Prioritizing Core Factors Needed to Sustain Hospital-Based Violence Intervention Programs: A Delphi Study.
Hospital-based violence intervention programs (HVIP) are a public-health approach to violence that seek to intervene with victims in the hospital and break the cycle of violence. While there are published blueprints for launching an HVIP, limited evidence and guidance exist about how to sustain HVIP...
| Publicado en: | Journal of Urban Health Vol. 103; no. 3; pp. 497 - 512 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Springer Nature
Jun2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=194936316&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 194936316 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Jun2026 vid: 103 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 194936316 10.1007/s11524-026-01086-y ppf: 497 ppct: 15 formats: tig: atl: Prioritizing Core Factors Needed to Sustain Hospital-Based Violence Intervention Programs: A Delphi Study. aug: au: Almquist, Lars Erik Walker, Sarah Cusworth Rowhani-Rahbar, Ali Helfrich, Christian D. affil: https://ror.org/00cvxb145 Department of Health Systems and Population Health, University of Washington School of Public Health, Box 351621, 3980 15th Ave NE, Fourth Floor, 98195, Seattle, WA, USA https://ror.org/00cvxb145 Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, 1959 NE Pacific Street, 98195-6560, Seattle, WA, USA https://ror.org/00cvxb145 Department of Epidemiology, School of Public Health, University of Washington, Box 351619, 3980 15Th Ave NE, Eighth Floor, 98195, Seattle, WA, USA su: Stakeholder theory Grants (Money) Violence prevention Delphi method sug: subj: Stakeholder theory Grants (Money) Violence prevention Delphi method keyword: Delphi technique Emergency medical services Hospital-based violence intervention Implementation science Medical and Health Sciences Public Health and Health Services Program sustainability Violence Delphi technique Emergency medical services Hospital-based violence intervention Implementation science Medical and Health Sciences Public Health and Health Services Program sustainability Violence ab: Hospital-based violence intervention programs (HVIP) are a public-health approach to violence that seek to intervene with victims in the hospital and break the cycle of violence. While there are published blueprints for launching an HVIP, limited evidence and guidance exist about how to sustain HVIPs. To fill this gap, we conducted a three-round Delphi study (June 2024–March 2025) with leaders and founders of established HVIPs to prioritize factors critical for achieving long-term program sustainability. Participants (n = 32) submitted 108 candidate factors influencing their program's sustainability in Round 1. These submissions were synthesized into 28 unique factors in Round 2 through an iterative refinement process between the research team and study participants. In Round 3, we used maximum-difference (MaxDiff) scaling with hierarchical Bayes estimation to rank the 28 factors in order of priority for achieving long-term HVIP sustainability based on their relative importance to study participants. Factors related to support for frontline violence prevention professionals represented six of the top nine factors. Funding sources (e.g., government) and funding allocation (e.g., general operating support) received moderate to above average priority. Administrative factors (e.g., hospital leadership) and factors related to community stakeholders (e.g., community champions) received lower priority, with those related to external systems and institutions (e.g., law enforcement) prioritized lowest for program sustainability. Sustainability priorities differ from those in existing blueprints for launching a program. These results indicate the likely need for programs to adapt during their implementation journey. HVIP leaders may need to recalibrate priorities over time and acquire new skills. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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