Efficacy of an App-Based Intervention on Shifting Attitudes Toward Gun Violence, Aggression, and Improving Mental Health Among Young Black Men: Pilot Intervention Study (Preprint) DOI
Chuka Emezue, Jessica Bishop‐Royse, Andrew Froilan

и другие.

Опубликована: Дек. 23, 2024

BACKGROUND Pediatric and adolescent firearm injuries fatalities have reached levels not seen since the mid-1990s, indicating a critical juncture in US public health. Young Black males, ages 15-24, represent worst affected demographic, exhibiting 24-fold higher probability of firearm-related compared to their White peers. This crisis is compounded by low engagement violence intervention programs among young emphasizing urgent need for timely, culturally appropriate, innovative interventions addressing socioemotional, relational, behavioral factors driving this demographic. OBJECTIVE pilot study aims evaluate efficacy novel app-based (BrotherlyACT)—a nurse-led, tailored, multicomponent smartphone application—to reduce risk effects homicides improve access pre-crisis mental health resources male individuals (aged 15-24 years) low-resource high-violence settings. METHODS Seventy males with SaFETy score between 1 5 (indicating moderate risk) were enrolled prospective pretest/posttest study. The assessed psychoeducational (seven video-based modules) via BrotherlyACT app. Following consent, participants completed 63-item survey battery pre- post-intervention, evaluating Attitudes Towards Guns Violence (AGVQTM), aggression (Reactive-Proactive Aggression Questionnaire), Psychological Distress (Kessler Scale [K10]), depression (Patient Health Questionnaire [PHQ-8]). Surveys re-administered 4 weeks after pretest. Outcome measures reported as total subscale scores. Paired-sample t-tests analyzed pre-post outcome changes. RESULTS 70 YBM (Mage = 21.21 ± 3.16 years, 10% Hispanic); 26.3% had some high school education. Nearly half (48.6%) worked part-time, 66.4% reporting an annual household income $40,000-$59,999. Almost all (96.9%) finished video modules one session, 67.7% did so within hour. Statistically significant reductions attitudes towards guns observed from pretest (M 29.8) posttest 26.1), mean difference 3.69 (p < .0001, Cohen’s d 0.53). ‘Aggressive Response Shame’ showed highest reduction (↓28%), followed ‘Excitement Violence’ (↓14.8%). Reactive scores significantly decreased 10.48 8.67 0.003), while proactive no 0.305). No changes depression, anxiety, or overall psychological distress. CONCLUSIONS demonstrated reducing negative firearms violence, reactive males. These findings indicate that digital has potential address both attitudinal medium high-risk population, presenting unique opportunity primary prevention associated youth violence. CLINICALTRIAL Title Registration: ClinicalTrials.gov NCT06359990. IRRID: RR2-10.2196/43842 INTERNATIONAL REGISTERED REPORT

Язык: Английский

The Murder of Black Women in the United States: A Public Health Crisis DOI
Tameka L. Gillum,

Alexis Sheffield,

Abigail Norton

и другие.

American Journal of Public Health, Год журнала: 2025, Номер 115(5), С. 663 - 667

Опубликована: Апрель 9, 2025

Язык: Английский

Процитировано

0
Efficacy of an App-Based Intervention on Shifting Attitudes Toward Gun Violence, Aggression, and Improving Mental Health Among Young Black Men: Pilot Intervention Study (Preprint) DOI
Chuka Emezue, Jessica Bishop‐Royse, Andrew Froilan

и другие.

Опубликована: Дек. 23, 2024

BACKGROUND Pediatric and adolescent firearm injuries fatalities have reached levels not seen since the mid-1990s, indicating a critical juncture in US public health. Young Black males, ages 15-24, represent worst affected demographic, exhibiting 24-fold higher probability of firearm-related compared to their White peers. This crisis is compounded by low engagement violence intervention programs among young emphasizing urgent need for timely, culturally appropriate, innovative interventions addressing socioemotional, relational, behavioral factors driving this demographic. OBJECTIVE pilot study aims evaluate efficacy novel app-based (BrotherlyACT)—a nurse-led, tailored, multicomponent smartphone application—to reduce risk effects homicides improve access pre-crisis mental health resources male individuals (aged 15-24 years) low-resource high-violence settings. METHODS Seventy males with SaFETy score between 1 5 (indicating moderate risk) were enrolled prospective pretest/posttest study. The assessed psychoeducational (seven video-based modules) via BrotherlyACT app. Following consent, participants completed 63-item survey battery pre- post-intervention, evaluating Attitudes Towards Guns Violence (AGVQTM), aggression (Reactive-Proactive Aggression Questionnaire), Psychological Distress (Kessler Scale [K10]), depression (Patient Health Questionnaire [PHQ-8]). Surveys re-administered 4 weeks after pretest. Outcome measures reported as total subscale scores. Paired-sample t-tests analyzed pre-post outcome changes. RESULTS 70 YBM (Mage = 21.21 ± 3.16 years, 10% Hispanic); 26.3% had some high school education. Nearly half (48.6%) worked part-time, 66.4% reporting an annual household income $40,000-$59,999. Almost all (96.9%) finished video modules one session, 67.7% did so within hour. Statistically significant reductions attitudes towards guns observed from pretest (M 29.8) posttest 26.1), mean difference 3.69 (p < .0001, Cohen’s d 0.53). ‘Aggressive Response Shame’ showed highest reduction (↓28%), followed ‘Excitement Violence’ (↓14.8%). Reactive scores significantly decreased 10.48 8.67 0.003), while proactive no 0.305). No changes depression, anxiety, or overall psychological distress. CONCLUSIONS demonstrated reducing negative firearms violence, reactive males. These findings indicate that digital has potential address both attitudinal medium high-risk population, presenting unique opportunity primary prevention associated youth violence. CLINICALTRIAL Title Registration: ClinicalTrials.gov NCT06359990. IRRID: RR2-10.2196/43842 INTERNATIONAL REGISTERED REPORT

Язык: Английский

Процитировано

0