# Spreading LOV: Developing a Plan to Improve Engagement in the Life Outside Violence Program

> **NIH NIH K23** · WASHINGTON UNIVERSITY · 2024 · $178,468

## Abstract

My training goals outlined in this K23 Career Development Award include to: (1) develop the skills to
effectively conduct high-quality, clinically-relevant, mixed-methods analyses of barriers and facilitators of
hospital-based violence intervention program (HVIP) enrollment; and (2) complete an individually-tailored
training program centered in Community Based Participatory Research (CBPR) and Dissemination and
Implementation (D&I) Science. This will support my long-term career goal to become an independent
investigator of firearm injury prevention by developing, testing, implementing, and continually refining HVIPs.
HVIPs share common outcome goals (decreasing reinjury and death rates among participants), and are, by
design, individualized programs that provide counseling and social- and case-based services to achieve
additional goals that are unique to each participant. For this reason, I will train in mixed methods study design
that supports real-world applicability and adaptability of our findings. I will use this award to study CBPR and
D&I science to develop the skills necessary to become a leader in HVIP innovation. My career development
plan includes a: (1) robust mentoring plan that provides specific details on mentorship roles and development
milestones to capitalize on the complementary areas of expertise among mentorship team members; and (2)
didactic training plan through the Master of Science in Clinical Investigation program. My research project is a
multi-center, mixed-method analysis of barriers and facilitators of enrollment in Life Outside Violence (LOV),
the St. Louis region-wide HVIP. The cycle of violence is an under addressed public health threat that
disproportionately affects Black patients, especially in St. Louis, which has a very high rate of violent crime.
LOV's mission is to facilitate healing and decrease incidences of retaliation, criminal involvement, reinjury, and
death. In early analysis of 158 LOV enrolled patients, three (2%) have suffered a recurrent violent reinjury—
well below the national rate (up to 77%). However, only 13% of eligible patients enrolled in the LOV program.
To address this enrollment gap, I will investigate the following specific aims, to: (1) Apply multilevel
regression models to the STL-HVIP-DR to identify sociodemographic, service delivery, organization, and
geographic characteristics associated with LOV program enrollment; (2) Assess barriers and facilitators of
enrollment in the LOV program through individual and group interviews with a purposive sample (n~45) of LOV
mentors, community members, and patients who enrolled in LOV and those who did not; and (3) Use CBPR
methods to design and assess an improved engagement pathway to approach violently injured patients for
enrollment in the LOV program. My proposed career development and research plan will address actionable
HVIP implementation barriers and facilitators in real-world conditions. We will disseminate our findings to other
HVIP...

## Key facts

- **NIH application ID:** 10851969
- **Project number:** 5K23HD107520-02
- **Recipient organization:** WASHINGTON UNIVERSITY
- **Principal Investigator:** Kristen Mueller
- **Activity code:** K23 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $178,468
- **Award type:** 5
- **Project period:** 2023-07-01 → 2028-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10851969

## Citation

> US National Institutes of Health, RePORTER application 10851969, Spreading LOV: Developing a Plan to Improve Engagement in the Life Outside Violence Program (5K23HD107520-02). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10851969. Licensed CC0.

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