权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

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（参见说明）：美国最大的资源是年轻人，但这一资源日益受到暴力的威胁，并对少数族裔社区产生了不成比例的影响。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预防青少年暴力和其他适应不良结果的既定保护因素。美国老大哥大姐妹 (BBBS) 是美国最大的辅导组织，也是唯一获得暴力蓝图认可的此类计划预防已被证明是有效的。然而，该计划对暴力相关结果的影响的程度和一致性仍有改进的空间，还需要对新的通信和信息技术 (IT) 的整合进行研究。此外，急诊科 (ED) 为卫生部门提供了一个重要的机会，将高危青少年联系起来，开展暴力预防活动。遭受暴力伤害而接受急性创伤护理的青少年再次受伤的风险很高。加强指导的两个关键的基于研究的机会是纳入针对导师和青少年的结构化活动以及增加家长的参与。这些做法是《Take Charge！》的重点！ (TC)，一名导师和专业人士对 10-15 岁遭受袭击受伤的青少年进行干预，并向急诊科进行演示。一个该提案的主要负责人进行的随机试验表明，TC 提高了避免暴力、减少攻击性和轻罪的自我效能感。该提案的目标是在多地点随机试验中进一步提高 TC-BBBS 干预措施的有效性，以预防高风险、遭受袭击受伤的青少年中的暴力和犯罪。目标：A) 纳入信息和通信技术，并进一步细化、最终确定和手动化可扩展的、以研究为基础的计划的活动，TC 旨在提高 BBBSx 社区计划模型的功效； B) 进行一项随机试验，将从两个城市（巴尔的摩，哥伦比亚特区）的急诊科招募的遭受袭击的青少年随机分配到标准急诊科护理或 TC-BBBS 干预组，评估 18 个月内的暴力相关结果（打斗、打斗伤害、攻击性、携带武器和问题行为）、心理健康和教育结果； C) 准确衡量与 TC-BBBS 模型相关的计划成本。