Levas Michael N, Boyle Emmalee A, Melzer-Lange Marlene, Panepinto Julie
Pediatrics, Section of Emergency Medicine (M.N.L., M.M.L.), Medical College of Wisconsin, Milwaukee, WI, Medical College of Wisconsin (E.A.B.), Milwaukee, WI; and Section of Hematology (J.P.), Medical College of Wisconsin, Milwaukee, WI.
J Trauma Acute Care Surg. 2016 Oct;81(4 Suppl 1):S61-6. doi: 10.1097/TA.0000000000001061.
Youth directly exposed to violence are at risk for experiencing elevated rates of emotional and behavioral problems, revictimization, and becoming future perpetrators of violence. Violence intervention and prevention programs throughout the country attempt to alleviate some of this burden. To date, outcomes have been positive but largely qualitative. Patient-reported outcomes offer objective measures to evaluate well-being in youth victimization. Our primary aim was to use objective patient-reported quantitative measures to assess the change in health-related quality-of-life (HRQOL) scores of youth who attended a violence intervention summer camp. This is the first study to evaluate such measures in youth victims of violence during an intervention.
Eight- to 18-year-old youth who attended a violence intervention summer camp in a Midwest urban city over a two-year period participated in a HRQOL survey at baseline and at the end of programming (6 weeks). Consented youth used an electronic platform to answer validated HRQOL measures. Mean differences in scores from baseline to six weeks were calculated and reported.
A total of 64 youth were recruited and consented to the study. Average change in scores improved in most HRQOL domains with the largest change in scores observed in school functioning (mean diff, +5.00), emotional functioning (mean diff, +5.26), and patient anxiety (mean diff, +3.04). Only participant anger scored worse following the intervention (mean diff, -2.26).
A community-based summer program hosting violently injured youth resulted in overall improved HRQOL. This was especially significant in the school, anxiety, and emotional domains. Future evaluation into the effectiveness of youth programs should measure HRQOL to identify at-risk participants and to measure effectiveness.
Therapeutic/care management study, level III.
直接遭受暴力的青少年面临情绪和行为问题发生率升高、再次受害以及成为未来暴力实施者的风险。全国各地的暴力干预和预防项目试图减轻部分此类负担。迄今为止，结果是积极的，但大多是定性的。患者报告的结果提供了评估青少年受害情况中幸福感的客观指标。我们的主要目的是使用客观的患者报告定量指标来评估参加暴力干预夏令营的青少年健康相关生活质量（HRQOL）得分的变化。这是第一项在干预期间评估暴力青少年受害者此类指标的研究。
在两年时间里参加中西部城市暴力干预夏令营的8至18岁青少年在基线时和项目结束时（6周）参与了HRQOL调查。同意参与的青少年使用电子平台回答经过验证的HRQOL指标。计算并报告从基线到六周得分的平均差异。
总共招募了64名青少年并同意参与该研究。大多数HRQOL领域的得分平均变化有所改善，在学校功能（平均差异，+5.00）、情绪功能（平均差异，+5.26）和患者焦虑（平均差异，+3.04）方面观察到得分变化最大。只有参与者的愤怒在干预后得分更差（平均差异，-2.26）。
一个接待暴力受伤青少年的社区暑期项目使HRQOL总体得到改善。这在学校、焦虑和情绪领域尤为显著。未来对青少年项目有效性的评估应测量HRQOL，以识别有风险的参与者并衡量有效性。
治疗/护理管理研究，三级。
