Preventing Retaliatory Gun Violence in Violently Injured Adults
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|ClinicalTrials.gov Identifier: NCT04813185|
Recruitment Status : Recruiting
First Posted : March 24, 2021
Last Update Posted : April 12, 2021
|Condition or disease||Intervention/treatment||Phase|
|Violence||Behavioral: Bridging the Gap||Not Applicable|
Approximately 616 patients will enroll in this study. Participants will be asked to complete sessions about behavior, personality, and experiences. Participants will be randomized into a study group (either Bridging the Gap or Treatment as Usual) by drawing a number. If patients agree to the study but do not like the group they are assigned to, they can request to switch groups. Participants assigned to the Treatment as Usual intervention will receive a brief violence awareness brochure during your hospital stay. Participants assigned to the Bridging the Gap intervention will receive an in-hospital intervention and, once released from the hospital, will receive 6-months of community case management services. The study team thinks that adults who receive the Bridging the Gap intervention will see greater improvements than adults who do not receive the intervention. This study will allow them to learn more about the intervention's effectiveness.
During these study sessions participants will complete questionnaires about exposure to traumatic events, symptoms of trauma, history of suicide, aggression and violence, antisocial personality traits, illegal behaviors, substance use, and mental health. Participants will complete several tasks which measure cognitive ability, such as problem-solving, attention/concentration, and decision-making. They will also complete a clinical interview that covers antisocial personality traits and behaviors, including history of aggressive behavior and substance use. These interviews will be video recorded. These recordings will be used to help score the interviews and for training purposes. Information will also be collected from participant's medical records, including demographic information, history and reason for past hospitalizations, mental health history, and substance use reports, as well as a criminal background check.
The surveys take about 2 hours to complete. Participants will complete these questionnaires again 6 and 12 months later. Participation in this study will last up to 12 months.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||616 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Preventing Retaliatory Gun Violence in Violently Injured Adults: A RCT of a Hospital-Based Intervention|
|Estimated Study Start Date :||May 2021|
|Estimated Primary Completion Date :||April 2024|
|Estimated Study Completion Date :||April 2024|
No Intervention: Treatment as usual
Adults who will not receive BTG services and will receive treatment as usual (TAU) in the hospital.
Experimental: In-hospital intervention
Adults randomized to Bridging the Gap (BTG) services will receive a hospital-based violence prevention program with 6-months of community case management and a firearm counseling program.
Behavioral: Bridging the Gap
Bridging the Gap Bridging the Gap is a hybrid model for violence prevention which integrates a hospital-based brief violence intervention (BVI) delivered to the patient while in hospital with a wrap-around community case management prevention strategy.
Firearm Counseling Program The firearm counseling program was developed to be administered in the hospital alongside the 6-step intervention program, as well as in the patient's home after hospital discharge. The firearm safety counseling program includes 3 components aimed at understanding patient risk, reducing firearm-related violence risk-factors, and helping patients increase firearm safety practices.
- Firearm-related violence [ Time Frame: 12-months ]Number of firearm-related violence incidents will be measured multiple ways including self-report and a semi-structured clinical assessment of non-convicted firearm-related violence. Incidents will be summed to yield a single count of unique firearm-related violence incidents for each participant.
- Firearm-related re-injury [ Time Frame: 12-months ]Number of firearm-related re-injury incidents will be measured multiple ways including self-report and hospital records. Incidents will be summed to yield a single count of unique firearm-related re-injuries for each participant.
- Firearm-related mortality [ Time Frame: 12-months ]Collected from hospital records and National Death Index
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04813185
|Contact: Nicholas Thomson||804-628-5541||Nicholas.Thomson@vcuhealth.org|
|United States, Virginia|
|Virginia Commonwealth University||Recruiting|
|Richmond, Virginia, United States, 23298|
|Principal Investigator: Nicholas Thomson, PhD|
|Principal Investigator:||Nicholas Thomson||Virginia Commonwealth University|