Community-based participatory research: development of an emergency department-based youth violence intervention using concept mapping

dc.contributor.authorSnider, CE
dc.contributor.authorKirst, M
dc.contributor.authorAbubakar, S
dc.contributor.authorAhmad, F
dc.contributor.authorNathens, AB
dc.date.accessioned2016-06-24T22:00:58Z
dc.date.available2016-06-24T22:00:58Z
dc.date.issued2010-08
dc.description.abstractObjectives: Emergency departments (EDs) see a high number of youths injured by violence. In Ontario, the most common cause of injury for youths visiting EDs is assault. Secondary prevention strategies using the teachable moment (i.e., events that can lead individuals to make positive changes in their lives) are ideal for use by clinicians. An opportunity exists to take advantage of the teachable moment in the ED in an effort to prevent future occurrences of injury in at-risk youths. However, little is known about perceptions of youths, parents, and community organizations about such interventions in EDs. The aims of this study were to engage youths, parents, and frontline community workers in conceptualizing a hospitalbased violence prevention intervention and to identify outcomes relevant to the community. Methods: Concept mapping is an innovative, mixed-method research approach. It combines structured qualitative processes such as brainstorming and group sorting, with various statistical analyses such as multidimensional scaling and hierarchical clustering, to develop a conceptual framework, and allows for an objective presentation of qualitative data. Concept mapping involves multiple structured steps: 1) brainstorming, 2) sorting, 3) rating, and 4) interpretation. For this study, the first three steps occurred online, and the fourth step occurred during a community meeting. Results: Over 90 participants were involved, including youths, parents, and community youth workers. A two-dimensional point map was created and clusters formed to create a visual display of participant ideas on an ED-based youth violence prevention intervention. Issues related to youth violence prevention that were rated of highest importance and most realistic for hospital involvement included mentorship, the development of youth support groups in the hospital, training doctors and nurses to ask questions about the violent event, and treating youth with respect. Small-group discussions on the various clusters developed job descriptions, a list of essential services, and suggestions on ways to create a more youth-friendly environment in the hospital. A large-group discussion revealed outcomes that participants felt should be measured to determine the success of an intervention program. Conclusions: This study has been the springboard for the development of an ED-based youth violence intervention that is supported by the community and affected youth. Using information generated by youth that is grounded in their experience through participatory research methods is feasible for the development of successful and meaningful youth violence prevention interventions.en_US
dc.description.sponsorshipSupported by a CIHR Meeting Planning and Dissemination Grant. $16,419 CDN (January 2009–December 2009).en_US
dc.identifier.citationSnider CE, Kirst M, Abubakar S, Ahmad F & Nathens AB. Community-based participatory research: development of an emergency department-based youth violence intervention using concept mapping. Academic Emergency Medicine 2010; 17:877–885. DOI: 10.1111/j.1553-2712.2010.00810.xen_US
dc.identifier.urihttp://hdl.handle.net/10315/31481
dc.publisherWileyen_US
dc.rights"This is the peer reviewed version of the following article: Snider CE, Kirst M, Abubakar S, Ahmad F & Nathens AB. Community-based participatory research: development of an emergency department-based youth violence intervention using concept mapping. Academic Emergency Medicine 2010; 17:877–885. has been published in final form at: DOI: 10.1111/j.1553-2712.2010.00810.x. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving."en_US
dc.rights.articlehttp://onlinelibrary.wiley.com/doi/10.1111/j.1553-2712.2010.00810.x/fullen_US
dc.subjectViolenceen_US
dc.subjectAdolescenten_US
dc.subjectCommunity-based participatory researchen_US
dc.titleCommunity-based participatory research: development of an emergency department-based youth violence intervention using concept mappingen_US
dc.typeArticleen_US

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