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.

项目摘要（请参阅说明）：美国最大的资源是它的年轻人，但是这种资源越来越受到暴力的威胁，对少数民族社区的影响不成比例。暴力伤害是青少年发病率和死亡率的主要原因。积极的成人榜样的存在是针对青年人的暴力和其他适应不良后果的公认的保护因素。美国大兄弟姐妹（BBBS）是美国最大的指导组织，也是唯一一项蓝图认可的暴力计划的计划预防其有效性。但是，还需要该计划对与暴力相关结果的影响的大小和一致性为改进和研究新的通信和信息技术（IT）的整合留出空间。此外，急诊室（ED）为卫生部门提供了一个关键的机会，可以将预防暴力活动的高风险的青年联系起来。急性创伤护理暴力伤害的年轻人有重复伤害的高风险。指导增强的两种基于研究的关键机会是为导师和青少年纳入结构化活动，并增加父母的参与。这些实践是负责的重点！（TC）是一名导师和专业实施的干预措施，曾在EDS上展出10至15岁的袭击造成的青年。一个 PI对该提案的随机试验表明，TC提高了避免暴力，侵略性减少和轻罪的感知自我效能。该提案的目的是进一步提高TC-BBBS干预措施的有效性，以防止多站点随机试验中高风险，攻击遭受损害的青年之间的暴力和犯罪。目的：a）融合信息和通信技术，并进一步完善，最终确定和手动化可扩展的研究知情计划，TC的活动，该活动旨在增强BBBSXOMPOMUNITY计划模型的功效； b）进行一项随机试验，在该试验中，从两个城市（巴尔的摩，DC）中招募的攻击年轻人被随机分配给标准ED Care或TC-BBBS干预，并评估与暴力相关的结果（战斗，侵略，侵略，武器携带和问题行为和心理健康和教育性），在18个月以来的成果； c）准确测量与TC-BBBS模型相关的程序成本。