A Proposal to Establish the Mississippi Violence Injury Prevention (VIP) Program

建立密西西比州暴力伤害预防 (VIP) 计划的提案

• 批准号: 10613061
• 负责人: MATTHEW E KUTCHER
• 金额: $ 138.51万
• 依托单位: UNIVERSITY OF MISSISSIPPI MED CTR
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-15 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10613061
• 关键词: Address; Adoption; Advocacy; Affect; Agreement; Area; Assessment tool; Capital; Caring; Censuses; Clinical Trials; Communities; Community Hospitals; Consult; Development Plans; Discipline; Discipline of Nursing; Elements; Emergency Medicine; Enrollment; Feedback; Firearms; Funding; Government; Gun injury; Health Surveys; Homicide; Hospitals; Incidence; Individual; Institutes; Intervention; Joints; Laws; Link; Measures; Medical center; Mission; Mississippi; Monitor; Murder; Needs Assessment; Patients; Persons; Phase; Population; Prevention; Prevention approach; Prevention program; Psychology; Public Health; Quality of life; Recovery; Recovery of Function; Research; Research Design; Research Project Grants; Resource Development; Resources; Risk; Site; Standardization; Structure; Surveys; Survivors; Testing; Time; Universities; Violence; Violent injury; Work; arm; base; data streams; economic impact; follow-up; gun violence; health economics; interest; member; metropolitan; mortality; operation; prevent; preventive intervention; program dissemination; programs; remote sensing; screening, brief intervention, referral, and treatment; social determinants; successful intervention; telehealth; tool; trauma centers; violence prevention; working group

PROJECT SUMMARY/ABSTRACT The University of Mississippi Medical Center (UMMC), in partnership with four well-established community groups—People’s Advocacy Institute, Strong Arms of JXN, Operation Good, and the Mississippi Public Health Institute—propose to participate in the Community Level Interventions for Firearm and Related Violence, Injury and Mortality Prevention (CLIF-VP) Research Network by establishing the Mississippi Violence Injury Prevention (VIP) Program. Together, individual team members represent community activists and several academic disciplines, including emergency medicine, psychology, public health, survey research, GIS and remote sensing, law, and nursing. Mississippi had the nation’s highest firearm mortality rate in 2020 at 28.6 per 100,000 residents. Jackson, the state’s capital, had a 2021 homicide rate of 97.6 per 100,000 residents, more than three times higher than the state and 15 times higher than the national rate of 6.5 murders per 100,000 residents. UMMC, which is the only Level 1 Trauma Center in the state, administered care to 1,129 patients presenting with injuries from firearms or related violence. As part of the CLIF-VP Research Network, the Mississippi VIP Program will work closely with its Coordinating Center, the other Research Projects funded through this Agreement, the CLIF-VP Research Network’s Stakeholder Board(s), Steering Committee, and workgroups to successfully carry out cross-project activities. The Mississippi VIP Program’s research design includes a two-year planning (UG3) phase and a three- year implementation (UH3) phase. Two specific aims have been identified for the UG3 phase: (1) define and create the machinery to longitudinally monitor the community-level social determinants of firearm injury in the greater Jackson, Mississippi metropolitan area with respect to (a) perceived needs, (b) available resources and their utilization, and (c) opportunities for capacity building; and (2) identify principal community-specific risk elements for (a) firearm injury, (b) suboptimal functional recovery, and (c) retaliation and reinjury, and collaboratively develop linked community- and hospital-based protective resources to address these risks. Two specific aims have been identified for the UH3 phase: (1) conduct a clinical trial that implements optimized community-focused interventions during the UG3 phase using a step-wedge cluster approach, and measures longitudinal community and individual impact of violence prevention interventions on (a) incidence of firearm injury, (b) functional victim recovery, (c) incidence of retaliation and reinjury, and (d) economic impact; and (2) coordinate ongoing community, regional, and telehealth expansion and adoption of optimized community-focused resources in concert with the CLIF-VP Research Network.

项目摘要/摘要 密西西比大学医学中心（UMMC）与四个公认的社区合作 小组 - 人民的倡导研究所，JXN强大的武器，良好行动和密西西比州公共卫生 研究所 - 参与社区级别的枪支和相关暴力，伤害的措施 通过建立密西西比州暴力伤害，预防死亡率预防（CLIF-VP）研究网络 预防（VIP）计划。单个团队成员共同代表社区活动家和几个 学科，包括急诊医学，心理学，公共卫生，调查研究，GIS和 遥感，法律和护士。 密西西比州在2020年的枪支死亡率最高，为每10万居民28.6。杰克逊， 该州的首都的2021年凶杀率为每100,000名居民97.6，高三倍以上 该州，比每10万居民的全国6.5起谋杀案高15倍。 ummc，这是 该州仅1级创伤中心，对1,129名因受伤的患者提供护理 枪支或相关暴力。 作为CLIF-VP研究网络的一部分，密西西比州VIP计划将与之紧密合作 协调中心是通过本协议资助的其他研究项目，CLIF-VP研究 网络的利益相关者委员会，指导委员会和工作组成功执行跨项目 活动。 密西西比州VIP计划的研究设计包括为期两年的计划（UG3）阶段和一个三年 年实施（UH3）阶段。已确定了UG3阶段的两个具体目标：（1）定义 并创建机械以纵向监视社区级的社会决定者枪支伤害的社会决定者 大杰克逊，密西西比州大都会地区（a）感知需求，（b）可用资源 以及它们的利用，以及（c）能力建设的机会； （2）确定主要社区特定风险 （a）枪支损伤的元素，（b）次优的功能恢复，以及（c）报复和重伤，以及 合作开发的链接的社区和基于医院的保护资源以应对这些风险。 已经确定了UH3阶段的两个具体目标：（1）进行实施的临床试验 在UG3阶段优化以社区为中心的干预措施，使用阶级划定集群方法， 衡量纵向社区和暴力预防干预措施对（a）事件的个人影响 枪支伤害，（b）功能受害者的恢复，（c）报复和重伤的事件，以及（d）经济影响； （2）协调正在进行的社区，区域和远程医疗扩展以及采用优化 与CLIF-VP研究网络共同以社区为重点的资源。