTSD Checklist - Civilian Version (PCL-C) and Structured Interview of Disorders of Extreme Stress (SIDES) | Within 1 month post injury | |
Secondary | Prevalence of depression/mental health conditions among participants | As indicated by the Patient Health Questionnaire (PHQ-9) Quick Depression Assessment and In addition to the PHQ-9, we will ask youth questions about previous mental health diagnoses to capture non-depression and PTSD diagnoses. | Within 1 month post injury | |
Secondary | Prevalence of adverse childhood events (ACE) among participants | As determined by scores on the Adverse Childhood Event questionnaire. | Within 1 month post injury | |
Secondary | Prevalence of alcohol use disorder among participants | As determined by scores on the Alcohol Use Disorders Identification Test - Consumption (AUDIT-C). | Within 1 month post injury | |
Secondary | Prevalence of (non-alcohol) substance use among participants | As determined by scores on the Drug Use Questionnaire (DAST-10, Adolescent Version). | Within 1 month post injury | |
Secondary | Intensity-of-care measurements | Based on a 3-part measurement developed by the Children's Hospital of Philadelphia (CHOP) as well as the more standard intensity measurements of total time used by San Francisco WrapAround care program and Healing Hurt People Program in Philadelphia. This measurement include: CHOP-method: 1) # of weeks receiving care, 2) # of needs addressed and 3) # of staff-client encounters; Standard Method: Total in-person contact time. | 1 year post-injury | |
Secondary | Rate of past year and post year visits to hospital for injury/substance use/mental health | Using ADT (Admissions, Diagnosis, Triage) and E-Triage and chart review, any visit to any ED in Winnipeg for intentional injury 1-year pre-index visit and 1-year post-index visit will be identified. Deaths due to violence will be identified using Vital Stats. Following the identification of a visit to the ED in the year pre and post the index injury (i.e. the injury at which time the youth participant was enrolled), a chart review at that hospital of that year will be completed. | 1 year pre and post injury | |
Secondary | Effect of EDVIP on resilience and post traumatic growth | Using Connor Davidson Resilience Scale and PostTraumatic Growth Injury, youth will be assessed for changes in resilience from baseline and posttraumatic growth at two time points. | 6 months and 1 year post injury |
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