Bridging the Gap Intervention for Violent Injury
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Virginia Commonwealth University
Disqualifiers: Non-English, Age <18, Prisoners
No Placebo Group
Approved in 1 Jurisdiction
Trial Summary
What is the purpose of this trial?
The purpose of this research study is to find out if a hospital-based violence intervention (Bridging the Gap) is effective for reducing violence. The researchers think that adults who receive Bridging the Gap will see greater improvements than those who do not receive the intervention. This study will allow them to learn more about the intervention's effectiveness. The study will also help them understand if the violence intervention affects other behaviors, such as firearm use, drug use, aggression, risky behaviors, and rates of violent re-injury.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the treatment Bridging the Gap for violent injury?
Research on hospital-based violence intervention programs (HVIPs) shows they can help reduce future injuries and improve mental health and emotional well-being for victims of violence. These programs use a community-based approach to break the cycle of violence and have shown potential in reducing repeat injuries.12345
How is the Bridging the Gap treatment different from other treatments for violent injury?
Bridging the Gap is unique because it is a hospital-based violence intervention program that not only addresses the immediate medical needs of victims of violent injury but also connects them to community resources and support services to prevent future violence. Unlike traditional treatments that focus solely on physical recovery, this program aims to reduce trauma recidivism by providing comprehensive support during and after the hospital stay.36789
Eligibility Criteria
This trial is for English-speaking adults over 18 who live in Richmond City or nearby counties and are treated at the hospital for injuries from violence like gunshot wounds. It's not open to minors, non-English speakers, or prisoners.Inclusion Criteria
I am being treated in the hospital for an injury caused by violence.
I am 18 years old or older.
They are eligible for BTG services (which includes living within the BTG catchment area for the hospital; Richmond City and neighboring counties)
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Exclusion Criteria
I am under 18 years old.
Prisoners
I do not speak English.
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
In-hospital Intervention
Participants receive a hospital-based violence prevention program and firearm counseling
During hospital stay
1 visit (in-person)
Community Case Management
Participants receive 6 months of community case management services
6 months
Follow-up
Participants are monitored for outcomes related to firearm-related violence, re-injury, and mortality
12 months
2 follow-up assessments at 6 and 12 months
Treatment Details
Interventions
- Bridging the Gap (Behavioral Intervention)
Trial OverviewThe study tests 'Bridging the Gap,' a hospital-based program aimed at reducing retaliatory gun violence among violently injured adults. Researchers will compare outcomes of participants with and without this intervention.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: In-hospital interventionExperimental Treatment1 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.
Group II: Treatment as usualActive Control1 Intervention
Adults who will not receive BTG services and will receive treatment as usual (TAU) in the hospital.
Bridging the Gap is already approved in United States for the following indications:
🇺🇸 Approved in United States as Bridging the Gap for:
- Violence prevention
- Reducing retaliatory gun violence
- Firearm use reduction
- Drug use reduction
- Aggression reduction
- Risky behavior reduction
- Violent re-injury prevention
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Virginia Commonwealth UniversityRichmond, VA
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Who Is Running the Clinical Trial?
Virginia Commonwealth UniversityLead Sponsor
Centers for Disease Control and PreventionCollaborator
References
Boston Violence Intervention Advocacy Program: Challenges and Opportunities for Client Engagement and Goal Achievement. [2021]A better understanding of the factors affecting client engagement in hospital-based violence intervention programs (HVIPs), and which types of client needs prove most challenging to achieve, may be of key importance in developing novel, targeted strategies to violence intervention. In this study, we examined the demographics and injury characteristics of violently injured patients by their level of engagement with the Boston Violence Intervention Advocacy Program (VIAP) and determined the degree of client goal achievement through VIAP client services.
Generating a Core Set of Outcomes for Hospital-Based Violence Intervention Programs. [2021]Hospital-based violence intervention programs (HVIPs) engage individuals who have experienced violent victimization in postmedical care programming, with the goal of reducing the incidence and impact of future injuries. Although there is some empirical support for HVIPs' impact on violence and crime-related outcomes, proper impact assessment is limited by a lack of systematized research on outcomes that relate to the proximal goals and activities of the programs themselves. To address this critical gap, we conducted a two-stage Delphi method to elicit and prioritize these outcomes using the wisdom and experience of those who are engaged in service delivery (i.e., HVIP community-based practitioners, program coordinators, and embedded researchers; N = 79). Through this process, respondents prioritized outcomes related to posttraumatic stress symptoms, beliefs about aggression, coping strategies, and emotional regulation, which have not been consistently measured using validated or standardized tools. Results suggest that, rather than limiting program outcomes to those related to repeat violent injury or criminality, hospital- and community-based violence prevention programs seek to improve and measure mental health and socioemotional outcomes as a benchmark for healing and recovery after a violent injury. Prioritization of these outcomes broadens the definition of recovery to include psychosocial health and well-being. In addition, inclusion of these outcomes in effectiveness studies will serve to bolster the relevance of findings, and provide support for continued development and refinement of HVIP practice.
Testing the efficacy of a hospital-based violence intervention programme: protocol and design. [2022]Hospital-based violence intervention programmes (HBVIPs) are a promising strategy to reduce trauma recidivism and promote safety among victims of violent injury. While previous studies have demonstrated cost-effectiveness and positive impact on the lives of victims, there are a number of key limitations in the study designs of this evidence base. This study seeks to address the methodological shortcomings of previous research, determine the efficacy of HBVIPs using a randomised control study design, and provide a better understanding of successful service allocation within an HBVIP.
Hospital-based violence intervention programs work. [2022]Hospital-based violence prevention programs have emerged at trauma centers nationwide; however, none has been thoroughly evaluated for effectiveness. Our Violence Intervention Program (VIP) conducted a prospective randomized control study to evaluate the effectiveness of intervention for repeat victims of violence.
What Is the Institutional Duty of Trauma Systems to Respond to Gun Violence? [2019]In the past, trauma centers have almost exclusively focused on caring for patients who suffer from physical trauma resulting from violence. However, as clinicians' perspectives on violence shift, violence prevention and intervention have been increasingly recognized as integral aspects of trauma care. Hospital-based violence intervention programs are an emerging strategy for ending the cycle of violence by focusing efforts in the trauma center context. These programs, with their multipronged, community-based approach, have shown great potential in reducing trauma recidivism by leveraging the acute experience of violence as an opportunity to introduce services and assess risk of re-injury. In this article, we explore the evolving role of trauma centers and consider their institutional duty to address violence broadly, including prevention.
Characteristics of Adult Patients for Violence-Related Injuries Presenting to a Level 1 Trauma Center in Midwest United States. [2023]Hospital violence intervention programs (HVIPs) have recently been initiated in trauma centers across the United States. However, violence-related injuries have unique factors and issues that should be addressed in the health care provided in emergency departments.
Cost-benefit analysis simulation of a hospital-based violence intervention program. [2017]Violent injury is a major cause of disability, premature mortality, and health disparities worldwide. Hospital-based violence intervention programs (HVIPs) show promise in preventing violent injury. Little is known, however, about how the impact of HVIPs may translate into monetary figures.
Operation CeaseFire-New Orleans: an infectious disease model for addressing community recidivism from penetrating trauma. [2014]CeaseFire, using an infectious disease approach, addresses violence by partnering hospital resources with the community by providing violence interruption and community-based services for an area roughly composed of a single city zip code (70113). Community-based violence interrupters start in the trauma center from the moment penetrating trauma occurs, through hospital stay, and in the community after release. This study interprets statistics from this pilot program, begun May 2012. We hypothesize a decrease in penetrating trauma rates in the target area compared with others after program implementation.
Assessing improvements in emergency department referrals to a hospital-based violence intervention program. [2021]Youth violence is a major public health concern in the United States. Hospital-based Violence Intervention Programs (HVIPs) are integral in connecting youth sustaining interpersonal violence-related injuries to medical, mental health, and social services. At our pediatric emergency department, our baseline referral rate to the established HVIP was 32.5%. From November 2018-2019, we aimed to increase the percent of eligible patients referred to our HVIP from 32.5 to 70% for patients aged 7-18 years who present to our Level 1 emergency department/trauma center with a violent injury.