Safety
Conditions
Keywords
Firearms
Brief summary
Investigators will conduct a randomized controlled trial assessing effectiveness of the Family Safety Check-In website on firearm storage practices. Prior to conducting the RCT, investigators will engage in a robust, participatory process of language adaptation to ensure the intervention meets the expressed needs of the large and growing proportion of parents in the United States who identify as Hispanic and speak primarily Spanish.
Detailed description
The clinical trial portion of this study will enroll 274 families. While two adults are required to enroll in the study for a family to participate, all adults living in the home will be invited to participate in the study. Baseline surveys will be completed by the first parent/guardian after study enrollment. Participants will then be randomized at the family-level, and, after randomization, will receive a link to their respective intervention (active control or Family Safety Check In). Survey data will also be collected 1 month and 6 months after intervention completion using self-report online questionnaires hosted on the secure REDCap platform.
Interventions
BEHAVIORALFamily Safety Check-In
An interactive web-based decision support tool that is tailored to different family structures and ages of children and adolescents in the home. It is designed to facilitate informed, value-consistent decision making about storage in which all adult family members are engaged in the decision-making process.
BEHAVIORALAAP Resource
American Academy of Pediatrics' informational resource about safe firearm storage for families.
Sponsors
Seattle Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Parent or guardian of child aged 17 or younger * At least two adults living in the home * Firearms in household * Unsafe storage practices
Exclusion criteria
* Not a parent or guardian * Child is age 18 or older * No other adults living in the home * No firearms in household Safe storage practices
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Firearm storage practices | Baseline, 1 month, 6 months | Adaptation of National Firearm Survey and Firearm Safety Among Children and Teens (FACTS) survey questions: Firearm storage will be measured on a continuum that reflects incremental improvements in safety across the storage of all firearms in the home. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction with storage practices | Baseline, 1 month, 6 months | Satisfaction with Decision Scale: 6-item measure asking about satisfaction with received information, personal decision-making, decision-making related to value system, intent to carry out decision, sense of autonomy in decision-making, and general decision satisfaction. Responses are recorded on a 5-point scale, with higher scores indicating greater satisfaction. |
| Feeling informed | Baseline, 1 month, 6 months | Informed Subscale of Decisional Conflict Scale: 3-item measure assessing perceptions of feeling informed about a decision, such as knowing which options are available and knowing the risks/benefits of each option. Responses are recorded on a 5-point scale and typically converted to a 0-100 scale, where higher scores indicate higher conflict and feeling less informed. |
| Clarity on what matters most | Baseline, 1 month, 6 months | Values Clarity Sub-Scale of Decisional Conflict Scale: 3-item measure assessing clarity of personal values in decision-making such as being clear about which benefits and risks matter most. Responses are recorded on a 5-point scale and typically converted to a 0-100 scale, with higher scores indicating higher conflict (less clarity) about personal values for benefits and risks. |
| Involvement in decision process | Baseline, 1 month, 6 months | Decision Making Involvement Scale- Express subscale: 3-item measure assessing behaviors such as expressing an opinion or giving an opinion. Responses are recorded on a 4-point scale (not at all, a little bit, quite a bit, a lot), with higher scores indicating that the individual is actively participating in the decision by sharing their views. |
| Communication quality | Baseline, 1 month | Lewis Mutuality and Interpersonal Sensitivity Scale: 23-item scale that measures dyadic communication. Responses are recorded on a 5-point scale, with higher scores indicating more perceived open communication. |
Countries
United States
Contacts
CONTACTEmily Kroshus
Outcome results
None listed