Evaluation of Violence Prevention Strategies to Prevent and Reduce Community Levels of Youth Violence

NCT ID: NCT06176300

Last Updated: 2024-12-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

3390 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-16

Study Completion Date

2026-03-30

Brief Summary

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The goal of this research study is to implement and evaluate a comprehensive community-level approach, Healthy Communities for Youth, that includes both a selective hospital-based prevention strategy, Emerging Leaders, and universal prevention strategies that increase Positive Youth Development opportunities through participatory action research, stakeholder education, community mobilization, and an overall focus on increasing community capacity for prevention. Key project aims are to evaluate the impact of Healthy Communities for Youth on community rates of youth violence using surveillance data and evaluate the impact of each violence prevention strategy on proximal outcomes including their impact on risk factors and protective processes related to multiple forms of youth violence.

Detailed Description

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This project focuses on three communities in Richmond selected based on US Census Bureau block groups and their high rates of youth violence and concentrated poverty. The community-level effects of implementing the comprehensive community-level approach will be evaluated using a multiple baseline design. The three communities were randomly assigned such that the intervention would begin in one community starting in the fourth quarter of Year 1, a second community in the fourth quarter of Year 2, and the third community will represent a no-intervention control community receiving training and technical assistance at the end of the project. Analyses will be conducted on community-level surveillance data on violence-related variables to determine if the introduction of the community-level intervention within each community is associated with subsequent changes in outcome measures.

Conditions

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Violence Exposure to Violent Event Adolescent Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Three intervention strategies (i.e., PAR - the SEED Method and Youth Voices, Emerging Leaders hospital-based intervention, and Stakeholder Education) form the community-level approach to prevent youth violence. The interventions will be implemented in communities in randomized order to evaluate their combined influence.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Community A

Group Type EXPERIMENTAL

PAR - the SEED Method

Intervention Type BEHAVIORAL

The SEED Method is an evidence-based Participatory Action Research (PAR) approach that engages youth and adult stakeholders in collective decision-making and action in supporting PYD opportunities in their communities.

PAR-Youth Voices

Intervention Type BEHAVIORAL

Youth Voices is a developmentally appropriate and culturally responsive PAR approach designed for African American adolescents. The curriculum relies on frameworks including sociopolitical development (e.g., civic engagement and social justice), racial socialization, and racial identity development. Youth Voices will be implemented in high schools serving the intervention communities.

Emerging Leaders hospital-based intervention

Intervention Type BEHAVIORAL

Emerging Leaders is a violence prevention strategy that provides evidence-based intervention and resources for high-risk youth and their families in the youth's home and community. Emerging Leaders consists of four core components to prevent violence: (1) brief hospital-based violence intervention, (2) 3-months of community case management, (3) an in-home firearm safety counseling program, and (4) an 8-week youth positive development workshop series.

Community B

Group Type EXPERIMENTAL

PAR - the SEED Method

Intervention Type BEHAVIORAL

The SEED Method is an evidence-based Participatory Action Research (PAR) approach that engages youth and adult stakeholders in collective decision-making and action in supporting PYD opportunities in their communities.

PAR-Youth Voices

Intervention Type BEHAVIORAL

Youth Voices is a developmentally appropriate and culturally responsive PAR approach designed for African American adolescents. The curriculum relies on frameworks including sociopolitical development (e.g., civic engagement and social justice), racial socialization, and racial identity development. Youth Voices will be implemented in high schools serving the intervention communities.

Emerging Leaders hospital-based intervention

Intervention Type BEHAVIORAL

Emerging Leaders is a violence prevention strategy that provides evidence-based intervention and resources for high-risk youth and their families in the youth's home and community. Emerging Leaders consists of four core components to prevent violence: (1) brief hospital-based violence intervention, (2) 3-months of community case management, (3) an in-home firearm safety counseling program, and (4) an 8-week youth positive development workshop series.

Community C

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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PAR - the SEED Method

The SEED Method is an evidence-based Participatory Action Research (PAR) approach that engages youth and adult stakeholders in collective decision-making and action in supporting PYD opportunities in their communities.

Intervention Type BEHAVIORAL

PAR-Youth Voices

Youth Voices is a developmentally appropriate and culturally responsive PAR approach designed for African American adolescents. The curriculum relies on frameworks including sociopolitical development (e.g., civic engagement and social justice), racial socialization, and racial identity development. Youth Voices will be implemented in high schools serving the intervention communities.

Intervention Type BEHAVIORAL

Emerging Leaders hospital-based intervention

Emerging Leaders is a violence prevention strategy that provides evidence-based intervention and resources for high-risk youth and their families in the youth's home and community. Emerging Leaders consists of four core components to prevent violence: (1) brief hospital-based violence intervention, (2) 3-months of community case management, (3) an in-home firearm safety counseling program, and (4) an 8-week youth positive development workshop series.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Community residents, youth aged 12-17 and parents, living in one of the intervention communities (Community A and Community B)
* Stakeholders who reside or work in one of the intervention communities (Community A and Community B) or who contribute other expertise
* Be able to consent/assent

Exlcusion criteria:

* Those with limited English proficiency

Emerging Leaders:


* Violently injured or high-risk youth that have either received or are receiving treatment or had a family member or relative receive treatment at VCU Health, or who live in one of the intervention communities, or have been referred by a community partner.
* Aged 14 through 24
* Reside in one of the two intervention communities (Community A and Community B) or in the control community (Community C)
* Be able to consent/assent


* Youth in grades 9 through 12
* Reside in one of the intervention communities (Community A and Community B) and attend the designated high school(s) serving that community (Community A or Community B)
* Be able to consent/assent

Exclusion Criteria

* Youth younger than 14 and older than 24 will be excluded.
* Prisoners will be excluded.
* Those living outside our community boundaries will be excluded.

PAR/Youth Voices:


* Youth in grades below 9th
* Youth who have graduated from high school
* Youth recruited for School A, cannot reside in the catchment areas for Communities B or C. Youth recruited for School B, cannot reside in the catchment areas for Communities A or C. Youth recruited for School C, cannot reside in the catchment areas for Communities A or B.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centers for Disease Control and Prevention

FED

Sponsor Role collaborator

Virginia Commonwealth University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Terri Sullivan, PhD

Role: PRINCIPAL_INVESTIGATOR

Virginia Commonwealth University

Locations

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Virginia Commonwealth University

Richmond, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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5U01CE003379

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HM20023324

Identifier Type: -

Identifier Source: org_study_id