Clinical trial NCT06263647: Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area
Official title: Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Firearm Injury
Lead sponsor: The University of Texas Health Science Center, Houston
Sponsor class: OTHER
Collaborators: name: National Institute of Nursing Research (NINR)
First posted: 2024-02-16
Enrollment: 274
Sex: ALL
Minimum age (years): 16
Maximum age (years): 35
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The purpose of this study is to evaluate the effectiveness of Houston-HVIP in reducing the occurrence of repeat firearm violence among adults receiving care at Memorial Hermann Hospital in Houston,to determine the impact of the community-engaged Houston-HVIP program on violent victimization and mental and behavioral health, to assess the impact of the Houston-HVIP program on reducing racial and ethnic disparities among individuals impacted by firearm violence injury, to determine the impact of the community-engaged Houston-HVIP program on physical and behavioral health during the 12-month follow-up period and to identify the predictors of implementation success, including dosage, reach, fidelity, and acceptability from the perspective of gun violence victims, health care providers, and community violence intervention specialists.


Eligibility criteria: Inclusion Criteria:

* presented for a gunshot injury stemming from community violence at Memorial Hermann Hospital
* English or Spanish-speaking
* provide informed voluntary consent to participate in the study
* live in Harris County at time of enrollment

Exclusion Criteria:

* presenting for a firearm injury arising from a self-inflicted gunshot or unintentional gun violence
* actively detained by criminal justice systems at time of enrollment

Primary outcomes:
measure: Change in repeat violent victimization as assessed by the number of participants who return to the hospital system for for an intentional firearm injury
timeFrame: Baseline , 3 months, 6 months, 9 months and 12 months
Secondary outcomes:
measure: Change in repeat non-firearm violent victimization as assessed by the number of participants who return to the hospital system for an intentional non-firearm injury
timeFrame: Baseline , 3 months, 6 months, 9 months and 12 months
measure: Change in attitudes towards firearm violence as assessed by Firearm Violences Attitudes (Sheley; Shapiro) questionnaire
timeFrame: Baseline , 3 months, 6 months, 9 months and 12 months
measure: Change in post-traumatic stress as assessed by the post-Traumatic Stress Disorder Checklist Version 5(PCL-5)
timeFrame: Baseline , 3 months, 6 months, 9 months and 12 months
measure: Change in aggression as assessed by the Copeland-Linder questionnaire.
timeFrame: Baseline , 3 months, 6 months, 9 months and 12 months
measure: Change in general health as assessed by the 12-item Short Form Health Survey (SF-12)
timeFrame: Baseline , 3 months, 6 months, 9 months and 12 months
Other outcomes:
Locations:
city: Houston
country: United States
facility: The University of Texas Health Science Center at Houston
state: Texas
Study officials:
affiliation: The University of Texas Health Science Center, Houston
name: Sandra McKay, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: The University of Texas Health Science Center, Houston
name: Alexander Testa, PhD
role: PRINCIPAL_INVESTIGATOR
References: