Linking hospital-based violence intervention program implementation with patient-reported outcomes

Area of Science:

• Public Health
• Trauma Surgery
• Pediatrics

Background:

• Hospital-based violence intervention programs (HVIPs) are crucial for patient-centered care.
• Current HVIP evaluations often overlook patient-reported outcomes (PROs), relying on administrative data.
• Integrating PROs is essential for a comprehensive understanding of HVIP impact.

Purpose of the Study:

• To examine the relationship between observable program implementation metrics and PROs in a pediatric HVIP.
• To assess patient and caregiver satisfaction with HVIP services.
• To understand the short-term impacts of HVIPs from the patient family perspective.

Main Methods:

• Retrospective cohort study of 357 patients (ages 8-18) in an urban pediatric trauma center.
• Linked HVIP implementation metrics with caregiver-reported PROs using the HVIP-Client Satisfaction Questionnaire (HVIP-CSQ).
• Multivariate linear regression analyses were used to assess associations between implementation metrics and satisfaction/outcomes.

Main Results:

• Caregivers reported high satisfaction with HVIP services, improved well-being, and increased knowledge of community resources.
• Positive PROs were significantly associated with HVIP retention and successful need resolution.
• Patients with PROs data showed higher retention rates compared to those without.

Conclusions:

• Caregiver-reported satisfaction and short-term outcomes were high following HVIP participation.
• Positive PROs correlate with measurable aspects of HVIP implementation, such as retention and need resolution.
• This study establishes key implementation metrics that influence HVIP outcomes from the patient family perspective.