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A Multi-Center Randomized Trial of Mentoring to Prevent Youth Violence...

预防青少年暴力辅导的多中心随机试验......

基本信息

批准号：
8552019
负责人：
Tina Lee Cheng
金额：
$ 9.97万
依托单位：
HOWARD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-06-01 至 2017-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8552019
关键词：
15 year old Accident and Emergency department Action Research Acute Address Adherence Adolescent Adult Affect Age Aggressive behavior Americas Baltimore Behavior Brothers Caring Charge Child Child health care Cities Communication Communities Consensus Cost Effectiveness Analysis Country Crime Development Effectiveness Ethnic Origin Evaluation Family Foundations Future Gender Goals Health Information Technology Injury Injury Severity Score Instruction Internet Intervention Intervention Studies Left Link Measures Mediator of activation protein Mental Health Mentors Minority Modeling Morbidity - disease rate Outcome Parent-Child Relations Parents Participant Population Prevention Prevention strategy Problem behavior Process Race Randomized Records Recruitment Activity Reporting Research Research Infrastructure Resources Risk Risk Behaviors Schools Self Efficacy Sister Site Socioeconomic Status Structure Technology Translating Trust Violence Violent injury Visit Youth anti social assault base conflict resolution cost cost effective cost effectiveness design evidence base experience fighting health disparity high risk improved injured intervention effect intervention program meetings mortality positive youth development programs randomized trial role model satisfaction skills success symposium trauma care violence prevention weapons youth violence youth violence prevention

项目摘要

PROJECT SUMMARY (See instructions): America's greatest resource is its youth, but that resource is increasingly threatened by violence and disproportionately affects minority communities. Violent injury is a major cause of morbidity and mortality among adolescents. The presence of a positive adult role model is a well-established protective factor against violence and other maladaptive outcomes among youth. Big Brothers Big Sisters of America (BBBS) is the largest U.S. mentoring organization and is the only such program recognized by Blueprints for Violence Prevention for its demonstrated effectiveness. However, the magnitude and consistency of the program's effects on violence-related outcomes leave room for improvements and study of the integration of new communication and information technology (IT) is also needed. Further, the emergency department (ED) offers a critical opportunity for the health sector to link youth at high risk for violence prevention activities. Youth presenting with violent injury for acute trauma care are at high risk for repeat injury. Two key research-based opportunities for mentoring enhancement are incorporating structured activities for mentors and youth and increasing parent involvement. These practices are a focus of Take Charge! (TC), a mentor and professional-implemented intervention with 10-15 year old assault-injured youth presenting to EDs. A randomized trial by the PI of this proposal demonstrated that TC improved perceived self efficacy for avoiding violence, decreased aggression and misdemeanors. The goal of this proposal is to further enhance the effectiveness of a TC-BBBS intervention to prevent violence and crime among high-risk, assault-injured youth in a multi-site randomized trial. Aims: A) To incorporate information and communication technology and further refine, finalize and manualize activities of a scalable, research informed program, TC that is designed to enhance the efficacy ofthe BBBSxommunity program model; B) To conduct a randomized trial in which assault-injured youth recruited from EDs in two cities (Baltimore, DC) are randomly assigned to standard ED care or TC- BBBS intervention with assessment of violence-related outcomes (fighting, fight injury, aggression, weapon carrying and problem behavior), mental health and educational outcomes over an 18 month period; and C) To accurately measure the programmatic costs associated with the TC-BBBS model.

项目总结（见说明）：美国最大的资源是青年，但这一资源日益受到暴力的威胁，对少数族裔社区的影响尤为严重。暴力伤害是青少年发病和死亡的主要原因。积极的成人榜样的存在是一个公认的保护因素，可以防止青年人遭受暴力和其他适应不良的后果。美国大兄弟大姐妹篇（BBBS）是美国最大的辅导组织，也是唯一一个被暴力蓝图认可的此类项目预防的效果。然而，该方案对暴力相关结果的影响的规模和一致性留下了改进的余地，还需要研究新的通信和信息技术的整合。此外，急诊科为卫生部门提供了一个重要机会，将高危青年与预防暴力活动联系起来。因暴力伤害而接受急性创伤护理的青少年重复受伤的风险很高。两个关键的基于研究的机会，指导加强纳入结构化的活动，导师和青年和增加家长的参与。这些做法是一个重点负责！(TC)，一个导师和专业实施的干预与10-15岁的攻击受伤的青年介绍给ED。一 PI对此建议的随机试验表明，TC改善了避免暴力的自我效能感，减少了攻击性和轻罪。该提案的目标是进一步提高TC-BBBS干预措施的有效性，以防止高风险，袭击受伤的青少年在多地点随机试验中的暴力和犯罪。目的：A）结合信息和通信技术，进一步完善、最终确定和手册化一个可扩展的、研究知情的计划的活动，旨在提高BBBS可扩展性计划模式的效力; B）进行一项随机试验，在该试验中，从两个城市的急诊室招募受袭击伤害的青少年（巴尔的摩，DC）被随机分配到标准艾德护理或TC-BBBS干预，评估暴力相关的结果（打架，打架受伤，侵略，携带武器和问题行为），心理健康和教育结果在18个月的时间;和C）准确地衡量与TC-BBBS模型相关的计划成本。