Ignite Creation Date:
2024-10-26 @ 3:39 PM
Last Modification Date:
2024-10-26 @ 3:39 PM
Study NCT ID:
NCT06582953
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-11
Brief Title:
HVIP Outcomes and Stakeholder Insights
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Advancing the Evidence for HVIPs in the Southeast Comprehensive Patient- Centered Outcomes Stakeholder Insights
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The studys 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
Detailed Description:
Evidence demonstrates that hospital violence intervention programs HVIPs reduce violent injury recidivism PTSD symptoms improve receipt of supportive services and demonstrate cost-savings for the healthcare system However it is unknown if these outcomes can be replicated in under-studied communities in the Southeast SE where few HVIPs have been implemented and other potentially valuable outcomes remain unexamined These may include but are not limited to improvement in patients healthcare experiences self-confidence violence risk reduction and overall recovery In addition multi-sector stakeholder perspectives on how HVIPs can improve or expand to better meet communities needs are lacking in the literature For instance family members and loved ones are often supported by HVIP services but little is known about how they benefit from the intervention Also HVIPs integrate into the healthcare team augmenting the care provided by the clinical staff Little is known about how healthcare teams benefit from the work of HVIPs or how the quality of care provided is influenced by these programs These questions are imperative to informing the implementation of HVIPs and how success might be better defined through a public health lens that considers outcomes beyond violent injury recidivism for patients families healthcare systems and communities
Further evaluating HVIPs in under-studied communities is critical to advancing the models evidence base especially in communities where violence intervention investment remains low The SE US for example experiences a disproportionate burden of firearm homicide but few hospitals have adopted HVIPs SE trauma centers and HVIPs uniquely serve large urban and rural geographic areas that face complex racial and economic disparities yet have fewer investments in violence prevention and safety net policies and services
Investigators propose conducting a comprehensive evaluation of an established HVIP Turning the Tide Violence Intervention Program TTVIP at an academic non-profit level 1 trauma center in Charleston SC that serves youth and young adult victims of community and interpersonal violence in Charleston Dorchester and Berkeley Counties Most patients served by the TTVIP are victims of firearm injury ampgt90 reside in the cities of Charleston and North Charleston - the latter of which ranks among US cities with the highest firearm assault and homicide rates - and are disproportionately young Black males from neighborhoods with high deprivation and are Medicaid funded or uninsured This study will advance the knowledge on HVIP outcomes implementation from the perspective of survivors families and healthcare team members in addition to examining the impact of an HVIP in a SE state that disproportionately experiences firearm violence The studys goal is to perform an evaluation of a SE HVIP TTVIP that includes comprehensive patient outcomes perceived benefits of HVIPs from the perspectives of multiple stakeholders and opportunities for HVIP improvement
Aim 1 Assess healthcare experience supportive service utilization violence risk mental health outcomes self-confidence perceived risk of violence and re-injury among violently injured youth and young adults including TTVIP enrolled patients and non-enrolled patients Investigators hypothesize that individuals that experienced violent injury and enrolled in the TTVIP will report a more positive perception of their healthcare experience b higher service utilization c lower rates of depression and PTSD d lower risk of violence e higher confidence and f lower rates of violent and non-violent re-injury compared to non-enrolled victims of violence Investigators anticipate similar rates of perceived violence risk between the two groups
Aim 2 Examine perceptions of HVIP services benefits and recommendations for service improvement among HVIP enrollees and their primary caregiversloved ones
Aim 3 Assess perceptions of HVIP services benefits to the healthcare team and patients and recommendations for service improvements among healthcare staff
Further evaluating HVIPs in under-studied communities is critical to advancing the models evidence base especially in communities where violence intervention investment remains low The SE US for example experiences a disproportionate burden of firearm homicide but few hospitals have adopted HVIPs SE trauma centers and HVIPs uniquely serve large urban and rural geographic areas that face complex racial and economic disparities yet have fewer investments in violence prevention and safety net policies and services
Investigators propose conducting a comprehensive evaluation of an established HVIP Turning the Tide Violence Intervention Program TTVIP at an academic non-profit level 1 trauma center in Charleston SC that serves youth and young adult victims of community and interpersonal violence in Charleston Dorchester and Berkeley Counties Most patients served by the TTVIP are victims of firearm injury ampgt90 reside in the cities of Charleston and North Charleston - the latter of which ranks among US cities with the highest firearm assault and homicide rates - and are disproportionately young Black males from neighborhoods with high deprivation and are Medicaid funded or uninsured This study will advance the knowledge on HVIP outcomes implementation from the perspective of survivors families and healthcare team members in addition to examining the impact of an HVIP in a SE state that disproportionately experiences firearm violence The studys goal is to perform an evaluation of a SE HVIP TTVIP that includes comprehensive patient outcomes perceived benefits of HVIPs from the perspectives of multiple stakeholders and opportunities for HVIP improvement
Aim 1 Assess healthcare experience supportive service utilization violence risk mental health outcomes self-confidence perceived risk of violence and re-injury among violently injured youth and young adults including TTVIP enrolled patients and non-enrolled patients Investigators hypothesize that individuals that experienced violent injury and enrolled in the TTVIP will report a more positive perception of their healthcare experience b higher service utilization c lower rates of depression and PTSD d lower risk of violence e higher confidence and f lower rates of violent and non-violent re-injury compared to non-enrolled victims of violence Investigators anticipate similar rates of perceived violence risk between the two groups
Aim 2 Examine perceptions of HVIP services benefits and recommendations for service improvement among HVIP enrollees and their primary caregiversloved ones
Aim 3 Assess perceptions of HVIP services benefits to the healthcare team and patients and recommendations for service improvements among healthcare staff
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None