274 Participants Needed

Violence Intervention Programs for Gunshot Wounds

AT
SM
Overseen BySandra McKay, MD
Age: < 65
Sex: Any
Trial Phase: Academic
Sponsor: The University of Texas Health Science Center, Houston
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a new program, called Houston-HVIP, can improve recovery after a gunshot wound and prevent future injuries. It compares this approach to the usual care for individuals affected by community violence. Researchers seek to understand if this program can enhance mental and physical health over a year. The study is recruiting English or Spanish speakers treated for a gunshot wound at Memorial Hermann Hospital who reside in Harris County. As an unphased trial, participants have the opportunity to contribute to innovative care strategies that could enhance recovery and prevent future injuries.

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 prior data suggests that the Houston-HVIP treatment is safe?

Research has shown that programs like the Houston-HVIP, which assist people in hospitals after violent incidents, can reduce the risk of future injuries. Although specific information on side effects or safety issues for the Houston-HVIP is unavailable, such programs typically provide counseling and support. They aim to enhance mental, emotional, and physical health. Since the program does not involve medication or medical procedures, the risk of negative effects remains very low. Participants often feel supported and empowered, rather than experiencing harm. Overall, these hospital-based programs are considered safe and are generally well-received by participants.12345

Why are researchers excited about this trial?

Researchers are excited about the Houston-HVIP treatment for gunshot wound victims because it takes a comprehensive approach beyond just medical care. Unlike standard treatments that focus primarily on physical healing, this program emphasizes violence intervention and prevention, aiming to address the root causes of gun violence. By incorporating social support, counseling, and rehabilitation services, Houston-HVIP seeks to reduce the likelihood of future violence and hospital readmissions, offering a holistic recovery path for patients.

What evidence suggests that the Houston-HVIP treatment could be effective for preventing violent reinjury?

Research has shown that hospital-based violence intervention programs (HVIPs) are promising in reducing repeat violence. These programs engage patients when they are most open to change, often during hospital stays for injuries from violence. Studies have found that HVIPs can lower the risk of re-injury and improve both mental and physical health. In this trial, participants may receive the Houston-HVIP treatment, which is being evaluated for its effectiveness. Although specific data on the Houston-HVIP is not yet available, the success of similar programs suggests it could be effective. Early evidence supports that these programs can lead to safer outcomes for people involved in violence.12367

Who Is on the Research Team?

AT

Alexander Testa, PhD

Principal Investigator

The University of Texas Health Science Center, Houston

SM

Sandra McKay, MD

Principal Investigator

The University of Texas Health Science Center, Houston

Are You a Good Fit for This Trial?

This trial is for adults treated at Memorial Hermann Hospital in Houston for gunshot wounds from community violence. Participants must speak English or Spanish and give informed consent. It excludes those with self-inflicted, accidental, unintentional, or domestic violence-related gunshot injuries.

Inclusion Criteria

Presented for a gunshot injury stemming from community violence at Memorial Hermann Hospital
Provide informed voluntary consent to participate in the study

Exclusion Criteria

Presenting for unintentional gun violence
Presenting for a firearm injury arising from a self-inflicted gunshot
Presenting for an accidental firearm injury
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in the Houston-HVIP program to reduce repeat violent events and improve mental and behavioral health

12 months
Monthly assessments

Follow-up

Participants are monitored for changes in post-traumatic stress, aggression, and general health

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Enhanced Case Management
  • Houston-HVIP treatment
Trial Overview The study tests the effectiveness of the Houston-Hospital Violence Intervention Programs (HVIP) on preventing repeat violent incidents and improving mental health among gun violence victims. It also examines racial disparities in firearm injury outcomes and factors influencing program success.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Houston-HVIP treatment groupExperimental Treatment1 Intervention
Group II: Standard of Care groupActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

The University of Texas Health Science Center, Houston

Lead Sponsor

Trials
974
Recruited
361,000+

National Institute of Nursing Research (NINR)

Collaborator

Trials
623
Recruited
10,400,000+

Published Research Related to This Trial

The Prescription for Hope (RxH) program significantly reduced the odds of violent reinjury among participants, with a 65% lower chance of being reinjured after a violent incident, based on a study of 992 patients over a 2-year period.
However, participation in RxH was also associated with increased odds of new convictions for violent crime, suggesting that while the program may help prevent further injuries, it may not address underlying issues related to violent behavior.
Violent injury prevention does not equal to violent crime prevention: an analysis of violence intervention program efficacy using propensity score methods.Holler Mph, E., Ortiz Md, D., Mohanty Md Ms, S., et al.[2022]
The study found a low long-term violent-injury recidivism rate of 4.4% among 328 participants in the Prescription for Hope (RxH) hospital-based violence intervention program over an 8-year period, indicating that the program has lasting positive effects on most participants.
Despite the low recidivism rate, many patients still visited the emergency department for non-violent issues, suggesting that HVIPs could enhance their impact by collaborating with organizations focused on preventing substance abuse, suicide, and unintentional injuries.
Long-term evaluation of a hospital-based violence intervention program using a regional health information exchange.Bell, TM., Gilyan, D., Moore, BA., et al.[2019]
In a study of 295 patients involved in a hospital-based violence intervention program (HVIP), nearly 50% achieved their personal health and social goals within 6 months, indicating the program's effectiveness in addressing immediate needs after injury.
HVIP participants showed significantly lower levels of PTSD and higher positive emotional states at discharge compared to non-HVIP patients, suggesting that engagement in the program leads to better short-term health outcomes and improved social determinants of health.
Beyond Recidivism: Hospital-Based Violence Intervention and Early Health and Social Outcomes.Gorman, E., Coles, Z., Baker, N., et al.[2022]

Citations

Protocol for the Houston Hospital-based violence intervention ...Hospital-based violence intervention programs (HVIPs) are a promising public health strategy designed to reduce recurrent violence by engaging patients during ...
Protocol for the Houston Hospital-based violence ...Hospital-based violence intervention programs (HVIPs) are a novel strategy with the potential to mitigate firearm violence [7–9]. HVIPs operate ...
NCT06263647 | Launching the Houston Hospital-Based ...This project will establish and evaluate the Houston Hospital-Based Violence Intervention Program (Houston-HVIP). Using a randomized controlled trial, the study ...
RePORT RePORTER - National Institutes of Health (NIH) |Using a randomized controlled trial, the study will assess the effectiveness of Houston-HVIP in reducing violent reinjury and improving behavioral, mental, and ...
Violence Intervention Programs for Gunshot WoundsThe purpose of this study is to evaluate the effectiveness of Houston-HVIP in reducing the occurrence of repeat firearm violence among adults receiving care ...
Research on the Effects of Hospital-Based Violence ...Rehospitalized for violent injury. In five years prior to initiation of HVIP, 8.4 percent of violently injured population were reinjured. After ...
(PDF) Protocol for the Houston Hospital-based violence ...The primary outcome is a composite measure of an individual's exposure to firearm violence via (a) self-report, (b) hospital admission records, ...
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