Adaptable Community-Engaged Intervention for Violence Prevention: Michigan Model

适应性强的社区参与暴力预防干预措施：密歇根模式

• 批准号: 10812130
• 负责人: Hsing-Fang Hsieh
• 金额: $ 141.06万
• 依托单位: EASTERN MICHIGAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-20 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10812130
• 关键词: Adoption; Archives; Asian; Asian Americans; Asian population; Behavior; COVID-19 outbreak; Case Study; Cause of Death; Cluster randomized trial; Collaborations; Communities; Community Health Aides; Consultations; Crime; Criminal Justice; Data Analyses; Data Coordinating Center; Development; Disparity; Drug usage; Environment; Evidence based intervention; Exposure to; Firearms; Future; Geographic Information Systems; Goals; Gun injury; Health Priorities; Hospitalization; Individual; Injury; Interpersonal Violence; Intervention; Justice; Link; Maps; Measurement; Mental Health; Methods; Michigan; Minority Groups; Modeling; Neighborhoods; Outcome; Ownership; Phase; Population; Poverty; Prevention; Public Health; Race; Reporting; Research; Research Priority; Research Project Grants; Resources; Risk; Risk Factors; Site; Solid; Source; Stress; Testing; Underserved Population; United States Dept. of Health and Human Services; Urban Community; Victimization; Violence; Violent injury; Vulnerable Populations; Youth; aged; alcohol outlet density; analytical tool; community organizations; data handling; fighting; gun violence; health disparity; health equity; high risk; innovation; intersectionality; meetings; microaggression; mortality; pandemic disease; prevent; protective factors; psychosocial; racism; resilience; theories; violence exposure; violence prevention; young adult

Adaptable Community-Engaged Intervention for Violence Prevention: Michigan Model Abstract Firearm possession and carriage are critical risks for firearm injury and mortality. Asian Americans (As-As) are one of the fastest growing populations in the U.S. A recent study36 conducted by the project team showed that racism and its link to increased firearm ownership and carrying during the pandemic put Asian Americans at a higher risk of firearm injury. Our long-term goal is to take action upstream to prevent injury and mortality by intervening with modifiable factors that place individuals at greater risk of involvement in firearm-related violence (FRV) in this vulnerable population. In this two-phase research project, the goal of the planning (UG3) phase is to employ a mixed methods participatory action approach including photovoice and Geographic Information System (GIS) to investigate multi-level risks and protective factors against FRV, identify community-level resources and understand the intersectionality and contexts between these factors and firearm outcomes. For the implementation (UH3) phase, the study team plans to use the findings generated in UG3 phase as an analytical tool to reveal salient multi-level factors related to FRV outcomes and develop, implement and evaluate proposed violence prevention intervention strategies that prioritize health equity and advance racial justice. Specifically, the study team will 1) Conduct a cluster randomized trial to examine effects of proposed intervention on individual- and community level outcomes related to firearms violence, and 2) Perform in-depth case studies with community implementation sites to understand barriers and facilitators for future adoption and sustainability. Throughout the project period, the study will collaborate in all phases and actively participate in CLIF-VP Research Network activities, including participation in workgroups and regular meetings with the Steering Committee and closely working with the Coordinating Center for data support and technical assistance in measurement, data handling, management, harmonization, sharing/archiving) and consultation for public engagement and scientific dissemination products. The expected outcomes of the project will provide a solid basis for development and testing of an evidence-based intervention that prevents firearm violence among Asian Americans. The proposed Community Health Worker (CHW) violence prevention, if tested and shown effective, has a potential for scalable adaptations to other settings.

适应性强的社区参与暴力预防干预措施：密歇根模式 抽象的 拥有和携带枪支是造成枪支伤害和死亡的重大风险。亚裔美国人 (As-As) 是 美国人口增长最快的国家之一。项目团队最近进行的一项研究36表明， 种族主义及其与大流行期间枪支拥有和携带增加的联系使亚裔美国人陷入了困境 枪伤的风险更高。我们的长期目标是在上游采取行动，通过以下方式防止伤害和死亡： 通过可改变的因素进行干预，使个人面临更大的参与枪支相关活动的风险 弱势群体中的暴力（FRV）。在这个两阶段的研究项目中，规划的目标（UG3） 阶段是采用混合方法参与行动方法，包括照片语音和地理 信息系统 (GIS) 用于调查 FRV 的多层次风险和保护因素，识别 社区级资源并了解这些因素之间的交叉性和背景 枪支结果。对于实施（UH3）阶段，研究小组计划使用 UG3 阶段作为分析工具，揭示与 FRV 结果相关的显着多层次因素并开发， 实施和评估拟议的暴力预防干预战略，优先考虑健康公平和 推进种族正义。具体来说，研究团队将 1) 进行整群随机试验来检查效果 对与枪支暴力相关的个人和社区层面的结果提出的干预措施，以及 2) 与社区实施地点进行深入的案例研究，以了解社区实施的障碍和促进因素 未来的采用和可持续性。在整个项目期间，该研究将在各个阶段进行合作， 积极参与 CLIF-VP 研究网络活动，包括参加工作组和定期活动 与指导委员会举行会议，并与数据支持和协调中心密切合作 测量、数据处理、管理、协调、共享/归档方面的技术援助）和 公众参与和科学传播产品的咨询。预期成果 该项目将为开发和测试基于证据的干预措施提供坚实的基础，以防止 亚裔美国人中的枪支暴力。拟议的社区卫生工作者 (CHW) 暴力行为 如果经过测试并证明预防有效，则有可能对其他环境进行可扩展的调整。