Optimization Study of the Wraparound Care for Youth Injured by Violence Program

NCT02573480 | Terminated DMC

• 1 other identifier: H2015:311
• Study Type: interventional
• Target: 11
• Locations: 1 country
• Sites: 1

Brief Summary

This study is an optimization study to evaluate how a wraparound program for youth who have been injured by violence helps to change violence related attitudes and beliefs, change individual risk factors for violence and reduce the risk of future injury due to violence. Wraparound care involves linking the youth with a support worker who will work with the youth to develop positive support networks and help them link with services that address risk factors towards future violence.

Conditions

Violence; Violence, Non-accidental; Physical Violence

Keywords

youth violence, intervention, emergency medicine

Outcome Measures

Primary Outcomes (1)

• Violence risk scores

  The Violence Risk Scale: Youth Version (YRS-YV) will be completed at intake and then again at 3 months, 6 months and 1 year. The total change score for each time period will be determined.

  1 year post injury

Secondary Outcomes (9)

• Report risk/protective factors of youth injured by violence

  Within 1 month post injury

• Prevalence of post-traumatic stress disorder (PTSD) among participants

  Within 1 month post injury

• Prevalence of depression/mental health conditions among participants

  Within 1 month post injury

• Prevalence of adverse childhood events (ACE) among participants

  Within 1 month post injury

• Prevalence of alcohol use disorder among participants

  Within 1 month post injury

Study Arms (1)

Wraparound Care

EXPERIMENTAL

Wraparound care initiated in the ED at the time of injury and continuing for approximately 1 year in the community.

Behavioral: Wraparound care

Interventions

Wraparound care BEHAVIORAL

Wraparound care starts by linking an individual with a support worker who works with them to address risk factors and empower the individual to make positive choices. It not only includes connecting the youth with existing community resources such as education, employment, cultural services and substance counselling, it also helps build problem-solving skills, coping skills, and self-efficacy of the youth and family members. The support worker provides mentorship to the youth. Mentorship both teaches and emulates appropriate behaviours with respect to attitudes and behaviours associated with violence.

Wraparound Care

Eligibility Criteria

• Age: 14 Years - 24 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• \) Age 14 - 24, and 2) Presentation with an injury due to violence (defined as an injury inflicted by someone else and one caused by a gunshot wound, stab wound, blunt object, or bodily force).

You may not qualify if:

• \) Unable to consent due to language or brain injury, 2) Sexual assault, 3) Child Abuse, 4) Self-Inflicted Injury, or 5) Transfer from hospital \> 1 hr from Winnipeg, Canada

Sponsors & Collaborators

• University of Manitoba: lead

Study Sites (1)

Winnipeg Health Sciences Centre

Winnipeg, Manitoba, R3P 3E4, Canada

Location

Study Officials

• Carolyn Snider, MD

  University of Manitoba

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: October 8, 2015
• First Posted: October 9, 2015
• Study Start: November 1, 2015
• Primary Completion: May 1, 2018
• Study Completion: May 1, 2018
• Last Updated: August 9, 2018

Record last verified: 2018-08

Locations

CA (1)