Clinical trial NCT06442046: Strengthening the Connections to Opportunities for Prevention Engagement
Official title: Strengthening the Connections to Opportunities for Prevention Engagement (SCOPE)
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Interpersonal Violence
Structural Violence
Keywords: youth violence prevention
Lead sponsor: Connecticut Children's Medical Center
Sponsor class: OTHER
Collaborators: name: The Tow Foundation
First posted: 2024-06-04
Enrollment: 225
Sex: ALL
Minimum age (years): 8
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The Strengthening the Connections to Opportunities for Prevention Engagement (SCOPE) project will create a pathway for children and families from the City of Hartford to connect with a Connecticut Children's Care Coordinator (CC) in an effort to reduce levels of violence exposure.

Detailed description: The Strengthening the Connections to Opportunities for Prevention Engagement (SCOPE) project will create a pathway for children and families from the City of Hartford to connect with a Connecticut Children's Care Coordinator (CC) when they are determined to have high levels of violence exposure.

SCOPE seeks to decrease future violence exposure and increase resiliency of children with high levels of exposure to violence through Emergency Department (ED)-based case management and connections with community partners.

Hypothesis 1: VPET scores within the intervention group will show significant reductions across the study period. The percent of patients with positive VPET positive scores within the intervention group will show significant reductions from the expected 79% to 70% as compared to the control group that will have the expected 79%

Hypothesis 2: The Child and Youth Resilience Measure-Revised (CYRM) scores for the intervention group will increase by 10%, and will be significantly higher than the control group.

Hypothesis 3: At least 75% of the intervention group will be assessed as "positive" for having made a connection with community services.

Hypothesis 4: 90% of parents with children receiving case management will report being satisfied with the case management services and community connected services.

Hypothesis 5: Retention within the intervention group will be at or above 50%, with at least half of participants remaining engaged in the project.

Hypothesis 6: Compared to the control group, the intervention group will have fewer documented injuries and ED visits during the 12-month period post-enrollment.

Eligibility criteria: Inclusion Criteria:

* At least 8 years of age and not older than 17 years of age (until 18th birthday)
* Hartford resident based on zip code of primary residence or parent report?
* Accompanied by a parent or guardian who can provide consent
* Capable of providing assent/consent
* Able to provide consent in English or Spanish
* Presenting at CT Children's during recruitment hours

Exclusion Criteria:

* Patients whose primary complaint is for behavioral health
* Patients in Connecticut Department of Children and Families (DCF) or police custody

Primary outcomes:
measure: Change from baseline violence exposure at 12 months
timeFrame: Baseline and months 3, 6, 9, and 12
Secondary outcomes:
measure: Change in resilience score from baseline at 12 months
timeFrame: Baseline and months 3, 6, 9, and 12
measure: Difference in connections between intervention and control at 3-month intervals.
timeFrame: Quarterly measure at 0, 3, 6, 9, and 12 months
measure: Level of satisfaction with case management services after 12 months of services
timeFrame: At 12-months of case management.
measure: Rate of re-injury in the intervention group compared to the control condition.
timeFrame: baseline, 3, 6, 9, 12 months
Other outcomes:
Locations:
city: Hartford
country: United States
facility: Connecticut Children's
state: Connecticut
Study officials:
affiliation: Connecticut Children's
name: Kevin Borrup, DrPH
role: PRINCIPAL_INVESTIGATOR
References: