Firearm Injury
Conditions
Keywords
Injury prevention, anticipatory guidance, firearm counseling
Brief summary
The purpose of this pilot study is to assess the feasibility and acceptability of video-based safe firearm storage education in the Pediatric Emergency Department.
Interventions
BEHAVIORAL30-second BeSMART video
30 second video focused on education about child gun deaths and responsible gun storage
BEHAVIORAL3-minute BeSMART video
3-minute video focused on education about child gun deaths and responsible gun storage
Sponsors
Colorado Clinical & Translational Sciences Institute
Emergency Medicine Foundation
American Foundation for Firearm Injury Reduction in Medicine
University of Colorado, Denver
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Days to 17 Years
Healthy volunteers
Yes
Inclusion criteria
* Children \> 30 days and \< 18 years old presenting to the CHCO ED * Parent/guardian who is ≥ 18 and ≤ 85 years old * Arms 1 & 2 will include a subset of patients ≥10 years and \< 18 years old with a firearm in the home.
Exclusion criteria
* Child is in an emergent/acute medical condition * Patient seen in our fast track area or other room without a television * Parent/guardian is non-English speaking.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of Intervention | At baseline | Acceptability of the educational videos measured using agreement with the question, Overall I liked the video. Responses will be on a Likert scale with 1 being the lowest and 5 being the highest. |
| Feasibility of Follow up | Through study completion, an average of three months | Feasibility of completing a follow up survey with parents within 3 months after the intervention measured by the proportion of caregivers who complete the survey in its entirety either electronically or by phone. |
| Safe Firearm Storage | At baseline | Self- report based on the survey question, Are any of the guns in your home kept unlocked? at baseline. This question has a yes/ no answer. |
| Safe Firearm Storage at Three Months | Three month follow up | Self- report at two time points based on the survey question, Are any of the guns in your home kept unlocked? at three month follow up; yes/ no answer. |
| Knowledge About Temporary Firearm Transfer at Baseline | At baseline | Parental awareness of temporary firearm transfer will be measured by self-report based on question, Did you know that you can temporarily take your guns out of your home if you are concerned that someone in your house may hurt themselves or someone else?. (responses answers are yes or no) OR ability to name at least one location for temporary firearm storage OR describe the link for a map of storage locations. |
| Knowledge About Temporary Firearm Transfer at Follow up | At study follow-up, an average of three months | Parental awareness of temporary firearm transfer will be measured by self-report based on question, Did you know that you can temporarily take your guns out of your home if you are concerned that someone in your house may hurt themselves or someone else?. (responses answers are yes or no) and ability to name at least one location for temporary firearm storage OR describe the link for a map of storage locations. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Patient > 9 yo, no Video Caregivers of patients greater than or equal to 10 years old will not be shown a video in the PED. | 95 |
| Patient > 9 yo, 3-minute Video Caregivers of patients greater than or equal to 10 years old will be shown a 3-minute BeSMART video in the PED.
3-minute BeSMART video: 3-minute video focused on education about child gun deaths and responsible gun storage | 62 |
| Any Age, 30-second Video Caregivers of patients of any age will be shown a 30-second BeSMART video in the PED.
30-second BeSMART video: 30-second video focused on education about child gun deaths and responsible gun storage | 127 |
| Any Age, 3-minute Video Caregivers of patients of any age will be shown a 3-minute BeSMART video in the PED.
3-minute BeSMART video: 3-minute video focused on education about child gun deaths and responsible gun storage | 123 |
| Total | 407 |
Baseline characteristics
| Characteristic | Patient > 9 yo, no Video | Patient > 9 yo, 3-minute Video | Any Age, 30-second Video | Any Age, 3-minute Video | Total |
|---|---|---|---|---|---|
| Age, Customized Age <24 | 0 Participants | 0 Participants | 8 Participants | 8 Participants | 16 Participants |
| Age, Customized Age 25-34 | 11 Participants | 8 Participants | 51 Participants | 41 Participants | 111 Participants |
| Age, Customized Age 35-44 | 47 Participants | 31 Participants | 48 Participants | 58 Participants | 184 Participants |
| Age, Customized Age 45-54 | 36 Participants | 19 Participants | 12 Participants | 14 Participants | 81 Participants |
| Age, Customized Age >55 | 1 Participants | 4 Participants | 8 Participants | 2 Participants | 15 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 18 Participants | 14 Participants | 32 Participants | 42 Participants | 106 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 73 Participants | 44 Participants | 85 Participants | 72 Participants | 274 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 4 Participants | 4 Participants | 10 Participants | 9 Participants | 27 Participants |
| Sex/Gender, Customized Gender Female | 77 Participants | 56 Participants | 106 Participants | 100 Participants | 339 Participants |
| Sex/Gender, Customized Gender Male | 18 Participants | 4 Participants | 20 Participants | 21 Participants | 63 Participants |
| Sex/Gender, Customized Gender Unknown | 0 Participants | 2 Participants | 1 Participants | 2 Participants | 5 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 95 | 0 / 62 | 0 / 127 | 0 / 123 |
| other Total, other adverse events | 0 / 95 | 0 / 62 | 0 / 127 | 0 / 123 |
| serious Total, serious adverse events | 0 / 95 | 0 / 62 | 0 / 127 | 0 / 123 |
Outcome results
Primary
Acceptability of Intervention
Acceptability of the educational videos measured using agreement with the question, Overall I liked the video. Responses will be on a Likert scale with 1 being the lowest and 5 being the highest.
Time frame: At baseline
Population: All basline participants
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Patient > 9 yo, 3 Minute Video | Acceptability of Intervention | Overall liked the video (agree/ strongly agree) | 49 Participants |
| Patient > 9 yo, 3 Minute Video | Acceptability of Intervention | Overall liked the video (Neutral/ disagree/ strongly disagree) | 13 Participants |
| Any Age, 30-second Video | Acceptability of Intervention | Overall liked the video (agree/ strongly agree) | 104 Participants |
| Any Age, 30-second Video | Acceptability of Intervention | Overall liked the video (Neutral/ disagree/ strongly disagree) | 23 Participants |
| Any Age, 3 Minute Video | Acceptability of Intervention | Overall liked the video (agree/ strongly agree) | 109 Participants |
| Any Age, 3 Minute Video | Acceptability of Intervention | Overall liked the video (Neutral/ disagree/ strongly disagree) | 14 Participants |
Primary
Feasibility of Follow up
Feasibility of completing a follow up survey with parents within 3 months after the intervention measured by the proportion of caregivers who complete the survey in its entirety either electronically or by phone.
Time frame: Through study completion, an average of three months
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Patient > 9 yo, 3 Minute Video | Feasibility of Follow up | Followed up at three months | 51 Participants |
| Patient > 9 yo, 3 Minute Video | Feasibility of Follow up | Did not follow up at three months | 44 Participants |
| Any Age, 30-second Video | Feasibility of Follow up | Did not follow up at three months | 39 Participants |
| Any Age, 30-second Video | Feasibility of Follow up | Followed up at three months | 23 Participants |
| Any Age, 3 Minute Video | Feasibility of Follow up | Followed up at three months | 45 Participants |
| Any Age, 3 Minute Video | Feasibility of Follow up | Did not follow up at three months | 82 Participants |
| Any Age, 3 Minute Video | Feasibility of Follow up | Followed up at three months | 46 Participants |
| Any Age, 3 Minute Video | Feasibility of Follow up | Did not follow up at three months | 77 Participants |
Primary
Knowledge About Temporary Firearm Transfer at Baseline
Parental awareness of temporary firearm transfer will be measured by self-report based on question, Did you know that you can temporarily take your guns out of your home if you are concerned that someone in your house may hurt themselves or someone else?. (responses answers are yes or no) OR ability to name at least one location for temporary firearm storage OR describe the link for a map of storage locations.
Time frame: At baseline
Population: Knowledge of temporary transfer at baseline
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Patient > 9 yo, 3 Minute Video | Knowledge About Temporary Firearm Transfer at Baseline | Knowledge of temporary transfer at baseline - Yes | 69 Participants |
| Patient > 9 yo, 3 Minute Video | Knowledge About Temporary Firearm Transfer at Baseline | Knowledge of temporary transfer at baseline - No | 26 Participants |
| Any Age, 30-second Video | Knowledge About Temporary Firearm Transfer at Baseline | Knowledge of temporary transfer at baseline - No | 15 Participants |
| Any Age, 30-second Video | Knowledge About Temporary Firearm Transfer at Baseline | Knowledge of temporary transfer at baseline - Yes | 47 Participants |
| Any Age, 3 Minute Video | Knowledge About Temporary Firearm Transfer at Baseline | Knowledge of temporary transfer at baseline - Yes | 28 Participants |
| Any Age, 3 Minute Video | Knowledge About Temporary Firearm Transfer at Baseline | Knowledge of temporary transfer at baseline - No | 99 Participants |
| Any Age, 3 Minute Video | Knowledge About Temporary Firearm Transfer at Baseline | Knowledge of temporary transfer at baseline - Yes | 33 Participants |
| Any Age, 3 Minute Video | Knowledge About Temporary Firearm Transfer at Baseline | Knowledge of temporary transfer at baseline - No | 90 Participants |
Primary
Knowledge About Temporary Firearm Transfer at Follow up
Parental awareness of temporary firearm transfer will be measured by self-report based on question, Did you know that you can temporarily take your guns out of your home if you are concerned that someone in your house may hurt themselves or someone else?. (responses answers are yes or no) and ability to name at least one location for temporary firearm storage OR describe the link for a map of storage locations.
Time frame: At study follow-up, an average of three months
Population: Number of participants who answered the question and reported knowledge of temporary transfer of firearms out of the home at 3 month follow up.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Patient > 9 yo, 3 Minute Video | Knowledge About Temporary Firearm Transfer at Follow up | 44 Participants |
| Any Age, 30-second Video | Knowledge About Temporary Firearm Transfer at Follow up | 18 Participants |
| Any Age, 3 Minute Video | Knowledge About Temporary Firearm Transfer at Follow up | 13 Participants |
| Any Age, 3 Minute Video | Knowledge About Temporary Firearm Transfer at Follow up | 14 Participants |
Primary
Safe Firearm Storage
Self- report based on the survey question, Are any of the guns in your home kept unlocked? at baseline. This question has a yes/ no answer.
Time frame: At baseline
Population: Any guns kept unlocked at baseline. Only recorded for patient\>9 years old as these patients were all firearm owners whereas all ages group had both firearm owners and non-firearm owners.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Patient > 9 yo, 3 Minute Video | Safe Firearm Storage | Are any of the guns in your home kept unlocked? - yes at baseline | 9 Participants |
| Patient > 9 yo, 3 Minute Video | Safe Firearm Storage | Are any of the guns in your home kept unlocked? - no at baseline | 86 Participants |
| Any Age, 30-second Video | Safe Firearm Storage | Are any of the guns in your home kept unlocked? - yes at baseline | 5 Participants |
| Any Age, 30-second Video | Safe Firearm Storage | Are any of the guns in your home kept unlocked? - no at baseline | 57 Participants |
Primary
Safe Firearm Storage at Three Months
Self- report at two time points based on the survey question, Are any of the guns in your home kept unlocked? at three month follow up; yes/ no answer.
Time frame: Three month follow up
Population: Any guns kept unlocked at follow up. Only analyzed for arms of study where all caregivers are firearm owners.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Patient > 9 yo, 3 Minute Video | Safe Firearm Storage at Three Months | Are any of the guns in your home kept unlocked? - yes at follow-up | 7 Participants |
| Patient > 9 yo, 3 Minute Video | Safe Firearm Storage at Three Months | Are any of the guns in your home kept unlocked? - no at follow-up | 40 Participants |
| Any Age, 30-second Video | Safe Firearm Storage at Three Months | Are any of the guns in your home kept unlocked? - yes at follow-up | 0 Participants |
| Any Age, 30-second Video | Safe Firearm Storage at Three Months | Are any of the guns in your home kept unlocked? - no at follow-up | 18 Participants |