A community-centered collective efficacy intervention for prevention of community violence

暴力影响了太多青少年的生活轨迹，暴力发生率最高 主要集中在城市环境中的青年中。为响应RFA-CE-22-013，严格评估通信- 这项研究将通过分组评估以社会为中心的预防社区暴力方法(U01)- 随机对照试验：一种新的以社区为中心的干预措施的有效性，促进了繁荣 和复原力以减少社区暴力(第2类)。使用社区合作的方法，我们将 实施社区复原力集体效能干预(CRCEI)，让社区成员参与 关于繁荣、社区领导和组织社会变革的对话。促进讨论和协调- 在社区内组织关于儿童和青年茁壮成长的人口普查预计将增加个人和 社区层面的集体效能和减少社区暴力。这项提议来自SAM- HSA资助的匹兹堡社区复原力项目(H79SM084931)，支持该项目的实施 新的以社区为中心的方法。这项研究将首次严格评估这一创新的Pre 发明方法。该项目的背景是城市，种族隔离的社区，有集中的双胞胎- 宾夕法尼亚州匹兹堡的Vantage。我们假设，共同创造繁荣环境的机会 儿童和青年将提供具体的、注重行动的战略，以提高社区的复原力。 受社区暴力影响最大的是社区暴力和降低社区暴力发生率。拟议的项目将 在社区水平较高的城市社区吸引不同的社区成员和合作者 暴力首先参加六个关于儿童茁壮成长的有指导的讨论，然后邀请参加 在为期6个月的集体效能干预中，促进社区层面的转变和 基于社区的项目。对照社区将接受健康教育课程，作为对照干预- 提顿。将使用整群随机对照设计(20个社区；30个参与者/社区)来 评估CRCEI对邻里集体效能和社区暴力发生率的有效性(目的 1)，以及个人层面的集体效能和暴力暴露(目标2)。实施促进者和障碍 将评估个人和社区级别，包括跟踪对干预和成本的保真度 与方案执行有关(目标3)。该项目的创新包括在值得信赖的环境中实施 社区成员使用资产映射、培训设施确定的教堂和图书馆等环境- 来自焦点社区的Tors，以建设能力和可持续性，并将社区成员整合到 协作团队科学。这将是第一次对社区设计的、以社区为中心的 集体效能干预旨在影响个人和社区的集体效能水平， 预计将减少多种形式的暴力的保护性因素。

Violence impacts the life trajectories of far too many adolescents, with the highest incidence of violence exposure concentrated among youth in urban settings. In response to RFA-CE-22-013, Rigorous Evaluation of Commu- nity-Centered Approaches for the Prevention of Community Violence (U01), this study will evaluate, via a cluster- randomized controlled trial, the effectiveness of a novel community-centered intervention that promotes thriving and resiliency to reduce community violence (CATEGORY 2). Using a community-partnered approach, we will implement a Community Resiliency Collective Efficacy Intervention (CRCEI) to engage community members in dialogue on thriving, community leadership, and organizing for social change. Facilitating discussion and con- sensus organizing within neighborhoods about child and youth thriving is expected to increase individual and neighborhood levels of collective efficacy and reduce community violence. The proposal emerges from a SAM- HSA-funded community resiliency project in Pittsburgh (H79SM084931) that supports implementation of this novel community-centered approach. This study will provide the first rigorous evaluation of this innovative pre- vention approach. The project is set in urban, racially-segregated neighborhoods with concentrated disad- vantage in Pittsburgh, Pennsylvania. We hypothesize that opportunities to co-create thriving environments for children and youth will provide a concrete, action-focused strategy for increasing resiliency in neighborhoods most impacted by community violence and reducing community rates of violence. The proposed project will engage diverse community members and collaborators in urban neighborhoods with high levels of community violence to first participate in six guided discussions about ‘child thriving’ followed by an invitation to participate in a 6-month-long collective efficacy intervention that promotes neighborhood-level transformation and a com- munity-based project. Comparison neighborhoods will receive health education sessions as a control interven- tion. A cluster-randomized controlled design (20 neighborhoods; 30 participants/neighborhood) will be used to assess effectiveness of CRCEI on neighborhood-level collective efficacy and rates of community violence (Aim 1), and individual-level collective efficacy and violence exposure (Aim 2). Implementation facilitators and barriers across individual and neighborhood level will be assessed, including tracking fidelity to intervention and costs associated with program implementation (Aim 3). Innovations of this project include implementing in trustworthy settings such as churches and libraries identified by community members using asset mapping, training facilita- tors from focus neighborhoods to build capacity and sustainability, and integrating community members into collaborative team science. This will be the first rigorous evaluation of a community-designed, community-cen- tered collective efficacy intervention intended to impact individual and neighborhood levels of collective efficacy, protective factors that are expected to reduce multiple forms of violence.