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NCT Number: NCT07539142

The HVIP+ Community Model

The present study will use an optimization randomized control trial design to test the preliminary efficacy of a Hospital-based Violence Intervention Program (HVIP) in Central Arkansas.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Arkansas for Medical Sciences

Little Rock, Arkansas, 72205, United States

Location status: Recruiting

Location contact

Austin Porter, DrPH, MPH

SUB_INVESTIGATOR

Geoffrey Curran, PhD

SUB_INVESTIGATOR

James Selig, PhD

SUB_INVESTIGATOR

Joshua Ellis, MD, MPH

SUB_INVESTIGATOR

Joyce Raynor, BS

CONTACT

[email protected]

501-372-3800

Joyce Raynor, BS

PRINCIPAL_INVESTIGATOR

Kelly Urban, PhD, MEd, RN CCRN-K, TCRN, CEN

SUB_INVESTIGATOR

Nakita Lovelady, PhD, MPH

CONTACT

[email protected]

501-526-6731

Nakita Lovelady, PhD, MPH

PRINCIPAL_INVESTIGATOR

About this study

Arkansas is a rural southern state with a high toll of homicide relative to its total population (AR ranks 8th nationally in firearm homicide rates). This study will engage community partners throughout Central Arkansas in a multi-level, multi-faceted intervention to reduce the toll of violent assault on individuals and communities. An optimization randomized control trial (ORCT) design will be used to test the preliminary efficacy of a multi-level intervention with an explicit focus on secondary violence prevention through hospital-community partnerships to prevent escalation of firearm violence among survivors living in counties in Central Arkansas, the region of the state where violent assault is greatest. The study will also incorporate key implementation science metrics to evaluate the feasibility and reach of the proposed intervention.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Be at least 18 years of age or older
  • Currently live in Central Arkansas
  • Currently being treated for a penetrating gun assault injury at a local hospital

Exclusion criteria

Participants must not:

  • Report any medical problems that would limit their ability to express thoughts and answer questions (i.e. active intoxication, developmental delays, dementia, psychosis, etc.)
  • Be currently under arrest or in police custody

Treatment and study plan

Brief Bedside

Behavioral
  • Initial support (in-hospital or shortly after if discharged early)
  • Needs assessment
  • Resource Sheet of Vetted Partners

Peer Support

Behavioral
  • Weekly Check-ins
  • Status Check (Personal/family; Health; Mental Health; Spiritual, etc.)
  • Encouragement/Motivation (Staying safe, Doing right, etc.)
  • In-Person Visits (Home, Rehab, etc.)
  • Peer Social/Skill-building Activities (Money management, Job interviewing, Computer literacy, Creative arts, Critical thinking film discussions, etc.)

Case Management + Voucher

Behavioral
  • Service Plan & Referrals
  • Service Check-in/Follow up with partners and participants
  • Navigation of Health Care and Social Service Follow up appointments
  • Transportation Assistance
  • Basic life skills for service provision (riding bus/public transportation, zoom, etc.)
  • Vouchers for Immediate Needs/Obstacles

SELF Group Therapy Sessions

Behavioral
  • Virtual Bi-weekly Group Therapy
  • SELF Curriculum- Trauma Focused Cognitive Behavioral Therapy
  • Lead by Therapists and Community Peer Volunteers
  • One-on-one Introductory/Intake Orientations

Primary outcomes

  1. Change in Risky Firearm Behaviors

    Time frame: Baseline, 3-month, 6-month, 9-month, and 12 months

    Composite measure uses items adapted from the Tulane University National Youth Study capturing frequency and severity of risky firearm-related behaviors (i.e. carriage, threats, etc.) (0=Never; 6=20+ Times)

Secondary outcomes

  1. Change in PTSD

    Time frame: Baseline, 3-month, 6-month, 9-month, and 12 months

    The Posttraumatic Stress Disorder Checklist (PCL-5) is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD (0=Not at all; 4=Extremely)

  2. Change in Anxiety

    Time frame: Baseline, 3-month, 6-month, 9-month, and 12 months

    OASIS is a brief measure of overall anxiety severity and impairment. (0=No/None; 4=Constant/Extreme)

  3. Change in Depression

    Time frame: Baseline, 3-month, 6-month, 9-month, and 12 months

    The PHQ-9 is a validated, self-reported tool used for screening, diagnosing, and measuring the severity of depression. (0= Not at all; 3=Nearly every day)

  4. Change in Feasibility and Acceptability of Intervention

    Time frame: 3-month, 6-month, 9-month, and 12 months

    Composite measure uses items adapted from the Feasibility of Intervention Measure (FIM) and Acceptability of Intervention Measure (AIM), four-item measures of implementation outcomes. (1= Completely disagree; 5= Completely Agree)

Study contacts

Contact information is provided by the study sponsor or research team.

Joyce Raynor, BS

CONTACT

[email protected]

501-372-3800

Nakita Lovelady, PhD, MPH

CONTACT

[email protected]

501-526-6731

Sponsors and collaborators

Lead sponsor

University of Arkansas

Other

Collaborators

  • National Institute on Minority Health and Health Disparities (NIMHD)

Registry information

Official study title

The HVIP+ Community Model: A Community Violence Prevention Program in a Southern State

Important dates

Study start
2026
Primary completion
2028
Study completion
2028
First posted
Apr 20, 2026
Registry last updated
Jun 2, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.