Motivational Interviewing for Victims of Armed Community Violence: A Nonexperimental Pilot Feasibility Study.

Autor: Nanney JT; Southeastern Louisiana Veterans Healthcare System, New Orleans, LA.; Department of Psychiatry, Louisiana State University School of Medicine, New Orleans, LA.; Department of Psychological Sciences, University of Missouri-St. Louis, Saint Louis, MO.; South Central VA Mental Illness Research, Education, and Clinical Center, New Orleans, LA., Conrad EJ; Southeastern Louisiana Veterans Healthcare System, New Orleans, LA.; Department of Psychiatry, Louisiana State University School of Medicine, New Orleans, LA.; Department of Psychological Sciences, University of Missouri-St. Louis, Saint Louis, MO.; South Central VA Mental Illness Research, Education, and Clinical Center, New Orleans, LA.; Department of Psychology, Temple University, Philadelphia, PA.; Department of Psychiatry, Tulane University, New Orleans, LA., Reuther ET; Department of Psychiatry, Louisiana State University School of Medicine, New Orleans, LA., Wamser-Nanney RA; Department of Psychological Sciences, University of Missouri-St. Louis, Saint Louis, MO., McCloskey M; Department of Psychology, Temple University, Philadelphia, PA., Constans JI; Southeastern Louisiana Veterans Healthcare System, New Orleans, LA.; Department of Psychiatry, Louisiana State University School of Medicine, New Orleans, LA.; South Central VA Mental Illness Research, Education, and Clinical Center, New Orleans, LA.; Department of Psychiatry, Tulane University, New Orleans, LA.
Jazyk: angličtina
Zdroj: Psychology of violence [Psychol Violence] 2018 Mar; Vol. 8 (2), pp. 259-268. Date of Electronic Publication: 2017 Mar 30.
DOI: 10.1037/vio0000103
Abstrakt: Objective: The present study aimed to develop a novel, hospital-based motivational interviewing (MI) intervention for victims of armed community violence (MI-VoV) targeting patient-specific risk factors for future violence or violent victimization.
Method: This uncontrolled pilot feasibility study examined a sample of patients (n = 71) hospitalized due to violent injury at a Level 1 Trauma Center in [Location Redacted for Masked Review] between January 2013 and May 2014. Patients first participated in a brief assessment to identify risk factors for violence/violent injury. A single MI session then targeted risk behaviors identified for each patient. Proximal outcomes, including motivation for change and behaviors to reduce risk, were examined at 2 weeks and 6-12 weeks post-discharge. Distal outcomes, including fighting, weapon-carrying, and gun-carrying, and other violence risk factors were examined at 6-12 week follow-up.
Results: Ninety-five patients were offered participation, 79 (83.2%) agreed to participate, and 73 (76.8%) completed the risk assessment. Of these, 71 had at least one violence/violent injury risk factor. Behaviors to reduce risk were significantly greater at two-week and 6-12 week follow-up ( ps < .05). Fighting, weapon-carrying, gun-carrying were significantly reduced at 6-12 week follow-up ( p < .05).
Conclusions: This intervention appears to be feasible to implement and acceptable to patients. A randomized controlled trial evaluating efficacy appears warranted.
Databáze: MEDLINE