予防活動の機会とのつながりを強化する (SCOPE)
予防活動の機会とのつながりを強化する（SCOPE）
The Strengthening the Connections to Opportunities for Prevention Engagement (SCOPE) project will create a pathway for children and families from the City of Hartford to connect with a Connecticut Children's Care Coordinator (CC) in an effort to reduce levels of violence exposure.
調査の概要
詳細な説明
The Strengthening the Connections to Opportunities for Prevention Engagement (SCOPE) project will create a pathway for children and families from the City of Hartford to connect with a Connecticut Children's Care Coordinator (CC) when they are determined to have high levels of violence exposure.
SCOPE seeks to decrease future violence exposure and increase resiliency of children with high levels of exposure to violence through Emergency Department (ED)-based case management and connections with community partners.
Hypothesis 1: VPET scores within the intervention group will show significant reductions across the study period. The percent of patients with positive VPET positive scores within the intervention group will show significant reductions from the expected 79% to 70% as compared to the control group that will have the expected 79%
Hypothesis 2: The Child and Youth Resilience Measure-Revised (CYRM) scores for the intervention group will increase by 10%, and will be significantly higher than the control group.
Hypothesis 3: At least 75% of the intervention group will be assessed as "positive" for having made a connection with community services.
Hypothesis 4: 90% of parents with children receiving case management will report being satisfied with the case management services and community connected services.
Hypothesis 5: Retention within the intervention group will be at or above 50%, with at least half of participants remaining engaged in the project.
Hypothesis 6: Compared to the control group, the intervention group will have fewer documented injuries and ED visits during the 12-month period post-enrollment.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究場所
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Connecticut
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Hartford、Connecticut、アメリカ、06106
- Connecticut Children's
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- At least 8 years of age and not older than 17 years of age (until 18th birthday)
- Hartford resident based on zip code of primary residence or parent report?
- Accompanied by a parent or guardian who can provide consent
- Capable of providing assent/consent
- Able to provide consent in English or Spanish
- Presenting at CT Children's during recruitment hours
Exclusion Criteria:
- Patients whose primary complaint is for behavioral health
- Patients in Connecticut Department of Children and Families (DCF) or police custody
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Intervention
Enrolled subjects will provide the study team with email, mobile, work phone, physical contact address, and contact numbers for two or more close contacts. Families will be contacted monthly by the case manager assist with additional supports they might need. Quarterly, patients and families will be contacted and patients will be asked to complete VPET and other measures. The intervention group will receive active case management to connect affected youth to community services. |
A case manager will work with families post-discharge to ensure that youth are connected to an appropriate community support. Case managers will also work with families to identify any social needs and provide support in accessing services as needed. Subjects will receive a list of youth serving community service agencies and provided a recommendation to connect to them. |
|
アクティブコンパレータ：Treatment as Usual
The comparison group will receive treatment as usual which consists of a list of community resources and a recommendation that youth not already connected with a community service provider be connected. |
Subjects will receive a list of youth serving community service agencies and provided a recommendation to connect to them. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change from baseline violence exposure at 12 months
時間枠：Baseline and months 3, 6, 9, and 12
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A reduction in exposure as measured using the Violence Prevention Emergency Tool (VPET) that provides a range from 0 to 21 with a 4 or more considered elevated. |
Baseline and months 3, 6, 9, and 12
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in resilience score from baseline at 12 months
時間枠：Baseline and months 3, 6, 9, and 12
|
The Child and Youth Resilience Measure-Revised (CYRM) is a validated scale with resilience scores that range from 17 to 85 with a higher score indicating greater resilience. |
Baseline and months 3, 6, 9, and 12
|
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Difference in connections between intervention and control at 3-month intervals.
時間枠：Quarterly measure at 0, 3, 6, 9, and 12 months
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A dichotomous yes/no variable answering the question of are you currently connected to services at a community agency? |
Quarterly measure at 0, 3, 6, 9, and 12 months
|
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Level of satisfaction with case management services after 12 months of services
時間枠：At 12-months of case management.
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Level of satisfaction with case management services as indicated along a 5-point scale from Not satisfied to Completely satisfied. Higher levels of satisfaction are related with other improved outcomes from baseline. |
At 12-months of case management.
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Rate of re-injury in the intervention group compared to the control condition.
時間枠：baseline, 3, 6, 9, 12 months
|
Hospital documented injuries during the study period will be assessed on a quarterly schedule. |
baseline, 3, 6, 9, 12 months
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。