91 Saferteens 2.0: translation and implementation of a violence prevention intervention into emergency department standard care

Statement of Purpose There is a tremendous need within public health to translate efficacious interventions into sustainable programs. Violent behaviours have enormous impacts on morbidity and mortality among adolescents residing in urban communities. This study aims to implement an evidence-based violence prevention intervention (SafERteens) into Emergency Department (ED) standard care. Methods/Approach Using the Replicating Effective Programs model, this study will create an implementation package to facilitate delivery. The SafERteens BI is a 30 min single therapy session that occurs one-on-one with a patient (age 14–18) during the ED visit. The BI uses motivational interviewing techniques to increase motivation and tools for change. Using a hybrid effectiveness-implementation design, we will test this implementation package during effectiveness and implementation phases. Results Our team worked with staff at Hurley Medical Centre’s (HMC) ED (in Flint, MI) to create a program package (www.SafERteens.org), which includes training videos, resource brochures, online implementation support (e.g., screening questions, therapy decision support tools for on-site and remote staff), and text message boosters. Our team trained and conducted fidelity checks with 19 HMC staff who will deliver the SafERteens BI. Currently, we are conducting the effectiveness phase, which involves a pilot randomised controlled trial comparing three conditions (usual care, onsite BI, and remote BI) with youth outcomes assessed at 3 months; this will be followed by the implementation phase. Conclusions Our web-based implementation package harnesses technology to facilitate delivery of the SafERteens BI with attention to seamless integration into clinical care, standardisation of the BI, and sustainability. Future papers will examine outcomes using the RE-AIM framework: reach, effectiveness, adoption, implementation, and maintenance. Significance and Contributions to Injury and Violence Prevention Science SafERteens 2.0 will fill a gap between science and practice by providing a system to integrate an evidence-based, low-cost violence prevention intervention as part of standard care.