1000 Participants Needed

Changing Narrative Intervention for Injury Prevention

ME
NS
Overseen ByNisha Sachdev, DrPH, PsyD
Age: < 18
Sex: Any
Trial Phase: Academic
Sponsor: George Washington University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the Changing Youth Narratives on Firearm Violence ('Run It Up') treatment?

The research highlights the need for prevention programs that address risky firearm behaviors among youth, emphasizing the importance of tailored content that enhances coping skills and self-efficacy. Programs like Project Ujima, which focus on interrupting the cycle of violence and building resilience, suggest that similar approaches could be effective in reducing firearm violence.12345

How is the 'Run It Up' treatment for firearm violence prevention different from other treatments?

The 'Run It Up' treatment is unique because it focuses on changing youth narratives around firearm violence, potentially using storytelling or narrative interventions to shift perceptions and behaviors, which is different from traditional approaches that might focus on safe storage or bystander intervention.35678

What is the purpose of this trial?

The Run It Up project is an experimental, theory-driven effort to address a specific connection between structural factors, youth identity development, and violence, where structural factors in some communities may limit adolescent beliefs about potential life-trajectories ("possible selves"), and foreground potential trajectories that include violence as integral. The intervention seeks to counter that dynamic by: 1) identifying alternative, non-violent identity trajectories that have attributes meaningful for youth and actualizing those trajectories through a community support structure; and 2) developing and disseminating multiple media products featuring narratives about these alternative trajectories. The goal is to change the calculation of possible selves for adolescents in the identity development stage through the introduction, and actualization, of desirable, tangible trajectories that do not involve violence or pro-violence norms, resulting in a reduction of youth involvement in firearm violence. The intervention and research is being conducted through a partnership between the George Washington University Milken Institute School of Public Health and the Washington, DC community of Washington Highlands, and is funded through a grant from the National Institute on Minority Health and Health Disparities (NIMHD). In the first phase, formative research was completed to identify attributes and alternative non-violent trajectories, determine intervention elements, develop an intervention "brand" representing the attributes, develop a baseline-follow-up survey measuring theoretical mediators/moderators, outcomes, and other potential influencing factors, and identify community data to be used for a time-series analysis. Now in the second phase, the baseline data from a sample of community youth and parents/guardians are currently being collected prior to implementing the intervention. Evaluation is a two group, quasi-experimental community cohort design using survey and community-level data.

Research Team

ME

Mark Edberg, PhD, MA

Principal Investigator

George Washington University

Eligibility Criteria

This trial is for adolescents in the Washington Highlands community who are at a stage of developing their identity. It aims to help them envision non-violent futures by providing alternative narratives and support structures. There's no specific exclusion criteria provided, but participants likely need to be part of the local youth population.

Inclusion Criteria

I live in the specified area and am within the age range required.

Exclusion Criteria

I do not live in the specific area required and am outside the age range.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Data Collection

Baseline data from a sample of community youth and parents/guardians are collected prior to implementing the intervention

2 months
Multiple visits (in-person and virtual)

Intervention

Training and mentoring of 12-16 year old youth in non-violent personal/career trajectories, supported by a social media campaign and a community steering committee

3 years
Ongoing community engagement and activities

Follow-up

Participants are monitored for changes in self-reported violence involvement and community violence data

24 months
Follow-up surveys at 12 and 24 months

Treatment Details

Interventions

  • Changing Youth Narratives on Firearm Violence ("Run It Up") Intervention
Trial Overview The 'Run It Up' project tests an intervention that uses narrative modules to influence youths' perceptions of their future selves, steering them away from violence. The study involves creating media products that promote non-violent life paths and measuring if these change youth attitudes towards violence.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Youth intervention armExperimental Treatment1 Intervention
Training and mentoring of 12-16 year old youth in non-violent personal/career trajectories, supported by a social media campaign and a community steering committee.

Find a Clinic Near You

Who Is Running the Clinical Trial?

George Washington University

Lead Sponsor

Trials
263
Recruited
476,000+

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborator

Trials
473
Recruited
1,374,000+

Findings from Research

Members of 4-H Shooting Sports clubs perceive firearm injuries mainly as unintentional, but they recognize various risks, including suicide and violence, highlighting the need for comprehensive prevention strategies.
The study suggests that bystander intervention (BI) training could be beneficial for club members, as they feel a civic responsibility to act, but face barriers like lack of knowledge and confidence in intervening.
Bystander intervention to prevent firearm injury: A qualitative study of 4-H shooting sports participants.Trinka, T., Oesterle, DW., Silverman, AC., et al.[2023]
In a study involving 15 youth victims of violence and 9 crime victim specialists, both groups preferred visual representations of patient-reported outcomes (PROs) with high color-shading and descriptive elements, indicating a strong interest in engaging formats for data presentation.
The most valued domains for PROs included social, anger, emotional, school, physical, peer relations, and psychosocial well-being, while there was less interest in domains like positive affect and depression, highlighting specific areas of focus for future violence intervention programming.
Youth victim perspective: optimizing presentation of patient-reported outcomes in a violence intervention program.Hollo, A., Nimmer, M., Cheaton, B., et al.[2023]
The ShootSafe program aims to teach children aged 10-12 about firearms safety through interactive games and educational videos, focusing on knowledge, impulse control, and perceptions of firearms-related risks.
The effectiveness of ShootSafe will be evaluated in a randomized controlled trial with 162 participants, measuring outcomes such as firearms safety knowledge and simulated behavior, which could lead to improved safety practices among children.
Study protocol: developing and evaluating an interactive web platform to teach children hunting, shooting and firearms safety: a randomized controlled trial.Schwebel, DC., Long, DL., Gowey, M., et al.[2022]

References

Rates and correlates of risky firearm behaviors among adolescents and young adults treated in an urban emergency department. [2022]
State of the science: a scoping review of primary prevention of firearm injuries among children and adolescents. [2022]
Bystander intervention to prevent firearm injury: A qualitative study of 4-H shooting sports participants. [2023]
Youth victim perspective: optimizing presentation of patient-reported outcomes in a violence intervention program. [2023]
Study protocol: developing and evaluating an interactive web platform to teach children hunting, shooting and firearms safety: a randomized controlled trial. [2022]
Addressing Key Gaps in Existing Longitudinal Research and Establishing a Pathway Forward for Firearm Violence Prevention Research. [2023]
The association between presence of children in the home and firearm-ownership and -storage practices. [2021]
Firearm Safe Storage in Rural Families: Community Perspectives About Ownership and Safety Messaging. [2023]
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