Adaptable Community-Engaged Intervention for Violence Prevention: Michigan Model

适应性社区暴力预防干预：密歇根模式 摘要 拥有和携带火器是造成火器伤害和死亡的重大风险。亚裔美国人（As-As） 美国人口增长最快的地区之一。项目组最近进行的一项研究表明， 种族主义及其与大流行期间枪支拥有量和携带量增加的联系，使亚裔美国人处于 更高的火器伤害风险。我们的长期目标是在上游采取行动，通过以下措施防止伤害和死亡： 干预可改变的因素，使个人更有可能参与与枪支有关的活动， 这一弱势群体中的暴力行为。在这个两阶段的研究项目中，规划的目标（UG 3） 阶段是采用混合方法参与行动的方法，包括照片语音和地理 信息系统（GIS），以调查FRV的多层次风险和保护因素， 社区一级的资源，并了解这些因素之间的交叉性和背景， 火器的结果。在实施（UH 3）阶段，研究小组计划使用 UG 3阶段作为一种分析工具，用于揭示与FRV结局相关的显著多水平因素， 执行和评价拟议的暴力预防干预战略，将健康公平作为优先事项， 推进种族公正。具体来说，研究小组将1）进行一项群集随机试验，以检查效果 （a）拟议的干预措施在个人和社区一级与枪支暴力有关的成果;（2） 对社区实施站点进行深入的案例研究，以了解 未来的发展和可持续性。在整个项目期间，研究将在所有阶段进行合作， 积极参与CLIF-VP研究网络活动，包括参加工作组和定期 与指导委员会举行会议，并与协调中心密切合作，提供数据支持， 计量、数据处理、管理、协调、共享/存档方面的技术援助）， 公众参与和科学传播产品的咨询。的预期成果 该项目将为开发和测试基于证据的干预措施提供坚实的基础， 亚裔美国人的枪支暴力社区卫生工作者（CHW）暴力 预防措施如果经过测试并显示有效，就有可能在其他情况下进行大规模调整。

Adaptable Community-Engaged Intervention for Violence Prevention: Michigan Model Abstract Firearm possession and carriage are critical risks for firearm injury and mortality. Asian Americans (As-As) are one of the fastest growing populations in the U.S. A recent study36 conducted by the project team showed that racism and its link to increased firearm ownership and carrying during the pandemic put Asian Americans at a higher risk of firearm injury. Our long-term goal is to take action upstream to prevent injury and mortality by intervening with modifiable factors that place individuals at greater risk of involvement in firearm-related violence (FRV) in this vulnerable population. In this two-phase research project, the goal of the planning (UG3) phase is to employ a mixed methods participatory action approach including photovoice and Geographic Information System (GIS) to investigate multi-level risks and protective factors against FRV, identify community-level resources and understand the intersectionality and contexts between these factors and firearm outcomes. For the implementation (UH3) phase, the study team plans to use the findings generated in UG3 phase as an analytical tool to reveal salient multi-level factors related to FRV outcomes and develop, implement and evaluate proposed violence prevention intervention strategies that prioritize health equity and advance racial justice. Specifically, the study team will 1) Conduct a cluster randomized trial to examine effects of proposed intervention on individual- and community level outcomes related to firearms violence, and 2) Perform in-depth case studies with community implementation sites to understand barriers and facilitators for future adoption and sustainability. Throughout the project period, the study will collaborate in all phases and actively participate in CLIF-VP Research Network activities, including participation in workgroups and regular meetings with the Steering Committee and closely working with the Coordinating Center for data support and technical assistance in measurement, data handling, management, harmonization, sharing/archiving) and consultation for public engagement and scientific dissemination products. The expected outcomes of the project will provide a solid basis for development and testing of an evidence-based intervention that prevents firearm violence among Asian Americans. The proposed Community Health Worker (CHW) violence prevention, if tested and shown effective, has a potential for scalable adaptations to other settings.