Saferteens in Primary Care
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 14 - 18 |
| Updated: | 6/15/2018 |
| Start Date: | June 7, 2018 |
| End Date: | July 31, 2019 |
| Contact: | Meredith Kotov, MS |
| Email: | mphilyaw@med.umich.edu |
| Phone: | 734-232-0361 |
Translation of an Evidenced-Based Violence Intervention for Adolescents in Primary Care
The SafERteens Study demonstrated the efficacy of a brief intervention (BI) for violence on
changing attitudes, self-efficacy, and reducing violent behaviors, peer victimization, and
violence-related consequences among adolescents in the emergency department (ED). Using a
RE-AIM framework to measure outcomes (Reach, Effectiveness, Adoption, Implementation, and
Maintenance), a study was conducted to translate this BI for violence into clinical practice
in the ED. A SafERteens Implementation Package was created, which is housed on a website
(www.saferteens.org), and includes: 1) a self-administered screen via iPad; 2) training
materials (e.g., standardized patient videos); 3) clinician tools to guide intervention
delivery; and 4) a tailored text message booster program.
To increase reach and impact on reducing youth violence, this project will implement
SafERteens into primary care. Primary care represents a logical dissemination channel for the
SafERteens intervention because 95% of adolescents report having a usual place for primary
health care, with 75% receiving medical care in the past six months. Violence interventions
have yet to be systematically implemented in primary care settings despite the alarming
prevalence of violent behaviors among adolescents.
changing attitudes, self-efficacy, and reducing violent behaviors, peer victimization, and
violence-related consequences among adolescents in the emergency department (ED). Using a
RE-AIM framework to measure outcomes (Reach, Effectiveness, Adoption, Implementation, and
Maintenance), a study was conducted to translate this BI for violence into clinical practice
in the ED. A SafERteens Implementation Package was created, which is housed on a website
(www.saferteens.org), and includes: 1) a self-administered screen via iPad; 2) training
materials (e.g., standardized patient videos); 3) clinician tools to guide intervention
delivery; and 4) a tailored text message booster program.
To increase reach and impact on reducing youth violence, this project will implement
SafERteens into primary care. Primary care represents a logical dissemination channel for the
SafERteens intervention because 95% of adolescents report having a usual place for primary
health care, with 75% receiving medical care in the past six months. Violence interventions
have yet to be systematically implemented in primary care settings despite the alarming
prevalence of violent behaviors among adolescents.
This pilot study will customize the SafERteens intervention for the unique constraints of
primary care settings and test implementation of the Saferteens brief intervention in primary
care using the RE-AIM framework: reach (e.g., number of patients screened and given BI);
effectiveness (e.g., change in violent behaviors, peer victimization, and violence-related
consequences among intervention and control groups); adoption (e.g., number of providers
trained, hours participated in training); implementation (e.g., participant ratings of
intervention); and maintenance (e.g., ongoing screening and interventions during maintenance
phase). Specifically, a control sample of youth ages 14-18 (n=50) will be obtained, who will
complete a baseline and 3-month follow-up survey, but who will not receive the intervention,
and an intervention sample of youth ages 14-18 (n=50) will be obtained, who will receive the
Saferteens BI and will complete a baseline and 3-month follow-up survey. These data will
provide a control sample for testing effectiveness of the Saferteens intervention package,
versus the intervention sample.
primary care settings and test implementation of the Saferteens brief intervention in primary
care using the RE-AIM framework: reach (e.g., number of patients screened and given BI);
effectiveness (e.g., change in violent behaviors, peer victimization, and violence-related
consequences among intervention and control groups); adoption (e.g., number of providers
trained, hours participated in training); implementation (e.g., participant ratings of
intervention); and maintenance (e.g., ongoing screening and interventions during maintenance
phase). Specifically, a control sample of youth ages 14-18 (n=50) will be obtained, who will
complete a baseline and 3-month follow-up survey, but who will not receive the intervention,
and an intervention sample of youth ages 14-18 (n=50) will be obtained, who will receive the
Saferteens BI and will complete a baseline and 3-month follow-up survey. These data will
provide a control sample for testing effectiveness of the Saferteens intervention package,
versus the intervention sample.
Inclusion Criteria:
- Adolescents (ages 14-18) presenting to primary care
- Screen positive for past year violent behavior (physical aggression) toward a friend,
stranger, acquaintance, or dating partner (e.g., "have you pushed, hit, slapped,
punched, kicked, been in a serious physical fight, group fight, or beat someone up
Exclusion Criteria:
- Adolescents who do not understand English
- Adolescents deemed unable to provide informed assent/consent (e.g., mental
incompetence)
We found this trial at
1
site
500 S State St
Ann Arbor, Michigan 48109
Ann Arbor, Michigan 48109
(734) 764-1817
Principal Investigator: Maureen Walton, MPH, PHD
Phone: 734-232-0361
University of Michigan The University of Michigan was founded in 1817 as one of the...
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