Trial Outcomes & Findings for Strengthening Adolescent-Adult Networks to Reduce Youth Violence (NCT NCT05185453)

NCT ID: NCT05185453

Last Updated: 2024-08-23

Results Overview

Attendance recorded at beginning and end of each session. Calculated as a proportion of total number of sessions attended (possible session attended #: 0-12 for youth participants and 0-9 for adult participants) using the following method (# youth at session 1 + # youth at session 2 + …)/(# of youth participants x12 sessions) and (# adults at session 1 + # adults at session 2 + …)/(# of adult participants x9 sessions). The possible proportion attended ranges from 0-1.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

74 participants

Primary outcome timeframe

through intervention completion, 12 weeks

Results posted on

2024-08-23

Participant Flow

We partnered with youth-serving agencies to assist with recruitment through community settings. During program session #1, youth in the intervention group were asked to identify a key adult support in family, school, or community to participate in the program. The study team reached out to the adult to facilitate enrollment. Of the 34 youth, 11 identified an adult who consented to enroll in the study.

Unit of analysis: Neighborhoods

Participant milestones

Participant milestones
Measure
Strengthening Connections for Change
Strengthening Connections for Change uses a group discussion format with activities that explore identity, adolescent-adult relationships, social networks, and community engagement. Youth invite their self-identified key adult supports to jointly participate in programming and curriculum includes youth-focused, adult-focused and jointly focused activities designed to build leadership skills, enhance intergenerational networks, challenge attitudes towards violence and retaliation, and reduce violence involvement. Through 12 sessions (2 hours/session) delivered weekly, Strengthening Connections offers leadership development coupled with strengths-based youth violence prevention programming. Strengthening Connections for Change: Strengthening Connections for Change is a 12-session curriculum designed to strengthen adolescent-adult support networks, build leadership skills, foster community engagement, and challenge attitudes and behaviors that foster violence involvement. During the program, youth ages 13-17 years invite their self-identified key adult supports to jointly participate in programming including youth-focused, adult-focused and jointly focused activities. Towards the end of programming participants design and carry out a community project to strengthen intergenerational connections and promote community engagement.
Job Readiness Training
Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth. Participants receive a 12 session job readiness training with linkages to businesses and employment opportunities. Discussions include a wide range of topics related to career exploration and job readiness. Job Readiness Training: Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth.
Overall Study
STARTED
45 2
29 2
Overall Study
Youth Started
34 2
29 2
Overall Study
Adults Started
11 2
0 0
Overall Study
Youth Completed Baseline Survey
34 2
29 2
Overall Study
Adults Completed Baseline Survey
11 2
0 0
Overall Study
Youth Completed End of Program Survey
26 2
26 2
Overall Study
Adults Completed End of Program Survey
6 2
0 0
Overall Study
COMPLETED
32 2
26 2
Overall Study
NOT COMPLETED
13 0
3 0

Reasons for withdrawal

Reasons for withdrawal
Measure
Strengthening Connections for Change
Strengthening Connections for Change uses a group discussion format with activities that explore identity, adolescent-adult relationships, social networks, and community engagement. Youth invite their self-identified key adult supports to jointly participate in programming and curriculum includes youth-focused, adult-focused and jointly focused activities designed to build leadership skills, enhance intergenerational networks, challenge attitudes towards violence and retaliation, and reduce violence involvement. Through 12 sessions (2 hours/session) delivered weekly, Strengthening Connections offers leadership development coupled with strengths-based youth violence prevention programming. Strengthening Connections for Change: Strengthening Connections for Change is a 12-session curriculum designed to strengthen adolescent-adult support networks, build leadership skills, foster community engagement, and challenge attitudes and behaviors that foster violence involvement. During the program, youth ages 13-17 years invite their self-identified key adult supports to jointly participate in programming including youth-focused, adult-focused and jointly focused activities. Towards the end of programming participants design and carry out a community project to strengthen intergenerational connections and promote community engagement.
Job Readiness Training
Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth. Participants receive a 12 session job readiness training with linkages to businesses and employment opportunities. Discussions include a wide range of topics related to career exploration and job readiness. Job Readiness Training: Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth.
Overall Study
Lost to Follow-up
13
3

Baseline Characteristics

Strengthening Adolescent-Adult Networks to Reduce Youth Violence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Strengthening Connections for Change--Youth
n=34 Participants
Strengthening Connections for Change uses a group discussion format with activities that explore identity, adolescent-adult relationships, social networks, and community engagement. Youth invite their self-identified key adult supports to jointly participate in programming and curriculum includes youth-focused, adult-focused and jointly focused activities designed to build leadership skills, enhance intergenerational networks, challenge attitudes towards violence and retaliation, and reduce violence involvement. Through 12 sessions (2 hours/session) delivered weekly, Strengthening Connections offers leadership development coupled with strengths-based youth violence prevention programming. Strengthening Connections for Change: Strengthening Connections for Change is a 12-session curriculum designed to strengthen adolescent-adult support networks, build leadership skills, foster community engagement, and challenge attitudes and behaviors that foster violence involvement. During the program, youth ages 13-17 years invite their self-identified key adult supports to jointly participate in programming including youth-focused, adult-focused and jointly focused activities. Towards the end of programming participants design and carry out a community project to strengthen intergenerational connections and promote community engagement.
Strengthening Connections for Change--Adults
n=11 Participants
During the Strengthening Connections for Change program, youth invite their self-identified key adult supports to jointly participate in programming including youth-focused, adult-focused and jointly focused activities.
Job Readiness Training--Youth
n=29 Participants
Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth. Participants receive a 12 session job readiness training with linkages to businesses and employment opportunities. Discussions include a wide range of topics related to career exploration and job readiness. Job Readiness Training: Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth.
Total
n=74 Participants
Total of all reporting groups
Age, Continuous
14.8 years
STANDARD_DEVIATION 1.4 • n=99 Participants
47.6 years
STANDARD_DEVIATION 10.7 • n=107 Participants
14.3 years
STANDARD_DEVIATION 1.4 • n=206 Participants
14.6 years
STANDARD_DEVIATION 1.4 • n=7 Participants
Sex/Gender, Customized
Female
6 Participants
n=99 Participants
5 Participants
n=107 Participants
16 Participants
n=206 Participants
27 Participants
n=7 Participants
Sex/Gender, Customized
Male
26 Participants
n=99 Participants
5 Participants
n=107 Participants
12 Participants
n=206 Participants
43 Participants
n=7 Participants
Sex/Gender, Customized
Non-binary or gender fluid
0 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
1 Participants
n=7 Participants
Sex/Gender, Customized
Not Reported
2 Participants
n=99 Participants
1 Participants
n=107 Participants
0 Participants
n=206 Participants
3 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
8 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
28 Participants
n=99 Participants
9 Participants
n=107 Participants
27 Participants
n=206 Participants
64 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
2 Participants
n=7 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
2 Participants
n=7 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Black or African American
25 Participants
n=99 Participants
8 Participants
n=107 Participants
17 Participants
n=206 Participants
50 Participants
n=7 Participants
Race (NIH/OMB)
White
1 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=99 Participants
1 Participants
n=107 Participants
10 Participants
n=206 Participants
13 Participants
n=7 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=99 Participants
2 Participants
n=107 Participants
1 Participants
n=206 Participants
8 Participants
n=7 Participants
Region of Enrollment
United States
34 Participants
n=99 Participants
11 Participants
n=107 Participants
29 Participants
n=206 Participants
74 Participants
n=7 Participants

PRIMARY outcome

Timeframe: through intervention completion, 12 weeks

Attendance recorded at beginning and end of each session. Calculated as a proportion of total number of sessions attended (possible session attended #: 0-12 for youth participants and 0-9 for adult participants) using the following method (# youth at session 1 + # youth at session 2 + …)/(# of youth participants x12 sessions) and (# adults at session 1 + # adults at session 2 + …)/(# of adult participants x9 sessions). The possible proportion attended ranges from 0-1.

Outcome measures

Outcome measures
Measure
Strengthening Connections for Change--YOUTH
n=2 neighborhoods
Strengthening Connections for Change uses a group discussion format with activities that explore identity, adolescent-adult relationships, social networks, and community engagement. Youth invite their self-identified key adult supports to jointly participate in programming and curriculum includes youth-focused, adult-focused and jointly focused activities designed to build leadership skills, enhance intergenerational networks, challenge attitudes towards violence and retaliation, and reduce violence involvement. Through 12 sessions (2 hours/session) delivered weekly, Strengthening Connections offers leadership development coupled with strengths-based youth violence prevention programming. Strengthening Connections for Change: Strengthening Connections for Change is a 12-session curriculum designed to strengthen adolescent-adult support networks, build leadership skills, foster community engagement, and challenge attitudes and behaviors that foster violence involvement. During the program, youth ages 13-17 years invite their self-identified key adult supports to jointly participate in programming including youth-focused, adult-focused and jointly focused activities. Towards the end of programming participants design and carry out a community project to strengthen intergenerational connections and promote community engagement.
Strengthening Connections for Change--ADULTS
n=2 neighborhoods
Strengthening Connections for Change uses a group discussion format with activities that explore identity, adolescent-adult relationships, social networks, and community engagement. Youth invite their self-identified key adult supports to jointly participate in programming and curriculum includes youth-focused, adult-focused and jointly focused activities designed to build leadership skills, enhance intergenerational networks, challenge attitudes towards violence and retaliation, and reduce violence involvement. Through 12 sessions (2 hours/session) delivered weekly, Strengthening Connections offers leadership development coupled with strengths-based youth violence prevention programming. Strengthening Connections for Change: Strengthening Connections for Change is a 12-session curriculum designed to strengthen adolescent-adult support networks, build leadership skills, foster community engagement, and challenge attitudes and behaviors that foster violence involvement. During the program, youth ages 13-17 years invite their self-identified key adult supports to jointly participate in programming including youth-focused, adult-focused and jointly focused activities. Towards the end of programming participants design and carry out a community project to strengthen intergenerational connections and promote community engagement.
Job Readiness Training--YOUTH
n=2 neighborhoods
Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth. Participants receive a 12 session job readiness training with linkages to businesses and employment opportunities. Discussions include a wide range of topics related to career exploration and job readiness. Job Readiness Training: Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth.
Participant Attendance
0.62 proportion of sessions attended
0.49 proportion of sessions attended
0.71 proportion of sessions attended

PRIMARY outcome

Timeframe: end of program (12 weeks)

At the end of the program, participants will be asked about how satisfied they were overall with the topics discussed and format of the program using 5-point Likert scale items. Means score will be calculated across the items (possible range: 1-5; higher score means higher satisfaction). This data was collected for the Strengthening Connections for change intervention groups only.

Outcome measures

Outcome measures
Measure
Strengthening Connections for Change--YOUTH
n=2 neighborhoods
Strengthening Connections for Change uses a group discussion format with activities that explore identity, adolescent-adult relationships, social networks, and community engagement. Youth invite their self-identified key adult supports to jointly participate in programming and curriculum includes youth-focused, adult-focused and jointly focused activities designed to build leadership skills, enhance intergenerational networks, challenge attitudes towards violence and retaliation, and reduce violence involvement. Through 12 sessions (2 hours/session) delivered weekly, Strengthening Connections offers leadership development coupled with strengths-based youth violence prevention programming. Strengthening Connections for Change: Strengthening Connections for Change is a 12-session curriculum designed to strengthen adolescent-adult support networks, build leadership skills, foster community engagement, and challenge attitudes and behaviors that foster violence involvement. During the program, youth ages 13-17 years invite their self-identified key adult supports to jointly participate in programming including youth-focused, adult-focused and jointly focused activities. Towards the end of programming participants design and carry out a community project to strengthen intergenerational connections and promote community engagement.
Strengthening Connections for Change--ADULTS
n=2 neighborhoods
Strengthening Connections for Change uses a group discussion format with activities that explore identity, adolescent-adult relationships, social networks, and community engagement. Youth invite their self-identified key adult supports to jointly participate in programming and curriculum includes youth-focused, adult-focused and jointly focused activities designed to build leadership skills, enhance intergenerational networks, challenge attitudes towards violence and retaliation, and reduce violence involvement. Through 12 sessions (2 hours/session) delivered weekly, Strengthening Connections offers leadership development coupled with strengths-based youth violence prevention programming. Strengthening Connections for Change: Strengthening Connections for Change is a 12-session curriculum designed to strengthen adolescent-adult support networks, build leadership skills, foster community engagement, and challenge attitudes and behaviors that foster violence involvement. During the program, youth ages 13-17 years invite their self-identified key adult supports to jointly participate in programming including youth-focused, adult-focused and jointly focused activities. Towards the end of programming participants design and carry out a community project to strengthen intergenerational connections and promote community engagement.
Job Readiness Training--YOUTH
Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth. Participants receive a 12 session job readiness training with linkages to businesses and employment opportunities. Discussions include a wide range of topics related to career exploration and job readiness. Job Readiness Training: Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth.
Participant Overall Satisfaction With Curriculum Content and Format Assessed by Researcher-generated Likert-scale Items
3.47 score on a scale
Standard Deviation 1.00
4.07 score on a scale
Standard Deviation 0.70

SECONDARY outcome

Timeframe: end of program (12 weeks)

At the end of each of the 12 sessions, participants will be asked about how satisfied they were with the topics discussed for that session using 5-point Likert scale items. A mean score will be calculated by taking the average of the responses on session forms completed by each youth across all time points (i.e., Session 1 Mean Score + Session 2 Mean Score + Session 3 Mean score +.../ 12 sessions) (possible range: 1-5; higher score means higher satisfaction). This data was collected for the Strengthening Connections for change intervention groups only.

Outcome measures

Outcome measures
Measure
Strengthening Connections for Change--YOUTH
n=2 neighborhoods
Strengthening Connections for Change uses a group discussion format with activities that explore identity, adolescent-adult relationships, social networks, and community engagement. Youth invite their self-identified key adult supports to jointly participate in programming and curriculum includes youth-focused, adult-focused and jointly focused activities designed to build leadership skills, enhance intergenerational networks, challenge attitudes towards violence and retaliation, and reduce violence involvement. Through 12 sessions (2 hours/session) delivered weekly, Strengthening Connections offers leadership development coupled with strengths-based youth violence prevention programming. Strengthening Connections for Change: Strengthening Connections for Change is a 12-session curriculum designed to strengthen adolescent-adult support networks, build leadership skills, foster community engagement, and challenge attitudes and behaviors that foster violence involvement. During the program, youth ages 13-17 years invite their self-identified key adult supports to jointly participate in programming including youth-focused, adult-focused and jointly focused activities. Towards the end of programming participants design and carry out a community project to strengthen intergenerational connections and promote community engagement.
Strengthening Connections for Change--ADULTS
n=2 neighborhoods
Strengthening Connections for Change uses a group discussion format with activities that explore identity, adolescent-adult relationships, social networks, and community engagement. Youth invite their self-identified key adult supports to jointly participate in programming and curriculum includes youth-focused, adult-focused and jointly focused activities designed to build leadership skills, enhance intergenerational networks, challenge attitudes towards violence and retaliation, and reduce violence involvement. Through 12 sessions (2 hours/session) delivered weekly, Strengthening Connections offers leadership development coupled with strengths-based youth violence prevention programming. Strengthening Connections for Change: Strengthening Connections for Change is a 12-session curriculum designed to strengthen adolescent-adult support networks, build leadership skills, foster community engagement, and challenge attitudes and behaviors that foster violence involvement. During the program, youth ages 13-17 years invite their self-identified key adult supports to jointly participate in programming including youth-focused, adult-focused and jointly focused activities. Towards the end of programming participants design and carry out a community project to strengthen intergenerational connections and promote community engagement.
Job Readiness Training--YOUTH
Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth. Participants receive a 12 session job readiness training with linkages to businesses and employment opportunities. Discussions include a wide range of topics related to career exploration and job readiness. Job Readiness Training: Job Readiness Training uses a group discussion format to learn specific skills to prepare for employment including developing goals, seeking jobs, preparing for interviews, and so forth.
Participant Satisfaction With Weekly Session Content Assessed by Researcher-generated Likert-scale Items
3.57 score on a scale
Standard Deviation 0.96
4.32 score on a scale
Standard Deviation 0.81

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, end of program (12 weeks)

Participants will complete an abbreviated social network survey that asks them to identify key sources of emotional and instrumental support, and to characterize the nature of these relationships (network size, network density, mean link strength).

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, end of program (12 weeks)

Summary score of past 30-day youth violence perpetration adapted from the Aggressive Behavior--SAGE Baseline survey (9 items, each measured on a 5-point frequency scale from 0 times to 7 or more times). Violence perpetration items will be added to create a summary violence perpetration score with 1 point for each response of at least 1 time (possible range: 0-9; lower score indicates better outcome).

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, end of program (12 weeks)

Summary score of past 30-day youth violence victimization adapted from the Victimization--Problem Behavior Frequency Scale (9 items, each measured on a 5-point frequency scale from 0 times to 7 or more times). Violence victimization items will be added to create a summary violence victimization score with 1 point for each response of at least 1 time (possible range: 0-9; lower score indicates better outcome).

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, end of program (12 weeks)

Modified from the Children's Perception of Environmental Violence Scale, 6 items assessed on 5-point Likert scale, calculated as a mean score (possible range 1-5; lower score indicates better outcome).

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, end of program (12 weeks)

Modified from the Healthy Pathways Child-Report Scales: Active Coping Scale, 7 items assessed on 5-point Likert scale, calculated as a mean score (possible range 1-5; higher score indicates better outcome).

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, end of program (12 weeks)

Modified from the California Healthy Kids Survey, 7 items assessed on 5-point Likert scale, calculated as a mean score (possible range 1-5; higher score indicates better outcome).

Outcome measures

Outcome data not reported

Adverse Events

Strengthening Connections for Change--YOUTH

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Strengthening Connections for Change--ADULTS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Job Readiness Training

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Alison Culyba

University of Pittsburgh

Phone: 412-692-6056

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place