Vanessa Portela, Sousan Hamwi, Maria R Oliveira Martins
Exploring refugees' health care access in times of COVID-19: a quantitative study in the Lisbon region, Portugal
Frontiers in public health
black boys men disinvested communities disproportionately survivors perpetrators youth violence presenting emergency departments firearmrelated injuries also report recent substance use however young black men face several critical individual systemic barriers accessing traumafocused prevention programs barriers contribute service avoidance exacerbation violence recidivism substance use relapse revolvingdoor approach prevention addition young black men known digital natives therefore technologyenhanced interventions offer pragmatic promising opportunity mitigate barriers provide vital life skills selfled behavior change boost service engagement vital community resources study aims systematically adapt pilottest boosting violencerelated outcomes using technology empowerment risk reduction life skills preparation youth based acceptance commitment therapy brotherlyact culturally congruent traumafocused digital psychoeducational serviceengagement tool tailored young black men aged 1524 years brotherlyact incorporate microlearning modules interactive safety planning tools risk assessment goalsetting mindfulness practice serviceengagement conversational agent chatbot connect young black men relevant services development brotherlyact occur 3 phases phase 1 qualitatively investigate barriers facilitators influencing young black mens willingness use violence substance use prevention services 1530 young black men aged 1524 years report perpetrating violence substance use past year 10 service providers aged 18 years gender including health care providers street outreach workers social workers violence interrupters community advocates school staff groups recruited community pediatric emergency settings phase 2 steering group topic experts n35 youth community advisory board comprising young black men n812 service providers n510 involved participatory design alpha testing beta testing sessions develop refine adapt brotherlyact based existing skillsbased program achieving change valuesbased behavior use usercentered design principles assessment decision administration production topical experts integration training testing framework guide adaptation process phase 2 phase 3 total 60 young black men pilottest adapted brotherlyact 10 weeks singlegroup pretestposttest design determine feasibility implementation outcomes phase 1 data collection began september 2021 phases 2 3 scheduled start june 2023 end september 2024 development testing brotherlyact crucial first step expanding evidencebased psychoeducational servicemediating intervention young black men involved violence colocation services shifts current prevention strategy telling change teaching prr110219643842