The HVIP+ Community Model

The HVIP+ Community Model: A Community Violence Prevention Program in a Southern State

The present study will use an optimization randomized control trial design to test the preliminary efficacy of a Hospital-based Violence Intervention Program (HVIP) in Central Arkansas.

Study Overview

• Status: Recruiting
• Conditions: Hospital-based Violence Intervention; Community Firearm Violence; Firearm Behaviors
• Intervention / Treatment: Behavioral: Brief Bedside; Behavioral: Case Management + Voucher; Behavioral: SELF Group Therapy Sessions; Behavioral: Peer Support

Detailed Description

Arkansas is a rural southern state with a high toll of homicide relative to its total population (AR ranks 8th nationally in firearm homicide rates). This study will engage community partners throughout Central Arkansas in a multi-level, multi-faceted intervention to reduce the toll of violent assault on individuals and communities. An optimization randomized control trial (ORCT) design will be used to test the preliminary efficacy of a multi-level intervention with an explicit focus on secondary violence prevention through hospital-community partnerships to prevent escalation of firearm violence among survivors living in counties in Central Arkansas, the region of the state where violent assault is greatest. The study will also incorporate key implementation science metrics to evaluate the feasibility and reach of the proposed intervention.

• Study Type: Interventional
• Enrollment (Estimated): 208
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Nakita Lovelady, PhD, MPH; Phone Number: 501-526-6731; Email: nnlovelady@uams.edu
• Study Contact Backup: Name: Joyce Raynor, BS; Phone Number: 501-372-3800; Email: raynorjoyce@uams.edu

Study Locations

• United States
  • Arkansas
    • Little Rock, Arkansas, United States, 72205
      • Recruiting
      • University of Arkansas for Medical Sciences
      • Contact: Nakita Lovelady, PhD, MPH; Phone Number: 501-526-6731; Email: nnlovelady@uams.edu
      • Contact: Joyce Raynor, BS; Phone Number: 501-372-3800; Email: raynorjoyce@uams.edu
      • Principal Investigator: Nakita Lovelady, PhD, MPH
      • Principal Investigator: Joyce Raynor, BS
      • Sub-Investigator: James Selig, PhD
      • Sub-Investigator: Geoffrey Curran, PhD
      • Sub-Investigator: Joshua Ellis, MD, MPH
      • Sub-Investigator: Austin Porter, DrPH, MPH
      • Sub-Investigator: Kelly Urban, PhD, MEd, RN CCRN-K, TCRN, CEN

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Be at least 18 years of age or older
• Currently live in Central Arkansas
• Currently being treated for a penetrating gun assault injury at a local hospital

Exclusion Criteria:

Participants must not:

• Report any medical problems that would limit their ability to express thoughts and answer questions (i.e. active intoxication, developmental delays, dementia, psychosis, etc.)
• Be currently under arrest or in police custody

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Factorial Assignment
• Masking: Single

Number of Arms

8

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: BB, CM, G; Participants receive brief bedside, case management+ voucher, and SELF group intervention components.	Behavioral: Brief Bedside; Initial support (in-hospital or shortly after if discharged early); Needs assessment; Resource Sheet of Vetted Partners; Behavioral: Case Management + Voucher; Service Plan & Referrals; Service Check-in/Follow up with partners and participants; Navigation of Health Care and Social Service Follow up appointments; Transportation Assistance; Basic life skills for service provision (riding bus/public transportation, zoom, etc.); Vouchers for Immediate Needs/Obstacles; Behavioral: SELF Group Therapy Sessions; Virtual Bi-weekly Group Therapy; SELF Curriculum- Trauma Focused Cognitive Behavioral Therapy; Lead by Therapists and Community Peer Volunteers; One-on-one Introductory/Intake Orientations
Experimental: BB, CM; Participants receive brief bedside and case management+ voucher intervention components.	Behavioral: Brief Bedside; Initial support (in-hospital or shortly after if discharged early); Needs assessment; Resource Sheet of Vetted Partners; Behavioral: Case Management + Voucher; Service Plan & Referrals; Service Check-in/Follow up with partners and participants; Navigation of Health Care and Social Service Follow up appointments; Transportation Assistance; Basic life skills for service provision (riding bus/public transportation, zoom, etc.); Vouchers for Immediate Needs/Obstacles
Experimental: BB, G; Participants receive brief bedside and SELF group intervention components.	Behavioral: Brief Bedside; Initial support (in-hospital or shortly after if discharged early); Needs assessment; Resource Sheet of Vetted Partners; Behavioral: SELF Group Therapy Sessions; Virtual Bi-weekly Group Therapy; SELF Curriculum- Trauma Focused Cognitive Behavioral Therapy; Lead by Therapists and Community Peer Volunteers; One-on-one Introductory/Intake Orientations
Experimental: BB; Participants receive brief bedside intervention component.	Behavioral: Brief Bedside; Initial support (in-hospital or shortly after if discharged early); Needs assessment; Resource Sheet of Vetted Partners
Experimental: ALL; Participants receive brief bedside, peer support, case management+ voucher, and SELF group intervention components.	Behavioral: Brief Bedside; Initial support (in-hospital or shortly after if discharged early); Needs assessment; Resource Sheet of Vetted Partners; Behavioral: Case Management + Voucher; Service Plan & Referrals; Service Check-in/Follow up with partners and participants; Navigation of Health Care and Social Service Follow up appointments; Transportation Assistance; Basic life skills for service provision (riding bus/public transportation, zoom, etc.); Vouchers for Immediate Needs/Obstacles; Behavioral: SELF Group Therapy Sessions; Virtual Bi-weekly Group Therapy; SELF Curriculum- Trauma Focused Cognitive Behavioral Therapy; Lead by Therapists and Community Peer Volunteers; One-on-one Introductory/Intake Orientations; Behavioral: Peer Support; Weekly Check-ins; Status Check (Personal/family; Health; Mental Health; Spiritual, etc.); Encouragement/Motivation (Staying safe, Doing right, etc.); In-Person Visits (Home, Rehab, etc.); Peer Social/Skill-building Activities (Money management, Job interviewing, Computer literacy, Creative arts, Critical thinking film discussions, etc.)
Experimental: BB, PS, CM; Participants receive brief bedside, peer support, and case management+ voucher intervention components.	Behavioral: Brief Bedside; Initial support (in-hospital or shortly after if discharged early); Needs assessment; Resource Sheet of Vetted Partners; Behavioral: Case Management + Voucher; Service Plan & Referrals; Service Check-in/Follow up with partners and participants; Navigation of Health Care and Social Service Follow up appointments; Transportation Assistance; Basic life skills for service provision (riding bus/public transportation, zoom, etc.); Vouchers for Immediate Needs/Obstacles; Behavioral: Peer Support; Weekly Check-ins; Status Check (Personal/family; Health; Mental Health; Spiritual, etc.); Encouragement/Motivation (Staying safe, Doing right, etc.); In-Person Visits (Home, Rehab, etc.); Peer Social/Skill-building Activities (Money management, Job interviewing, Computer literacy, Creative arts, Critical thinking film discussions, etc.)
Experimental: BB, PS, G; Participants receive brief bedside, peer support, and SELF group intervention components.	Behavioral: Brief Bedside; Initial support (in-hospital or shortly after if discharged early); Needs assessment; Resource Sheet of Vetted Partners; Behavioral: SELF Group Therapy Sessions; Virtual Bi-weekly Group Therapy; SELF Curriculum- Trauma Focused Cognitive Behavioral Therapy; Lead by Therapists and Community Peer Volunteers; One-on-one Introductory/Intake Orientations; Behavioral: Peer Support; Weekly Check-ins; Status Check (Personal/family; Health; Mental Health; Spiritual, etc.); Encouragement/Motivation (Staying safe, Doing right, etc.); In-Person Visits (Home, Rehab, etc.); Peer Social/Skill-building Activities (Money management, Job interviewing, Computer literacy, Creative arts, Critical thinking film discussions, etc.)
Experimental: BB, PS; Participants receive brief bedside and peer support intervention components.	Behavioral: Brief Bedside; Initial support (in-hospital or shortly after if discharged early); Needs assessment; Resource Sheet of Vetted Partners; Behavioral: Peer Support; Weekly Check-ins; Status Check (Personal/family; Health; Mental Health; Spiritual, etc.); Encouragement/Motivation (Staying safe, Doing right, etc.); In-Person Visits (Home, Rehab, etc.); Peer Social/Skill-building Activities (Money management, Job interviewing, Computer literacy, Creative arts, Critical thinking film discussions, etc.)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Risky Firearm Behaviors	Composite measure uses items adapted from the Tulane University National Youth Study capturing frequency and severity of risky firearm-related behaviors (i.e. carriage, threats, etc.) (0=Never; 6=20+ Times)	Baseline, 3-month, 6-month, 9-month, and 12 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in PTSD	The Posttraumatic Stress Disorder Checklist (PCL-5) is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD (0=Not at all; 4=Extremely)	Baseline, 3-month, 6-month, 9-month, and 12 months
Change in Anxiety	OASIS is a brief measure of overall anxiety severity and impairment. (0=No/None; 4=Constant/Extreme)	Baseline, 3-month, 6-month, 9-month, and 12 months
Change in Depression	The PHQ-9 is a validated, self-reported tool used for screening, diagnosing, and measuring the severity of depression. (0= Not at all; 3=Nearly every day)	Baseline, 3-month, 6-month, 9-month, and 12 months
Change in Feasibility and Acceptability of Intervention	Composite measure uses items adapted from the Feasibility of Intervention Measure (FIM) and Acceptability of Intervention Measure (AIM), four-item measures of implementation outcomes. (1= Completely disagree; 5= Completely Agree)	3-month, 6-month, 9-month, and 12 months

Collaborators and Investigators

• Sponsor: University of Arkansas
• Collaborators: National Institute on Minority Health and Health Disparities (NIMHD)
• Investigators: Principal Investigator: Nakita Lovelady, PhD, MPH, University of Arkansas

Study record dates

Study Major Dates

• Study Start (Actual): April 20, 2026
• Primary Completion (Estimated): June 1, 2028
• Study Completion (Estimated): June 1, 2028

Study Registration Dates

• First Submitted: April 13, 2026
• First Submitted That Met QC Criteria: April 13, 2026
• First Posted (Actual): April 20, 2026

Study Record Updates

• Last Update Posted (Actual): June 2, 2026
• Last Update Submitted That Met QC Criteria: June 1, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Health Services Administration; Patient Care Management; Patient Care Planning; Comprehensive Health Care; Case Management
• Other Study ID Numbers: 276233; 4UH3MD019172-02 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No