Resilience-Informed Community Violence Prevention and Community Organizing Strategies for Implementation: Protocol for a Hybrid Type 1 Implementation-Effectiveness Trial.
Resilience-Informed Community Violence Prevention and Community Organizing Strategies for Implementation: Protocol for a Hybrid Type 1 Implementation-Effectiveness Trial.
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DOI：
10.2196/50444
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发表时间：
2023-11-07
影响因子：
1.7
通讯作者：
Graham, Phillip
中科院分区：
文献类型：
--
作者：
Blackburn, Natalie A;Ramos, Stefany;Dorsainvil, Michele;Wooten, Camara;Ridenour, Ty A;Yaros, Anna;Johnson-Lawrence, Vicki;Fields-Johnson, Dana;Khalid, Nzinga;Graham, Phillip
社区暴力是一个长期存在的、具有挑战性的公共卫生问题。社区暴力不仅对个人造成身体影响，而且其后果也影响到家庭和整个社区的福祉。遭受和经历暴力是不利的社区经历，影响到儿童和成人的福祉和健康轨迹。在美国，历来通过执法和维持治安的透镜处理社区暴力问题;这种做法对社区的影响是有害的，而且往往忽视社区成员的力量和经验。因此，需要以社区为中心的方法来解决暴力问题，但设计，实施和评估这些方法的过程是复杂的。正在越来越多地采用替代警务对策的办法。然而，社区一级公共卫生办法的证据和执行指南仍然有限。本研究旨在通过一个弹性框架--不良社区经历和弹性（ACE）来解决社区暴力问题|R）-正在美国一个主要城市实施，并利用社区组织战略来推进社区暴力预防。本研究的目的是了解社区一级预防暴力干预措施的影响。此外，我们的目标是描述的实施战略，并确定的方法的障碍和促进者。本研究采用混合型1有效性-实施设计。研究的第1部分将评估ACE的有效性|R框架加上社区组织，衡量对暴力和健康相关结果的影响。为此，我们计划收集有关凶杀案、致命和非致命枪击案、非意外伤害导致的医院就诊、服务电话以及其他暴力相关数据的定量数据。在研究的第二部分，评估ACE的实施情况|R加上社区组织，我们将收集社区参与活动的过程数据，提供社区领导和组织方面的社区培训，并与密尔沃基的主要合作伙伴就暴力和暴力预防方案进行重点小组讨论。该项目于2020年9月1日获得资助。前瞻性研究数据收集于2021年秋季开始，并将持续到2023年底。目前正在进行数据分析，预计第一批结果将于2024年提交出版。社区暴力是一个公共卫生问题，需要以社区为中心的解决方案。以社区为中心和利用社区组织的干预措施在减少暴力和增加社区成员的福祉方面显示出希望。确定社区一级干预措施的影响的方法在继续发展。对暴力后果以外的后果进行分析，包括对规范和社区信仰的分析，可能有助于更好地了解这些社区驱动的方法的短期和近端影响。此外，混合执行-有效性试验允许不可避免的背景化，这是传播社区干预措施所必需的，其中社区推动适应和决策。DERR1-10.2196/50444
Community violence is a persistent and challenging public health problem. Community violence not only physically affects individuals, but also its effects reverberate to the well-being of families and entire communities. Being exposed to and experiencing violence are adverse community experiences that affect the well-being and health trajectories of both children and adults. In the United States, community violence has historically been addressed through a lens of law enforcement and policing; the impact of this approach on communities has been detrimental and often ignores the strengths and experiences of community members. As such, community-centered approaches to address violence are needed, yet the process to design, implement, and evaluate these approaches is complex. Alternatives to policing responses are increasingly being implemented. However, evidence and implementation guidance for community-level public health approaches remain limited. This study protocol seeks to address community violence through a resilience framework—Adverse Community Experiences and Resilience (ACE|R)—being implemented in a major US city and leveraging a strategy of community organizing to advance community violence prevention. The objective of this research is to understand the impact of community-level violence prevention interventions. Furthermore, we aim to describe the strategies of implementation and identify barriers to and facilitators of the approach. This study uses a hybrid type 1 effectiveness-implementation design. Part 1 of the study will assess the effectiveness of the ACE|R framework plus community organizing by measuring impacts on violence- and health-related outcomes. To do so, we plan to collect quantitative data on homicides, fatal and nonfatal shootings, hospital visits due to nonaccidental injuries, calls for service, and other violence-related data. In Part 2 of the study, to assess the implementation of ACE|R plus community organizing, we will collect process data on community engagement events, deliver community trainings on community leadership and organizing, and conduct focus groups with key partners about violence and violence prevention programs in Milwaukee. This project received funding on September 1, 2020. Prospective study data collection began in the fall of 2021 and will continue through the end of 2023. Data analysis is currently underway, and the first results are expected to be submitted for publication in 2024. Community violence is a public health problem in need of community-centered solutions. Interventions that center community and leverage community organizing show promise in decreasing violence and increasing the well-being of community members. Methods to identify the impact of community-level interventions continue to evolve. Analysis of outcomes beyond violence-specific outcomes, including norms and community beliefs, may help better inform the short-term and proximal impacts of these community-driven approaches. Furthermore, hybrid implementation-effectiveness trials allow for the inevitable contextualization required to disseminate community interventions where communities drive the adaptations and decision-making. DERR1-10.2196/50444
影响因子：
5.4
作者：
Tueller S;Ramirez D;Cance JD;Ye A;Wheeler AC;Fan Z;Hornik C;Ridenour TA
通讯作者：
Ridenour TA