Preventing Firearm Violence in Youth: A Hospital-based Prevention Strategy

Virginia Commonwealth University (VCU)

Status: Enrolling

Conditions: Violence in Adolescence

Treatments: Behavioral: Bridging the Gap (BTG)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05078164

HM20022975

1R01HD108025 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The goal of the study is to understand if hospital-based violence interventions are effective for reducing youth violence among violently injured youth. This study will allow researchers to learn more about the intervention's effectiveness. The researchers also want to understand if the violence intervention impacts other behaviors, such as firearm use, drug use, aggression, risky behaviors, and rates of violent re-injury.

Full description

The purpose of this research study is to find out if a hospital-based violence intervention (Bridging the Gap) is effective for reducing youth violence. Researchers think that youth who receive the Bridging the Gap will see greater improvements than youth who do not receive the intervention. Approximately 300 youth patients and 300 adult caregivers will enroll in this study. Participants will be randomized into a study group (either Bridging the Gap or Treatment as Usual). 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 their hospital stay. Participants assigned to the Bridging the Gap intervention will receive an in-hospital intervention and, once released from the hospital, will receive 3-months of community case management services with their families. The study team thinks that youth who receive the Bridging the Gap intervention will see greater improvements than youth who do not receive the intervention. Participation in this study will last up to 6 months.

Enrollment: 300 estimated patients

Sex: All

Ages: 10 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Youth are aged 10-17 years and their adult caregivers are aged 18 years and older
2. Receiving treatment in the hospital for a violence-related injury (e.g., gunshot wound) or referred to BTG/IVPP services
3. English speaking
4. Eligible for BTG services (which includes living within the BTG catchment area for the hospital; Richmond City and neighboring counties)

Exclusion criteria

1. Youth are < 10 years old
2. Youth are > 18 years old
3. Prisoners

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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300 participants in 2 patient groups

Treatment as Usual

No Intervention group

Description:

Youth who will not receive BTG services and will receive treatment as usual (TAU) in the hospital.

Bridging the Gap (BTG)

Experimental group

Description:

Youth randomized to Bridging the Gap (BTG) services will receive a hospital-based violence prevention program with 3-months of community case management and a firearm counseling program.

Treatment:

Behavioral: Bridging the Gap (BTG)