Helping individuals with firearm injuries: A cluster randomized trial.
Journal
The journal of trauma and acute care surgery
ISSN: 2163-0763
Titre abrégé: J Trauma Acute Care Surg
Pays: United States
ID NLM: 101570622
Informations de publication
Date de publication:
01 04 2021
01 04 2021
Historique:
pubmed:
7
1
2021
medline:
7
5
2021
entrez:
6
1
2021
Statut:
ppublish
Résumé
Patients with firearm injuries are at high risk of subsequent arrest and injury following hospital discharge. We sought to evaluate the effect of a 6-month joint hospital- and community-based low-intensity intervention on risk of arrest and injury among patients with firearm injuries. We conducted a cluster randomized controlled trial, enrolling patients with firearm injuries who received treatment at Harborview Medical Center, the level 1 trauma center in Seattle, Washington, were 18 years or older at the time of injury, spoke English, were able to provide consent and a method of contact, and lived in one of the five study counties. The intervention consisted of hospital-based motivational interviewing, followed by a 6-month community-based intervention, and multiagency support. The primary outcome was the risk of subsequent arrest. The main secondary outcome was the risk of death or subsequent injury requiring treatment in the emergency department or hospitalization. Neither assignment to or engagement with the intervention, defined as having at least 1 contact point with the support specialist, was associated with risk of arrest at 2 years post-hospital discharge (relative risk for intervention assignment, 1.15; 95% confidence interval, 0.90-1.48; relative risk for intervention engagement, 1.07; 95% confidence interval, 0.74-2.19). There was similarly no association observed for subsequent injury. This study represents one of the first randomized controlled trials of a joint hospital- and community-based intervention delivered exclusively among patients with firearm injuries. The intervention was not associated with changes in risk of arrest or injury, a finding most likely due to the low intensity of the program. Care management, level II.
Sections du résumé
BACKGROUND
Patients with firearm injuries are at high risk of subsequent arrest and injury following hospital discharge. We sought to evaluate the effect of a 6-month joint hospital- and community-based low-intensity intervention on risk of arrest and injury among patients with firearm injuries.
METHODS
We conducted a cluster randomized controlled trial, enrolling patients with firearm injuries who received treatment at Harborview Medical Center, the level 1 trauma center in Seattle, Washington, were 18 years or older at the time of injury, spoke English, were able to provide consent and a method of contact, and lived in one of the five study counties. The intervention consisted of hospital-based motivational interviewing, followed by a 6-month community-based intervention, and multiagency support. The primary outcome was the risk of subsequent arrest. The main secondary outcome was the risk of death or subsequent injury requiring treatment in the emergency department or hospitalization.
RESULTS
Neither assignment to or engagement with the intervention, defined as having at least 1 contact point with the support specialist, was associated with risk of arrest at 2 years post-hospital discharge (relative risk for intervention assignment, 1.15; 95% confidence interval, 0.90-1.48; relative risk for intervention engagement, 1.07; 95% confidence interval, 0.74-2.19). There was similarly no association observed for subsequent injury.
CONCLUSIONS
This study represents one of the first randomized controlled trials of a joint hospital- and community-based intervention delivered exclusively among patients with firearm injuries. The intervention was not associated with changes in risk of arrest or injury, a finding most likely due to the low intensity of the program.
LEVEL OF EVIDENCE
Care management, level II.
Identifiants
pubmed: 33405475
doi: 10.1097/TA.0000000000003056
pii: 01586154-202104000-00016
pmc: PMC7979484
mid: NIHMS1655269
doi:
Banques de données
ClinicalTrials.gov
['NCT02630225']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
722-730Subventions
Organisme : NICHD NIH HHS
ID : R24 HD087149
Pays : United States
Organisme : NICHD NIH HHS
ID : P2C HD042828
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002319
Pays : United States
Organisme : NCATS NIH HHS
ID : TL1 TR002318
Pays : United States
Organisme : NICHD NIH HHS
ID : R24 HD042828
Pays : United States
Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Références
Fowler KA, Dahlberg LL, Haileyesus T, Annest JL. Firearm injuries in the United States. Prev Med . 2015;79:5–14.
Rowhani-Rahbar A, Zatzick D, Wang J, Mills BM, Simonetti JA, Fan MD, Rivara FP. Firearm-related hospitalization and risk for subsequent violent injury, death, or crime perpetration: a cohort study. Ann Intern Med . 2015;162(7):492–500.
Office for Victims of Crimes. New Directions from the Field: Victims’ Rights and Services for the 21st Century . Washington, DC: Office of Justice Programs, U.S. Department of Justice; 1998.
Dicker R, Gaines B, Bonne S, et al. Violence intervention programs: a primer for developing a comprehensive program for trauma centers. 2017. Bulletin of the American College of Surgeons. Available at: https://bulletin.facs.org/2017/10/violence-intervention-programs-a-primer-for-developing-a-comprehensive-program-for-trauma-centers/ . Accessed December 6, 2017.
Boudreaux ED, Bock B, O’Hea E. When an event sparks behavior change: an introduction to the sentinel event method of dynamic model building and its application to emergency medicine. Acad Emerg Med . 2012;19(3):329–335.
National Network of Hospital Based Violence Intervention Programs. Hospital-based violence intervention: practices and policies to end the cycle of violence. NNHVIP Policy White Paper . 2019. Avaliable at: www.thehavi.org . Accessed October 12, 2019.
Melzer-lange MD, Zonfrillo MR, Gittelman MA. Injury prevention: opportunities in the emergency department. Pediatr Clin North Am . 2013;60(5):1241–1253.
Cheng TL, Haynie D, Brenner R, Wright JL, Chung S, Simons-Morton B. Effectiveness of a mentor-implemented, violence prevention intervention for assault-injured youths presenting to the emergency department: results of a randomized trial. Pediatrics . 2008;122(5):938–946.
Skogan W, Harnett S, Bump N, Dubois J. Evaluation of CeaseFire—Chicago . Chicago, IL: National Institute of Justice; 2008. . Available at: https://nij.ojp.gov/library/publications/evaluation-ceasefire-chicago . Accessed September 8, 2020.
Becker MG, Hall JS, Ursic CM, Jain S, Calhoun D. Caught in the crossfire: the effects of a peer-based intervention program for violently injured youth. J Adolesc Health . 2004;34(3):177–183.
Smith R, Evans A, Adams C, Cocanour C, Dicker R. Passing the torch: evaluating exportability of a violence intervention program. Am J Surg . 2013;206(2):223–228.
Smith R, Dobbins S, Evans A, Balhotra K, Dicker RA. Hospital-based violence intervention: risk reduction resources that are essential for success. J Trauma Acute Care Surg . 2013;74(4):976–980.
The Health Alliance for Violence Intervention. What is a hospital-based violence intervention program (HVIP)? 2020. Published 2020. Available at: https://www.thehavi.org/what-is-an-hvip . Accessed March 12, 2020.
Butts JA, Roman CG, Bostwick L, Porter JR. Cure violence: a public health model to reduce gun violence. Annu Rev Public Health . 2015;36:39–53.
Aboutanos MB, Jordan A, Cohen R, et al. Brief violence interventions with community case management services are effective for high-risk trauma patients. J Trauma . 2011;71(1):228–236.
Cooper C, Eslinger DM, Stolley PD. Hospital-based violence intervention programs work. J Trauma . 2006;61(3):534–540.
Shibru D, Zahnd E, Becker M, Bekaert N, Calhoun D, Victorino GP. Benefits of a hospital-based peer intervention program for violently injured youth. J Am Coll Surg . 2007;205(5):684–689.
Snider C, Jiang D, Logsetty S, Strome T, Klassen T. Wraparound care for youth injured by violence: study protocol for a pilot randomised control trial. BMJ Open . 2015;5(5):e008088.
Walton MA, Chermack ST, Shope JT, Bingham CR, Zimmerman MA, Blow FC, Cunningham RM. Effects of a brief intervention for reducing violence and alcohol misuse among adolescents: a randomized controlled trial. JAMA . 2010;304(5):527–535.
Watt K, Shepherd J, Newcombe R. Drunk and dangerous: a randomised controlled trial of alcohol brief intervention for violent offenders. J Exp Criminol . 2008;4(1):1–19.
Zatzick D, Russo J, Lord SP, Varley C, Wang J, Berliner L, Jurkovich G, Whiteside LK, O’Connor S, Rivara FP. Collaborative care intervention targeting violence risk behaviors, substance use, and posttraumatic stress and depressive symptoms in injured adolescents: a randomized clinical trial. JAMA Pediatr . 2014;168(6):532–539.
Zun LS, Downey L, Rosen J. The effectiveness of an ED-based violence prevention program. Am J Emerg Med . 2006;24(1):8–13.
Purtle J, Dicker R, Cooper C, Corbin T, Greene MB, Marks A, Creaser D, Topp D, Moreland D. Hospital-based violence intervention programs save lives and money. J Trauma Acute Care Surg . 2013;75(2):331–333.
Purtle J, Rich LJ, Bloom SL, Rich JA, Corbin TJ. Cost-benefit analysis simulation of a hospital-based violence intervention program. Am J Prev Med . 2015;48(2):162–169.
Affinati S, Patton D, Hansen L, Ranney M, Christmas AB, Violano P, Sodhi A, Robinson B, Crandall M; from the Eastern Association for the Surgery of Trauma Injury Control and Violence Prevention Section and Guidelines Section. Hospital-based violence intervention programs targeting adult populations: an Eastern Association for the Surgery of Trauma evidence-based review. Trauma Surg Acute Care Open . 2016;1(1):e000024.
Rowhani-Rahbar A, Fan MD, Simonetti JA, Lyons VH, Wang J, Zatzick D, Rivara FP. Violence perpetration among patients hospitalized for unintentional and assault-related firearm injury: A case-control study and a cohort study. Ann Intern Med . 2016;165(12):841–847.
Heagerty P, DeLong E; for the NIH Health Care Systems Research Collaboratory Biostatistics and Study Design Core. Experimental designs and randomization schemes: cluster randomized trials. In: Rethinking Clinical Trials: A Living Textbook of Pragmatic Clinical Trials . Bethesda, MD: NIH Health Care Systems Research Collaboratory; 2020.
Stanhope V, Tennille J, Bohrman C, Hamovitch E. Motivational interviewing: creating a leadership role for social work in the era of healthcare reform. Soc Work Public Health . 2016;31(6):474–480.
Center for the Advancement of Critical Time Intervention. CTI Model. Published 2016. Available at: https://www.criticaltime.org/cti-model/ . Accessed March 3, 2016.
Coalition for Evidence-Based Policy. Evidence Summary for the Critical Time Intervention. 2013. Available at: https://evidencebasedprograms.org/document/critical-time-intervention-evidence-summary/ . Accessed March 5, 2016.
Lyons VH, Benson LR, Griffin E, et al. Fidelity assessment of a social work-led intervention among patients with firearm injuries. Res Soc Work Pract . 2020;30:678–687: 1049731520912002.
Ruggiero KJ, Del Ben K, Scotti JR, et al. Psychometric properties of the PTSD Checklist-Civilian Version. J Trauma Stress . 2003;16(5):495–502.
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med . 2001;16(9):606–613.
Zimet G, Dahlem N, Zimet S, Farley G. The multidimensional scale of perceived social support. J Pers Assess . 1988;52(1):30–41.
Meyers RJ, Smith JE. Clinical Guide to Alcohol Treatment: The Community Reinforcement Approach . New York, NY: Guilford Press; 1995.
Ware J, Kosinki M, Keller S. SF-12: How to Score the SF-12 Physical and Mental Health Summary Scales . Boston, MA: Health Institute, New England Medical Center; 1995.
Babor T, de la Fuente J, Saunders J, Grant M. AUDIT: The Alcohol Use Disorders Identification Test. Guidelines for use in primary health care. Geneva, Switzerland: World Health Organization; 1989.
Humeniukm R, Henry-Edwards S, Ali R, Poznyak V, Monteiro M. The Alcohol, Smoking and Substance Involvment Screening Test (ASSIST): manual for use in primary care. Geneva, Switzerland: World Health Organization; 2010.
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform . 2009;42(2):377–381.
Fleming CB, Marchesini G, Elgin J, Haggerty KP, Woodward D, Abbott RD, Catalano RF. Use of web and phone survey modes to gather data from adults about their young adult children: an evaluation based on a randomized design. Field Methods . 2013;25(4):388–404.
Rothman K, Greenland S, Lash T. Modern Epidemiology . 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2008.
Robins J. Robust estimation in sequentially ignorable missing data and causal inference models. In: Proceedings of the American Statistical Association, Section on Beyesian Statistical Science . August 8–12, 1999; Baltimore, MD. 6–10.
Peterson R, Krivo L. Divergent Social World: Neighborhood Crime and the Racial-Spatial Divide . New York, NY: Russell Sage Foundation; 2012.
The Sentencing Project. Report of the Sentencing Project to the United Nations Special Rapporteur on contemporary forms of racism, racial discrimination, xenophobia, and related intolerance. Research and Advocacy for Reform. 2018;(March):1–16. Available at: https://www.sentencingproject.org/publications/un-report-on-racial-disparities/ . Accessed December 4, 2019.
Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. Monitoring the Future National Survey Results on Drug Use, 1975–2012: Volume 1, Secondary School Students . Ann Arbor, MI: Institution for Social Research, The University of Michigan; 2013.
Beckett K, Nyrop K, Pfingst L. Race, drugs, and policing: understanding disparities in drug delivery arrests. Crim . 2006;44(1):105–137.
Edwards E, Bunting W, Garcia L. The War on Marijuana in Black and White . New York, NY: American Civil Liberties Union; 2013. Avaliable at: https://www.aclu.org/sites/default/files/field_document/1114413-mj-report-rfs-rel1.pdf . Accessed January 25, 2021.
Fernandez AD. How far up the river? Criminal justice contact and health outcomes. Soc Curr . 2019;7(1):29–45.