@article{ref1,
title="Helping individuals with firearm injuries: a cluster randomized trial",
journal="Journal of trauma and acute care surgery",
year="2020",
author="Rowhani-Rahbar, Ali and Rivara, Frederick P. and Lyons, Vivian H. and Carone, Marco and Griffin, Elizabeth and Floyd, Anthony S. and Wang, Jin and Haggerty, Kevin P. and Whiteside, Lauren K. and Benkeser, David and Hajat, Anjum",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Patients with firearm injuries are at high risk of subsequent arrest and injury following hospital discharge. We sought to evaluate the effect of a 6-month  joint hospital- and community-based low-intensity intervention on risk of arrest and  injury among patients with firearm injuries. <br><br>METHODS: We conducted a cluster  randomized controlled trial, enrolling patients with firearm injuries who received  treatment at Harborview Medical Center, the Level 1 trauma center in Seattle,  Washington, were 18 years or older at the time of injury, spoke English, were able  to provide consent and a method of contact, and lived in one of the five study  counties. The intervention consisted of hospital-based motivational interviewing,  followed by a 6-month community-based intervention, and multiagency support. The  primary outcome was the risk of subsequent arrest. The main secondary outcome was  the risk of death or subsequent injury requiring treatment in the emergency  department or hospitalization. <br><br>RESULTS: Neither assignment to, or engagement with,  the intervention, defined as having at least 1 contact point with the Support  Specialist, was associated with risk of arrest at 2 years post hospital discharge  (Relative Risk for intervention assignment = 1.15; 95% CI: 0.90, 1.48; Relative Risk  for intervention engagement = 1.07; 95% CI: 0.74, 2.19). There was similarly no  association observed for subsequent injury. <br><br>CONCLUSIONS: This study represents one  of the first randomized controlled trials of a joint hospital- and community-based  intervention delivered exclusively among patients with firearm injuries. The  intervention was not associated with changes in risk of arrest or injury, a finding  most likely due to the low intensity of the program. LEVEL OF EVIDENCE: Care  Management, level II.RegistrationRegistered at clinicaltrials.gov NCT02630225.<p /> <p>Language: en</p>",
language="en",
issn="2163-0755",
doi="10.1097/TA.0000000000003056",
url="http://dx.doi.org/10.1097/TA.0000000000003056"
}