Youth violence intervention programme for vulnerable young people attending emergency departments in London: a rapid evaluation

Appleby, John; Georghiou, Theo; Ledger, Jean; Rolewicz, Lucina; Sherlaw-Johnson, Chris; Tomini, Sonila; Frerich, Jason M; Ng, Pei Li

doi:10.3310/hsdr-tr-133641

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…52,53 The quantitative analysis proposed by an evaluation should reflect the data that are available and the evaluation should have sufficient flexibility built in to accommodate any uncertainty about data availability, as was the case when scoping the RSET evaluation of Redthread Youth Violence Intervention Programme. 54 What is available may not be the best or most detailed data and good quality aggregate data may therefore be considered sufficient. However, the data may fall well short of being able to address some or all of the key quantitative questions -for example, collection of local routine data may have only just started or data quality may be poor.…”

Section: Methodological Issuesmentioning

confidence: 99%

“…This provided insight into any potential problems with reaching certain populations. 54 Also, several early studies of remote monitoring of COVID-19 patients using pulse oximetry were not able to robustly indicate effectiveness. Non-biased comparator populations were not easy to acquire, and some studies relied on retrospective comparisons, but analyses were sufficient to establish that the home monitoring service was likely to be safe.…”

Section: Effective Use Of Short-term Outcomes In Rapid Evaluationmentioning

confidence: 99%

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Rapid evaluation of service innovations in health and social care: key considerations

Smith,

Ellins,

Sherlaw-Johnson

et al. 2023

Health Soc Care Deliv Res

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This essay explores the emerging field of rapid evaluation in health and social care, drawing out the ways in which it is distinctive from or similar to other forms of applied research. It draws closely on the experience of two National Institute for Health and Care Research rapid service evaluation teams established in 2018, of which all authors of this essay are members. Reflection on the rapid evaluation teams’ body of work is used to highlight methodological and operational considerations for researchers, practitioners and policy-makers interested in the commissioning, conduct and application of rapid evaluations in health and social care. The essay is organised according to the ‘evaluation pathway’, from project selection and scoping, stakeholder involvement, research methods and activity, through skills and team working to feedback and dissemination. Its conceptual framing draws on Riley et al.’s rapidity, responsiveness and relevance framework, proposing a fourth dimension of rigour. Novel insights include: the primacy of scoping thoroughly a rapid evaluation; the trade-offs to be made in respect of patient and community engagement and rapid working; the opportunities presented by virtual and mixed research methods; the particular challenges of supervising and leading multiple studies undertaken simultaneously; and the need for flexible and dynamic approaches to disseminating emerging findings in as close to real time. The essay concludes by setting out key lessons about how to conduct rapid evaluations. Funding This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (RSET: 16/138/17; BRACE: 16/138/31).

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Section: Methodological Issuesmentioning

confidence: 99%

Section: Effective Use Of Short-term Outcomes In Rapid Evaluationmentioning

confidence: 99%

Rapid evaluation of service innovations in health and social care: key considerations

Smith,

Ellins,

Sherlaw-Johnson

et al. 2023

Health Soc Care Deliv Res

View full text Add to dashboard Cite

show abstract

“…However, the impact of COVID-19 on services required a delay in some aspects of the evaluation (although some desk-based work was possible), and a final protocol was published in May 2021 with the evaluation planned for one year. 21 BOX 1 Outline of the Redthread intervention A team of Redthread's specialist crisis intervention youth workers is embedded in the ED at the participating hospital.…”

Section: Redthreadmentioning

confidence: 99%

Youth violence intervention programme for vulnerable young people attending emergency departments in London: a rapid evaluation

Appleby

Georghiou

Ledger

et al. 2023

Health Soc Care Deliv Res

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Background Youth violence intervention programmes involving the embedding of youth workers in NHS emergency departments to help young people (broadly aged between 11 and 24 years) improve the quality of their lives following their attendance at an emergency department as a result of violent assault or associated trauma are increasing across the NHS. This study evaluates one such initiative run by the charity Redthread in partnership with a NHS trust. Objectives To evaluate the implementation and impact of a new youth violence intervention programme at University College London Hospital NHS Trust and delivered by the charity Redthread: (1) literature review of studies of hospital-based violent crime interventions; (2) evaluation of local implementation and of University College London Hospital staff and relevant local stakeholders concerning the intervention and its impact; (3) assessment of the feasibility of using routine secondary care data to evaluate the impact of the Redthread intervention; and (4) cost-effectiveness analysis of the Redthread intervention from the perspective of the NHS. Methods The evaluation was designed as a mixed-methods multiphased study, including an in-depth process evaluation case study and quantitative and economic analyses. The project was undertaken in different stages over two years, starting with desk-based research and an exploratory phase suitable for remote working while COVID-19 was affecting NHS services. A total of 22 semistructured interviews were conducted with staff at Redthread and University College London Hospital and others (e.g. a senior stakeholder involved in NHS youth violence prevention policy). We analysed Redthread documents, engaged with experts and conducted observations of staff meetings to gather more in-depth insights about the effectiveness of the intervention, the processes of implementation, staff perceptions and cost. We also undertook quantitative analyses to ascertain suitable measures of impact to inform stakeholders and future evaluations. Results Redthread’s service was viewed as a necessary intervention, which complemented clinical and other statutory services. It was well embedded in the paediatric emergency department and adolescent services but less so in the adult emergency department. The diverse reasons for individual referrals, the various routes by which young people were identified, and the mix of specific support interventions provided, together emphasised the complexity of this intervention, with consequent challenges in implementation and evaluation. Given the relative unit costs of Redthread and University College London Hospital’s inpatient services, it is estimated that the service would break even if around one-third of Redthread interventions resulted in at least one avoided emergency inpatient admission. This evaluation was unable to determine a feasible approach to measuring the quantitative impact of Redthread’s youth violence intervention programme but has reflected on data describing the service, including costs, and make recommendations to support future evaluation. Limitations The COVID-19 pandemic severely hampered the implementation of the Redthread service and the ability to evaluate it. The strongest options for analysis of effects and costs were not possible due to constraints of the consent process, problems in linking Redthread and University College London Hospital patient data and the relatively small numbers of young people having been engaged for longer-term support over the evaluation period. Conclusions We have been able to contribute to the qualitative evidence on the implementation of the youth violence intervention programme at University College London Hospital, showing, for example, that NHS staff viewed the service as an important and needed intervention. In the light of problems with routine patient data systems and linkages, we have also been able to reflect on data describing the service, including costs, and made recommendations to support future evaluation. Future work No future work is planned. Funding National Institute for Health and Care Research Health Services and Delivery Research programme (RSET: 16/138/17).

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Youth violence intervention programme for vulnerable young people attending emergency departments in London: a rapid evaluation

Cited by 2 publications

References 2 publications

Rapid evaluation of service innovations in health and social care: key considerations

Rapid evaluation of service innovations in health and social care: key considerations

Youth violence intervention programme for vulnerable young people attending emergency departments in London: a rapid evaluation

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