Firearm Injury, Safety Issues
Conditions
Brief summary
Universal firearm injury and violence prevention counseling of parents and patients has been recommended by multiple national organizations for over a decade, yet clinicians rarely deliver this counseling. Barriers to its implementation must be addressed in order to effectively deliver firearm related injury prevention efforts. This study will implement a universal firearm injury prevention initiative within a national cohort of three pediatric trauma centers. The investigator's long-term goal is to demonstrate best practices for pediatric trauma center-based firearm injury prevention strategies that promote safe storage practices and reduce firearm related injury and death. This research will test the effectiveness of a comprehensive training strategy for improving the implementation of a universal firearm injury prevention effort, ACTFAST (Adopting Comprehensive Training for FireArm Safety in Trauma centers), to 1) increase the adoption, implementation and sustainability of a universal firearm injury prevention initiative within participating pediatric level 1 trauma centers; 2) increase firearm safety knowledge, attitudes and safe firearm storage practices among parents of pediatric trauma patients and youth patients treated within participating pediatric level 1 trauma centers, and 3) increase trauma center clinicians' firearm safety knowledge and confidence in delivering a firearm safety intervention.
Interventions
Firearm access screening, brief firearm safe storage intervention, and referral to community and preventive health resources
Sponsors
Johns Hopkins University
Centers for Disease Control and Prevention
Children's Hospitals and Clinics of Minnesota
University of Utah
Rhode Island Hospital
Yale University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
11 Years to No maximum
Healthy volunteers
No
Inclusion criteria
For parents/guardians of pediatric trauma patients: Inclusion Criteria: * live with an admitted pediatric trauma patient at a participating trauma center * be fluent in English or Spanish
Exclusion criteria
\- family members who do not live with the admitted pediatric trauma patient For youth trauma patients: Inclusion Criteria: * Must be between the ages of 11-17 years * admitted to a participating trauma inpatient service for an injury * fluent in English or Spanish * able to provide written assent and parent able to provide written consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Implementation of Intervention | 3 years | This outcome will be measured using chart review protocols examining rates of firearm access screening, documentation of firearm safety counseling, documentation of referral to community based resources and connection to medical homes as well as patient hospitalization characteristics including admission diagnosis, injury severity and patient demographic characteristics. |
| Parent firearm safety attitudes and behaviors | 3 years | This outcome will be measured using parent survey and interview adapted from prior work by the study team. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinician firearm safety knowledge and confidence | 3 years | This outcome will be measured using clinician surveys derived from multiple sources developed through the prior work of members of the study team. |
| Adolescent patient firearm safety attitudes and behaviors | 3 years | Measure firearm injury prevention knowledge, attitudes and safe firearm practices of adolescent trauma patients (11-17 years) within participating pediatric level 1 trauma centers. This outcome will be measured using patient survey and interview adapted from prior work by the study team. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORKatherine Hoops, MD, PhD
Johns Hopkins School of Medicine
Outcome results
None listed