Violence Brief Intervention Pilot v1.1

A Randomised Controlled Trial to Evaluate a Violence Brief Intervention (VBI) for Adult Male Patients With Facial Injuries Sustained as a Result of Interpersonal Violence

This study is a randomised controlled trial of a new brief intervention with young (16-29) adult male patients who have a facial injury sustained as a result of interpersonal violence (fighting or assaults). It will be undertaken at the Maxillofacial outpatient trauma clinic at the Southern General Hospital, Glasgow. The major risk factors associated with facial injury in Scotland are male gender, young age, interpersonal violence and alcohol. Previous research with facial injury patients attending this clinic has shown that an Alcohol Brief Intervention (ABI) is effective in helping reduce alcohol consumption, so all patients are now offered ABI as standard practice. ABI is delivered by trained nurses from Addiction Services. This will not be withdrawn. In addition we wish to offer some patients a Violence Brief Intervention (VBI). This will be delivered by the same nurses who deliver the ABI. The study is randomised so only those selected at random will receive this extra intervention and all others will receive treatment as normal (ABI only). VBI is a short psychological intervention which uses Brief Motivational Interviewing (BMI) to encourage reflection of involvement in violence and consideration of strategies to avoid future violence. The intervention also compares participants' attitudes towards violence to those of their peers. The intervention takes about 15 minutes, and patients will be involved for an additional 30-45 minutes longer than normal when they attend the clinic, including consent and baseline data collection. Patients will be followed up by telephone at 1, 3 and 6 months, and asked a suite of questions which will take approximately 15 minutes on each occasion. We wish to determine whether a VBI of this type has any effect on attitudes to violence or propensity for involvement in violence or on reinjury, examined through self report measures and routinely collected health and criminal justice data at 12 months post intervention.

Study Overview

• Status: Unknown
• Conditions: Alcohol Consumption; Violence; Facial Injuries
• Intervention / Treatment: Behavioral: Violence Brief Intervention; Behavioral: ABI

• Study Type: Interventional
• Enrollment (Anticipated): 300
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Christine Goodall, BDS, PhD; Phone Number: 441412119655; Email: christine.goodall@glasgow.ac.uk

Study Locations

• United Kingdom
  • Glasgow, United Kingdom, G51 4QS
    • Recruiting
    • Department of Oral and Maxillofacial Surgery, Southern General Hospital
    • Contact: Christine Goodall, BDS, PhD; Phone Number: 441412119655; Email: christine.goodall@glasgow.ac.uk

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years to 28 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Male

Description

Inclusion Criteria:

• facial trauma patients
• Facial injury resulting from interpersonal violence (whether victim or perpetrator)
• Able to give informed consent
• Willing to commit to screening intervention and follow up programme lasting 6 months
• Within 28 days of injury
• Willing to provide either a contact telephone number or email address for the followup surveys
• Participants score ≥ 3/16 on the Fast Alcohol Screening Test (FAST)

Exclusion Criteria:

• Unable to give informed e.g. adults with dementia, severe psychiatric problems, patients with learning difficulties who cannot consent for themselves
• Under 16 or over 29 years of age.
• Injury more than 28 days old
• Participants score ≤ 2/16 on the FAST measure

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Violence Brief Intervention; Participants receive a standard of care brief motivational intervention (BMI) to address alcohol consumption (ABI) based on self reported use and their relationship between consumption and behavior, followed by an additional BMI to address how involvement in violence (VBI) impacts their life, relationship to social norms, and strategies to avoid violence.	Behavioral: Violence Brief Intervention; Strategies for self assessment of consequences of violent behavior and strategies for avoidance of violence; Other Names: VBI
Active Comparator: Control; Participants receive only ABI	Behavioral: ABI

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Re-admission for trauma injury	12 months post-intervention
Named in police crime report as perpetrator, victim or witness of violence	12 months post-intervention
Attitudes toward violence	1, 3 and 6 months post intervention

Secondary Outcome Measures

Outcome Measure	Time Frame
Participant relationships to alcohol measured using the Fast Alcohol screening test	Baseline

Collaborators and Investigators

• Sponsor: NHS Greater Glasgow and Clyde
• Collaborators: University of Glasgow
• Investigators: Principal Investigator: Christine Goodall, BDS, PhD, University of Glasgow

Study record dates

Study Major Dates

• Study Start: March 1, 2015
• Primary Completion (Anticipated): March 1, 2016
• Study Completion (Anticipated): March 1, 2016

Study Registration Dates

• First Submitted: March 16, 2015
• First Submitted That Met QC Criteria: March 19, 2015
• First Posted (Estimate): March 20, 2015

Study Record Updates

• Last Update Posted (Estimate): March 31, 2015
• Last Update Submitted That Met QC Criteria: March 30, 2015
• Last Verified: March 1, 2015

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Drinking Behavior; Nervous System Diseases; Wounds and Injuries; Craniocerebral Trauma; Trauma, Nervous System; Alcohol Drinking; Facial Injuries
• Other Study ID Numbers: GN14NU421