TRUE HAVEN: TRUsted rEsidents and Housing Assistance to Decrease Violence Exposure in New Haven
Study Details
Study Description
Brief Summary
The overall objective of this study is to implement and test a strengths-based, community-driven intervention to reduce gun violence by (1) improving housing stability through providing financial assistance coupled with comprehensive financial education for the re-entry population as well as their family members, and (2) fostering greater support for mental health by training a trusted network of community members in trauma-informed counseling.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Proposed is a type I hybrid effectiveness/implementation study using a neighborhood-level, stepped-wedge trial design across six primarily Black/Latinx, socially vulnerable neighborhoods in New Haven. Residents of each neighborhood who have been affected by incarceration (i.e., currently have a family member incarcerated or a person returning to the community from prison within the last 12 months) will be eligible for our intervention for a period of 6 months. The Consolidated Framework for Implementation Research (CFIR) and the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) implementation science frameworks will be used to measure and track processes in achieving outcomes. A mixed methods approach will be used, primarily the use of quantitative methods for this study, along with qualitative focus groups will be conducted to assess some implementation outcomes. The primary outcome, rates of gun violence at the neighborhood level, are obtained from administrative data. Survey data will be collected for some implementation process measures (e.g., assessing acceptability and appropriateness of the intervention).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: Control
|
|
| Experimental: Intervention The two components in the intervention arm of TRUE HAVEN are: housing support for recently incarcerated people as well as family members of currently incarcerated people, and mental wellness training for neighborhood residents to participate in trauma-informed care training sessions. |
Behavioral: Name
Description
|
Outcome Measures
Primary Outcome Measures
- Change in rates of gun violence [Baseline, 6 months, 12 months, 18 months, 24 months, 30 months, and 36 months]
The primary outcome of this study is neighborhood rate of incident gun violence; these administrative data will be provided annually by the New Haven Police Department. This outcome is assessed among everyone in the neighborhoods.
Secondary Outcome Measures
- Change in neighborhood social cohesion [Baseline, 6 months, 12 months, and 24 months]
This is a neighborhood-level outcome on residents' perception of the strengths of relationships and solidarity among their neighbors. Data will be provided annually from DataHaven based on a representative sample of approximately 1% of population across each neighborhood of New Haven. The measure is based a 4 point scale (score range: 1-4).
- Change in participant self-efficacy [Baseline, 6 months, 12 months, and 24 months]
This outcome measures individual-level perceptions and reactions to life's situations. It will be measured using a survey among the about 1,400 recruited participants. The measure is based on a 4 point scale (score range: 1-4).
- Change in perceived health and well-being [Baseline, 6 months, 12 months, and 24 months]
This outcome measures individual-level perceived health and well-being including dimensions of subjective well-being, general health, health problems, sense of direction and purpose in life, emotional support, and sense of belonging to community. It will be measured using a survey among the about 1,400 recruited participants. The measure is based on a 11 point scale (score range: 0-10).
- Change in financial security [Baseline, 6 months, 12 months, and 24 months]
This outcome measures financial readiness for an emergency using a survey among the about 1,400 recruited participants. The measure is based on a 5 point scale (score range: 1-5).
Eligibility Criteria
Criteria
All residents in the study neighborhoods are eligible for outcome assessment. For the intervention component of housing support, the below inclusion and exclusion criteria apply.
Inclusion criteria:
-
Age 18 or above
-
Family member currently incarcerated or person returning from prison within the last 12 months
-
Live in one of the six neighborhoods with highest rates of gun violence in New Haven, Connecticut
Exclusion criteria:
- Plans to leave the study area within 1 year
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Yale University
- National Institute on Minority Health and Health Disparities (NIMHD)
Investigators
- Principal Investigator: Brita Roy, MD, MPH, MHS, New York University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2000032184
- 1R01MD017526-01