Ignite Creation Date:
2024-05-06 @ 8:22 PM
Last Modification Date:
2024-10-26 @ 3:26 PM
Study NCT ID:
NCT06359990
Status:
RECRUITING
Last Update Posted:
2024-04-11
First Post:
2024-04-01
Brief Title:
BrotherlyACT A Culturally Congruent and Technology-Enhanced Youth Violence and Substance Use Intervention for Black Boys and Men
Sponsor:
Rush University Medical Center
Organization:
Rush University Medical Center
Study Overview
Official Title:
BrotherlyACT A Culturally Congruent and Technology-Enhanced Youth Violence and Substance Use Intervention for Black Boys and Men
Status:
RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
BrotherlyACT
Brief Summary:
This study will adapt and test a culturally tailored multi-component and trauma-focused digital intervention to reduce the risk and effects of youth violence and substance use and bridge service access gaps for young Black males YBM in pediatric emergency and community-based low-resource settings
Detailed Description:
Across US cities Black youth face a 20-fold higher risk and Hispanic youth a 44-fold higher risk of fatal shootings compared to non-Hispanic White youth aged 18-24 Despite these disparities young Black males YBM in program-rich cities report reduced service utilization and uptake due to various modifiable personal and community-based factors Several structural discrimination and avoidance-related processes drive these factors For instance YBM report high levels of Service Avoidance where YBM avoid institutions that might create official records or have law enforcement presence fearing involvement in the judicial system At the individual level they also report Experiential Avoidance where trauma-impacted YBM suppress uncomfortable thoughts experiences and feelings - including openness to intervention - leading to maladaptive coping strategies eg retaliation and substance dependence These issues jointly amplify youth violence YV risk and related issues such as substance use SU Yet few programs target these personal and structural drivers of YV and SU The investigators prior research involving assault-injured YBM has shown a preference for digital and remotely delivered interventions that provide personalized feedback round-the-clock support privacy and integrated services Digital interventions are an underutilized resource for helping at-risk YBMs overcome some os there personal and structural barriers to utilizing behavioral and other health services
This research study aims to adapt validate and test the efficacy of BrotherlyACT a culturally tailored multi-component and trauma-focused digital intervention to reduce the risk and effects of youth violence and substance use and bridge service access gaps for young Black males YBM in pediatric emergency and community-based low-resource settings This study will recruit a sample of 300 assault-injured YBMs at discharge from three level 1-2 emergency departments EDs and violence-involved YBMs from two community-based organizations Participants will be randomly assigned to the intervention or Waitlist Control Group WCG The intervention group will receive the appweb-based BrotherlyACT comprising three main components 1 Brief psychoeducational microlearning lesson videos based on the Acceptance and Commitment Therapy ACT 2 A Safety Planning Toolkit offering tools for risk assessment emotional regulation goal setting and mindfulness-based stress reduction 3 A Service Engagement Chatbot called DEVON that uses NLP to provide zip-code based navigational support and talk therapy It is hypothesized that at baseline 1- and 3-months post-intervention the intervention group will demonstrate reductions in 1 YV perpetration reactive and proactive aggression 2 YV victimization 3 substance use alcohol and other drug use occasions in the past 30 days substance use attitudes and beliefs Secondary outcomes include A service utilization intensity eg of weeks receiving follow-upreferral care of discriminatory staff-YBM encounters B Experiential Avoidance C Psychological distress D Violence Intentions and E Readiness to Change This study will explore potential sitelocation and mediationmoderation effects
This research study aims to adapt validate and test the efficacy of BrotherlyACT a culturally tailored multi-component and trauma-focused digital intervention to reduce the risk and effects of youth violence and substance use and bridge service access gaps for young Black males YBM in pediatric emergency and community-based low-resource settings This study will recruit a sample of 300 assault-injured YBMs at discharge from three level 1-2 emergency departments EDs and violence-involved YBMs from two community-based organizations Participants will be randomly assigned to the intervention or Waitlist Control Group WCG The intervention group will receive the appweb-based BrotherlyACT comprising three main components 1 Brief psychoeducational microlearning lesson videos based on the Acceptance and Commitment Therapy ACT 2 A Safety Planning Toolkit offering tools for risk assessment emotional regulation goal setting and mindfulness-based stress reduction 3 A Service Engagement Chatbot called DEVON that uses NLP to provide zip-code based navigational support and talk therapy It is hypothesized that at baseline 1- and 3-months post-intervention the intervention group will demonstrate reductions in 1 YV perpetration reactive and proactive aggression 2 YV victimization 3 substance use alcohol and other drug use occasions in the past 30 days substance use attitudes and beliefs Secondary outcomes include A service utilization intensity eg of weeks receiving follow-upreferral care of discriminatory staff-YBM encounters B Experiential Avoidance C Psychological distress D Violence Intentions and E Readiness to Change This study will explore potential sitelocation and mediationmoderation effects
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None