VCU ACE: Evaluation of a Comprehensive Approach to Youth Violence Prevention

VCU ACE：预防青少年暴力综合方法的评估

• 批准号: 8330595
• 负责人: ALBERT D FARRELL
• 金额: $ 107.28万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2015-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8330595
• 关键词: VCU; ACE; Evaluation; Comprehensive; Approach

DESCRIPTION (provided by applicant): The primary goal of the proposed project is to support a National Academic Center of Excellence in Youth Violence Prevention to develop and evaluate a comprehensive prevention strategy designed to reduce rates of violence among youth in Richmond, Virginia and similar communities across the United States. This goal is consistent with the Department of Health and Human Services' Healthy People 2010 goal of reducing levels of intentional injury associated with youth violence. The project's specific objectives are: (1) To implement a comprehensive youth violence prevention strategy at the community level with the following empirically- supported components: (a) school-based universal and selective interventions for middle school youth, (b) a community intervention designed to provide high quality youth development programs and resources for 10-to- 20 year old youth in high-risk neighborhoods within the community, and (c) a selective family intervention for high-risk youth aged 11-to-17; (2) To evaluate the community-level impact of this comprehensive strategy through continuous collection of data on community-level indicators of youth violence perpetration and victimization using a multiple baseline design with three high-risk communities; (3) To evaluate the effectiveness of each component within this comprehensive strategy by assessing their impact on the risk and protective factors they target; (4) To develop a plan to sustain the intervention in the participating communities and prepare materials to support its dissemination in other communities should it be found effective; and (5) To mentor and provide training to doctoral-level students, postdoctoral fellows and faculty in youth violence prevention. This project focuses on three high-risk communities in the City of Richmond, Virginia. Between 1999 and 2006, the homicide rate among 15-to-24 year olds in Richmond ranged from 50.5 to 108.5 per 100,000 representing more than 5 times to nearly 9 times the national average. Specific communities for this project represent middle school attendance zones for Boushall, Elkhardt, and Thompson middle schools. These communities were selected based on community input and review of surveillance data indicating high rates of violence-related injuries among youth in these communities. Within these communities, violence- related discipline incidents in the middle schools were 35 to 41 per 100 students in the 2008-2009 school year. Rates of emergency department visits for violence-related injuries for youth aged 10-to-24 ranged from 6 to 11 per 1,000 in the past 7 years. Violence-related offenses reported by the Department of Juvenile Justice for youth aged 10-to-19 were 11 per 1,000 in 2009. The project will randomly assign communities within a multiple-baseline design such that the intervention will begin in one of the communities at the end of Year 1, in the second community at the end of Year 2, and will not begin in the third community until after the end of the project. Outcomes include community surveillance data on youth violence-related indicators and surveys of middle school students, a community sample of youth aged 14-to-19, and a selective sample of high risk youth. PUBLIC HEALTH RELEVANCE: Project Narrative Violence-related deaths and injuries among children and adolescents in the United States represent a serious public health problem. The goal of this project is to support a National Academic Center of Excellence in Youth Violence Prevention to implement and evaluate a comprehensive prevention strategy designed to reduce rates of violence among youth in Richmond Virginia. The findings will inform efforts to reduce violence-related deaths and injuries in similar communities across the United States.

描述（由申请人提供）： 拟议项目的主要目标是支持国家预防青年暴力卓越的卓越学术中心，以制定和评估旨在降低里士满，弗吉尼亚州和美国类似社区的青年暴力率的全面预防策略。该目标与卫生与公共服务部的健康人民2010年的目标是一致的，即减少与青年暴力相关的故意伤害水平。该项目的具体目标是：（1）在社区层面上实施一项全面的青年暴力预防策略，以下具有经验支持的组成部分：（a）为中学青年提供基于学校的普遍和选择性干预措施，（b）旨在为10到20岁的青年在社区中提供高品质的青年发展计划和资源的社区干预，以供社区中的高风险，以及一项良好的家庭中（C）高级 - c），以及（c）高等的 - c）。 （2）通过使用具有三个高风险社区的多个基线设计来评估这种全面战略的社区级别影响，以连续收集有关社区级别的青年暴力犯罪和受害的指标； （3）通过评估其对目标的风险和保护因素的影响来评估这种综合策略中每个组件的有效性； （4）制定一项计划，以维持参与社区的干预，并准备材料，以支持其在其他社区的传播，如果发现有效； （5）指导并为博士级学生，博士后研究员和教师提供预防青年暴力的培训。该项目着重于弗吉尼亚州里士满市的三个高风险社区。在1999年至2006年之间，里士满15至24岁的凶杀率在50.5至108.5至108.5次，代表5倍以上，近9倍，接近9倍的全国平均水平。该项目的特定社区代表了Boushall，Elkhardt和Thompson中学的中学出勤区。这些社区是根据社区的投入和监视数据的审查选择的，这些数据表明这些社区中与暴力相关的伤害率很高。在这些社区中，在2008-2009学年中，中学与暴力相关的学科事件为每100名学生35至41名。在过去7年中，10至24岁的年轻人的急诊科对暴力相关的伤害率为每1,000人的6至11。 2009年，少年司法对10至19岁青年的少年司法部报告的犯罪与暴力有关。该项目将在多基线设计中随机分配社区，以便在第1年底，在第二年底的第二年社区中，该干预措施将在一个社区中开始，直到第三个社区开始到该项目结束后。结果包括有关与青年暴力有关的指标的社区监视数据和中学生的调查，14至19岁的青年的社区样本以及高风险青年的选择性样本。 公共卫生相关性： 美国和青少年在美国的叙事叙事叙事与暴力有关的死亡和伤害是一个严重的公共卫生问题。该项目的目的是支持国家预防青年暴力卓越学术中心，以实施和评估旨在降低里士满弗吉尼亚州青年暴力速度的全面预防策略。这些发现将为减少美国类似社区中与暴力有关的死亡和伤害的努力提供帮助。