Spreading LOV: Developing a Plan to Improve Engagement in the Life Outside Violence Program

传播爱：制定计划以提高对暴力之外生活的参与度计划

• 批准号: 10588633
• 负责人: Kristen Mueller
• 金额: $ 17.85万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10588633
• 关键词: Accident and Emergency department; Address; Adult; Affect; Age; Area; Award; Black race; Caring; Cessation of life; Characteristics; Child; Childhood; Communities; Counseling; Data; Death Rate; Development; Development Plans; Education; Effectiveness; Electronic Mail; Elements; Eligibility Determination; Employment; Enrollment; Family; Firearms; Geography; Goals; Group Interviews; Gun injury; Health; Hospitals; Incidence; Individual; Injury; Inpatients; Institutional Racism; Intervention; Interview; K-Series Research Career Programs; Letters; Life; Master of Science; Medical; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methods; Mission; Missouri; Modeling; Morbidity - disease rate; Murder; National Institute of Child Health and Human Development; Nonpenetrating Wounds; Not Hispanic or Latino; Outcome; Participant; Pathway interactions; Patient Recruitments; Patients; Penetration; Persons; Pilot Projects; Positioning Attribute; Program Evaluation; Public Health; Recurrence; Reporting; Research; Research Design; Research Methodology; Research Personnel; Research Project Grants; Risk; Role; Sampling; Services; Structural Racism; Structure; Telephone; Testing; Training; Training Programs; Trauma; Traumatic injury; United States; Universities; Violence; Violent injury; Washington; acceptability and feasibility; aged; black patient; career; career development; case-based; clinical investigation; clinically relevant; community based participatory research; data repository; data sharing; design; dissemination science; healing; high risk; implementation barriers; implementation determinants; implementation facilitators; implementation science; improved; injury prevention; innovation; insight; intervention mapping; intervention program; male; member; mortality; multilevel analysis; novel; participant enrollment; partner violence; preference; prevent; programs; prospective; research and development; research study; response; revictimization; scale up; service delivery; skills; social; social health determinants; sociodemographics; success; violence prevention; violent crime; ward; young adult

My training goals outlined in this K23 Career Development Award include to: (1) develop the skills to effectively conduct high-quality, clinically-relevant, mixed-methods analyses of barriers and facilitators of hospital-based violence intervention program (HVIP) enrollment; and (2) complete an individually-tailored training program centered in Community Based Participatory Research (CBPR) and Dissemination and Implementation (D&I) Science. This will support my long-term career goal to become an independent investigator of firearm injury prevention by developing, testing, implementing, and continually refining HVIPs. HVIPs share common outcome goals (decreasing reinjury and death rates among participants), and are, by design, individualized programs that provide counseling and social- and case-based services to achieve additional goals that are unique to each participant. For this reason, I will train in mixed methods study design that supports real-world applicability and adaptability of our findings. I will use this award to study CBPR and D&I science to develop the skills necessary to become a leader in HVIP innovation. My career development plan includes a: (1) robust mentoring plan that provides specific details on mentorship roles and development milestones to capitalize on the complementary areas of expertise among mentorship team members; and (2) didactic training plan through the Master of Science in Clinical Investigation program. My research project is a multi-center, mixed-method analysis of barriers and facilitators of enrollment in Life Outside Violence (LOV), the St. Louis region-wide HVIP. The cycle of violence is an under addressed public health threat that disproportionately affects Black patients, especially in St. Louis, which has a very high rate of violent crime. LOV's mission is to facilitate healing and decrease incidences of retaliation, criminal involvement, reinjury, and death. In early analysis of 158 LOV enrolled patients, three (2%) have suffered a recurrent violent reinjury— well below the national rate (up to 77%). However, only 13% of eligible patients enrolled in the LOV program. To address this enrollment gap, I will investigate the following specific aims, to: (1) Apply multilevel regression models to the STL-HVIP-DR to identify sociodemographic, service delivery, organization, and geographic characteristics associated with LOV program enrollment; (2) Assess barriers and facilitators of enrollment in the LOV program through individual and group interviews with a purposive sample (n~45) of LOV mentors, community members, and patients who enrolled in LOV and those who did not; and (3) Use CBPR methods to design and assess an improved engagement pathway to approach violently injured patients for enrollment in the LOV program. My proposed career development and research plan will address actionable HVIP implementation barriers and facilitators in real-world conditions. We will disseminate our findings to other HVIPs through subsequent R01 applications to scale up the new engagement pathway and identify implementation factors that are consistent across communities to decrease mortality among high-risk patients.

K23职业发展奖概述了我的培训目标，包括：(1)发展技能