Evaluating a violence prevention programme currently being used in hospital A&E departments
| ISRCTN | ISRCTN15286575 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN15286575 |
- Submission date
- 27/01/2023
- Registration date
- 13/03/2023
- Last edited
- 26/10/2023
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English summary of protocol
Background and study aims
Accident and Emergency (A&E) departments in hospitals can be an important setting for stopping violence. This is because staff in A&E have access to people who have been injured because of violence. Those who have injuries will usually go straight to A&E and the police and other services, also involved with stopping violence, may be unaware of what’s happened. It is possible that work to try and stop violence in A&Es may help stop someone becoming a victim again. Violence and stopping violence (also called violence prevention) is a priority for the UK government and the NHS, police and other groups are asked to work together to help stop violence. To do this, A&Es in Swansea and Cardiff set up Violence Prevention Teams (VPTs ). Violence Prevention Teams (VPTs) are led by nursing staff, who find patients who go to A&E because of violence. The nurses work with these patients to identify the reasons why they have been involved violence and they support and send patients to other groups within and outside of the NHS who can offer the best support for patients. Despite violence prevention teams often being set-up in A&Es in the UK, there is not much information on how and if they work.
Our team, based at Cardiff University, is funded by the Youth Endowment Fund (YEF) to find out how the Violence Prevention Teams (VPTs) in Cardiff and Swansea work. We aim to understand how the Violence Prevention Teams (VPTs) have been set-up and how they are currently working. We also aim to find out what impact the Violence Prevention Teams (VPTs) are having on the other areas of violence prevention. Because Violence Prevention Teams (VPTs) will probably work best if they respond to local needs, we will also try to find out what’s the same and what’s different between the teams in Cardiff and Swansea. We hope this will help policy makers’ decision making on if and how Violence Prevention Teams (VPTs) should be used in other A&Es across the UK.
Who can participate?
All adults (aged 18+ years and any gender) who consent to take part and work in groups linked with the interventions in Cardiff and Swansea or who are linked with work on violence. This could include health (the NHS), police, or third sector groups like charities.
What does the study involve?
In order to meet our study aims we will speak with (interview) 60 people who work in areas linked to violence and the staff working on the violence prevention teams in Cardiff and Swansea to find out how the Violence Prevention Teams (VPTs) are working and what people think of them. We will also read all the key documents and information (document analysis) that talks about the Violence Prevention Teams and how they work. We will also collect information on patients age and gender who attend A&E and see if these people are supported by the Violence Prevention Teams (VPTs). We are also looking at what other information is available on Violence Prevention Interventions (VPTs) (Scoping Review) to find out what works in different settings and what type of patients and staff it works for.
What are the possible benefits and risks of participating?
Due to the type of our study, there are no direct benefits for participants. But, participants professional insights will help us understand how the Violence Prevention Team (VPT) interventions in Cardiff and Swansea are being delivered, explore potential areas where improvements could made and whether it could be used in other A&Es.
The only small risk for participants is that we will be speaking to professionals in key jobs linked to work on violence prevention. Because there are a small number of these type of jobs some people may be able to find out who we have spoken to. We will work very hard to protect everyone’s privacy and remove any information that could allow someone to find out who we spoke to and tell all participants about this small risk.
Where is the study run from?
The study is being run from the Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), SPARK, Cardiff University, UK
When is the study starting and how long is it expected to run for?
September 2022 to November 2023
Who is funding the study?
Youth Endowment Fund (YEF) (UK)
Who is the main contact?
Jordan Van Godwin, vangodwinj1@cardiff.ac.uk
Contact information
Principal Investigator
Violence Research Group
Security, Crime & Intelligence Institute
SPARK
Maindy Road
Cardiff
CF24 4HQ
United Kingdom
 ORCID ID |
0000-0001-5495-4705 |
|---|---|
| Phone | +44 (0)7540825513 |
| mooresc2@cardiff.ac.uk |
Scientific
DECIPHer
SPARK
Maindy Road
Cardiff
CF24 4HQ
United Kingdom
| ORCID ID |
0000-0001-5288-6614 |
|---|---|
| Phone | +44 (0)2922510091 |
| vangodwinj1@cardiff.ac.uk |
Study information
| Study design | Process evaluation |
|---|---|
| Primary study design | Observational |
| Secondary study design | Epidemiological study |
| Study setting(s) | Hospital |
| Study type | Prevention |
| Participant information sheet | Not available in web format, please use contact details to request a participant information sheet |
| Scientific title | Implementation and process evaluation of South Wales hospital-based violence intervention programmes |
| Study acronym | PREVIP |
| Study objectives | As a process evaluation, the research is guided by a series of research questions that have been co-produced with key stakeholder partners. The primary research questions are: 1. To what extent have Violence Prevention Teams (VPTs) become embedded within broader hospital systems? 2. To what extent do implementers adhere to the intended delivery model? 3. How much of the intended intervention has been delivered? 4. How well are the different components of the intervention being delivered? 5. To what extent does the intervention reach cover the entirety of all assault-related ED attendances? 6. To what extent do patients engage with the intervention? 7. How were in-hospital referral pathways developed for patients, and to what extent were patients supported across institutional transitions 8. What is the perceived need for and benefit of the intervention amongst the implementers and related stakeholders? 9. What strategies and practices are used to support high-quality implementation? Our secondary research questions are: 10. What adaptations were undertaken to use the VPT model in Swansea following its establishment in Cardiff, and why? 11. What are stakeholders’ views on the types of setting to which the model is likely to be more or less transferable? |
| Ethics approval(s) | Approved 25/11/2022, School of Dentistry Research Ethics Committee (School of Dentistry, Cardiff University, Heath Park, Cardiff, CF14 4XY; +44 2920742470; lippettce@cardiff.ac.uk), ref: 2213 |
| Health condition(s) or problem(s) studied | The study aims to understand the functioning of the existing Violence Prevention Team intervention model through the examination of implementation, impact mechanisms, and context by utilising qualitative interviews, document analysis and examining routine data. The focus on context will also allow us to understand questions regarding transferability and local adaptation. Our participants are those who deliver the intervention and who have links to the intervention. At the current time we are conducting one off semi-structured interviews with participants, these are scheduled to take place between January-September 2023. |
| Intervention | Violence Prevention Team, referring patients with assault-related injuries attending the Accident & Emergency (A&E) services (e.g. drug and alcohol teams) able to support vulnerabilities (e.g. drug, alcohol misuse) thereby reducing future exposure to violence. |
| Intervention type | Other |
| Primary outcome measure | One off semi-structured interviews to answer the following questions: 1. To what extent have VPT’s become embedded within broader hospital systems? 2. To what extent do implementers adhere to the intended delivery model? 3. How much of the intended intervention has been delivered? 4. How well are the different components of the intervention being delivered? 5. To what extent does the intervention reach cover the entirety of all assault-related ED attendances? 6. To what extent do patients engage with the intervention? 7. How were in-hospital referral pathways developed for patients, and to what extent were patients supported across institutional transitions? 8. What is the perceived need for and benefit of the intervention amongst the implementers and related stakeholders? 9. What strategies and practices are used to support high quality implementation? 10. What adaptations were undertaken to use the VPT model in Swansea following its establishment in Cardiff, and why? 11. What are stakeholders’ views on the types of setting to which the model is likely to be more or less transferable? |
| Secondary outcome measures | Scoping Review 1. What strategies and practices are used to support high quality implementation? Document Analysis 1. To what extent have VPT’s become embedded within broader hospital systems? 2. To what extent do implementers adhere to the intended delivery model? 3. How much of the intended intervention has been delivered? 4. How well are the different components of the intervention being delivered? 5. To what extent does the intervention reach cover the entirety of all assault-related ED attendances? 6. To what extent do patients engage with the intervention? 7. How were in-hospital referral pathways developed for patients, and to what extent were patients supported across institutional transitions? 8. What is the perceived need for and benefit of the intervention amongst the implementers and related stakeholders? 9. What strategies and practices are used to support high quality implementation? 10. What adaptations were undertaken to use the VPT model in Swansea following its establishment in Cardiff, and why? |
| Overall study start date | 01/09/2022 |
| Completion date | 30/11/2023 |
Eligibility
| Participant type(s) | Mixed |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 60 |
| Key inclusion criteria | All individuals professionally associated with the interventions in South Wales, either within the health or police estates, or non-statutory partners will be eligible |
| Key exclusion criteria | Does not meet the inclusion criteria |
| Date of first enrolment | 08/12/2022 |
| Date of final enrolment | 30/09/2023 |
Locations
Countries of recruitment
- United Kingdom
- Wales
Study participating centre
Sbarc / Spark
Heol Maendy / Maindy Road
Cathays
Cardiff
CF24 4HQ
United Kingdom
Sponsor information
University/education
Cardiff
Cardiff
CF10 3AT
Wales
United Kingdom
| Phone | +44 (0)29 2087 4000 |
|---|---|
| international@cardiff.ac.uk | |
| Website | https://www.cardiff.ac.uk/ |
"ROR" |
https://ror.org/03kk7td41 |
Funders
Funder type
Charity
No information available
Results and Publications
| Intention to publish date | 01/03/2024 |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not expected to be made available |
| Publication and dissemination plan | The primary end-of-study output of this research will be the YEF (Funder) Research Report. The researchers will also discuss the dissemination and exploitation of our research findings with their funder as the study progresses and following this the final report will be shared with key policy and practice partners. Further outputs will include a protocol paper, and a peer-reviewed research paper describing the primary outcomes of this evaluation. |
| IPD sharing plan | The datasets generated during and/or analysed during the current study will not be made available as the participants did not give written consent for their data to be shared publicly and due to the sensitive nature of the research and in order to protect participant anonymity, supporting data is not available. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol file | version 2.0 | 23/01/2023 | 13/09/2023 | No | No |
| Protocol article | 25/10/2023 | 26/10/2023 | Yes | No |
Additional files
Editorial Notes
26/10/2023: Publication reference added.
13/09/2023: The following changes have been made:
1. Uploaded protocol (not peer reviewed).
2. The recruitment end date was changed from 01/09/2023 to 30/09/2023.
3. The intention to publish date was changed from 31/01/2024 to 01/03/2024.
4. The individual participant data (IPD) sharing plan and summary were added.
5. The study website was added.
08/02/2023: Trial's existence confirmed by Cardiff University.
