Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jul 5, 2023
Date Accepted: Oct 2, 2023
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Impact of Community Organizing on Resilience-Informed Community Violence Prevention: A Hybrid Type 1 Implementation-Effectiveness Trial of the ACE|R and Community Organizing Approach
ABSTRACT
Background:
Violence is a public health problem, impacting community health among adults as well as children. Exposure and experiencing violence are adverse childhood experiences (ACEs) impacting the children’s well-being and health trajectory. Community-centered approaches to address violence are needed, yet the ability to design, implement, and measure these approaches is complex.
Objective:
The objective of this research is to understand the impact of community-level violence prevention interventions and describe the strategies of implementation.
Methods:
This study utilizes a Hybrid Type 1 effectiveness-implementation design. We plan to collect quantitative data in the form of hospital visits, census reports, calls for service, and other violence-related data to identify how the Adverse Community Experiences and Resilience (ACE|R) framework plus community organizing impacts violence and health-related outcomes. To evaluate implementation, we will collect process data on community engagement events, community trainings on the ACE|R plus community organizing framework, and conduct focus groups with key partners about violence and violence prevention programs in the city of Milwaukee.
Results:
Prospective study data collection began in Fall 2022 and will continue through the end of 2023.
Conclusions:
Community violence is a public health problem in need of community-centered solutions. Interventions that center community and leverage community organizing show promise in impacting violence and the well-being of community members. Methods to identify the impact of community-level interventions continue to evolve. Analysis of outcomes beyond violence-specific outcomes, including norms and community beliefs, may help better inform impacts of these community-driven approaches. Furthermore, hybrid implementation-effectiveness trials allow for the inevitable contextualization required to disseminate community interventions where communities drive the adaptations and decision making.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.