HVIP Outcomes and Stakeholder Insights
NCT Number: NCT06582953
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Firearm Injury|Violence, Physical
Interventions: BEHAVIORAL: Turning the Tide Violence Intervention Program (hospital violence intervention program)
Sponsor: Medical University of South Carolina
Sex: ALL
Age: CHILD, ADULT, OLDER_ADULT
Enrollment: 220
Study Design: Allocation: NA|Intervention Model: SINGLE_GROUP|Masking: NONE|Primary Purpose: HEALTH_SERVICES_RESEARCH
Start Date: 2024-09-30
Completion Date: 2027-11-30

Summary:
The study's goal is to perform an evaluation of a Southeastern hospital violence intervention program (HVIP) that includes comprehensive patient outcomes, perceived benefits and opportunities for improvement of an HVIP from the perspectives of multiple stakeholders including patients, family members and healthcare providers.

Primary Outcome Measures: Post Traumatic Stress Disorder, PTSD: PTSD Checklist for DSM-5 (PCL) The PCL-5 is a 20-item questionnaire, corresponding to the DSM-5 symptom criteria for PTSD. The self-report rating scale is 0-4 for each symptom. Rating scale descriptors are the same: Not at all, A little bit, Moderately, Quite a bit, and Extremely. They are scored 0-4. The score is totaled (0-80), with a cut-off of 33 being indicative of PTSD and higher scores indicating worse symptoms., Victims of violence will be screened at baseline enrollment, 3 months, 6 months and 12 months after enrollment|Self-Esteem, Self esteem will be assessed using he Rosenberg Self Esteem Scale. This is a 10-item scale with response options that indicate level of agreement (strongly agree, agree, disagree, strongly disagree) related to statements of self esteem. Responses are scored (1-4), and totaled. Higher scores indicate higher self-esteem., Victims of violence will be assessed at baseline, 3 months, 6 months and 12 months|Future Firearm Violence Risk, Future risk of firearm violence will be assessed with the SaFTEy Score (Serious fighting, Friend weapon carrying, community Environment, and firearm Threats). This is a 4 -item survey that assesses future risk of experiencing firearm violence. Each response is scored and all are totaled. Scores range 0-10, and 10 indicates high risk of future violence., Victims of violence will be assessed at baseline, 3 months, 6 months and 12 months after enrollment.|Depression, The PHQ-9 (patient health questionnaire) is used to assess for depression. It is a 9 item instrument that asks about depressive symptoms. Each question has a 4 response option that assesses for frequency of having symptoms, and each question is scored 0-3. The total score ranges from 0-27. 0 - 4 indicates no depression, 5-9 mild depressive symptoms, 10-14 moderate depressive symptoms, 15-19 moderately-severe depressive symptoms, and 20-27 severe depressive symptoms., Victims of violence will be assessed at baseline enrollment, 3 months, 6 months and 12 months after enrollment.|Benefits of hospital violence intervention program implementation, Healthcare providers will be surveyed on perceptions of the implementation of the Turning the Tide Violence Intervention Program (TTVIP). This is not an instrument, but questions assessing the following domains will be asked in a survey: knowledge of TTVIP services, impact on communication, medical care, trauma informed care, culturally competent care, and patient outcomes. Answer options will be based on level of agreement. Results will be reported by percentage of individuals reporting the response options., Healthcare providers will be assessed with baseline assessment at enrollment (1 time cross-sectional survey)|Percentage of Patients with Criminal justice system involvement, There will not be an instrument used. Rather, subjects will be asked if they have been subject to criminal charges, arrest and incarceration. The answer options will be in a yes/no format, and the outcome will be reported by incidence (percentage of individuals indicating criminal justice system involvement)., Victims of violence will be assessed at baseline enrollment, 3 months, 6 months and 12 months after enrollment|Percentage of Patients with Adverse Social Determinants of Health, Social Determinants of Health will be assessed with the Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Screening tool. This tool assesses social determinants of health (SDoH) and domains being assessed for this study include housing, safety, food insecurity, transportation, ability to afford basic needs, ability to pay for utilities, employment, and social support. The questions are not scored nor is a scale used, and response options are in the form of yes/no, multiple choices categories and frequencies. Results will be reported by incidence (percentage of subjects reporting the option)., Victims of violence will be assessed at baseline, 3 months, 6 months and 12 months after enrollment|Percentage of patients with perceived risk of violence, An instrument will not be used. The participant will be asked in a survey to indicate their level of agreement to a statement about feeling at risk of being a victim of violence. The result will be reported by the percentage of each response., Victims of violence will be assessed at baseline enrollment, 3 months, 6 months and 12 months after enrollment.|Percentage of patients experiencing a repeat injury, An instrument will not be used. Subjects will be asked if they have experienced a repeat injury (violent or non-violent) since enrollment in the study via survey question., Victims of violence will be assessed at 3 months, 6 months and 12 months after enrollment|Percentage of patients with recovery service needs, This will not be an instrument. Participants will be asked in a survey to indicate which services they feel like they need to recover after experiencing injury by selecting the boxes that they feel apply (services: medical/surgical, physical therapy, occupational therapy, social work, housing assistance, food assistance, transportation assistance, financial assistance, health insurance, conflict resolution, education, employment, accessing victims of crime services, legal services). Results will be reported by the percentage of individuals indicating service needs., Victims of violence will be assessed at baseline enrollment, 3 months, 6 months and 12 months after injury. Patient loved ones/caregivers will be assessed at baseline and 3-6 months after injury.|Percentage of patients reporting threats of violence, This will not be assessed with an instrument. This will be assessed with a survey question asking if the patient has experienced threats of violence., Victims of violence will be assessed 3 months, 6 months and 12 months after enrollment.|Percentage of patients reporting favorable outcomes of Violence Intervention Services, The iMPRoVE (Measures for Providers to Victimization Experiences) is a survey that assesses the outcomes and quality of victim intervention services within the following domains: legal/justice system, medical care and coordination, mental health focused services, crisis intervention and referral services, supportive or community advocacy services, and underserved population focused services. Each question is designed to assess if the TTVIP provided services that were perceived as beneficial to the individual related to the domain. There are two question banks - one for individuals/victims, and one for proxy (caregivers, loved ones, family members). Each question has a response option (strongly agree, agree, neither agree nor disagree, disagree, strongly disagree). It is not scaled or scored, but rather each response indicates the level of agreement to the question or statement. Results will be reported by the percentage of individuals answering the options., Patients enrolled in TTVIP will be assessed at the following intervals after enrollment: 3 months, 6 months and 12 months. Loved ones/caregivers will be assessed with proxy questions 3-6 months after their loved one was enrolled.|Percentage of Patients Reporting Favorable Quality of Health Care, This will not be assessed with an instrument. Questions will be administered via survey assessing the following domains of participant perception of their healthcare: communication, cultural competence, empathy, and bias. Questions will be assessed by level of agreement and reported by percentage reporting the responses., Victims of violence and loved ones/caregivers will be assessed at baseline enrollment and 3 months after enrollment.|Percentage of patients enrolled in hospital violence intervention program, Subjects will be asked if they are enrolled in the Turning the Tide Violence Intervention Program. It will be a yes or no question, and be reported by incidence (percentage of subjects enrolled)., Victims of violence will be asked at baseline enrollment, 3 months, 6 months and 12 months after enrollment.