protocolSection identificationModule nctId: NCT06302452, orgStudyIdInfo id: IRB00433605, secondaryIdInfos id: R01MD019173, type: NIH, link: https://reporter.nih.gov/quickSearch/R01MD019173, briefTitle: Adult Trauma Centers RE-AIM at Gun Safety (ACTFAST) Prevention, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-04, primaryCompletionDateStruct date: 2028-02, completionDateStruct date: 2028-02, studyFirstPostDateStruct date: 2024-03-08, lastUpdatePostDateStruct date: 2024-03-08, sponsorCollaboratorsModule leadSponsor name: Johns Hopkins University, class: OTHER, collaborators name: National Institute on Minority Health and Health Disparities (NIMHD), collaborators name: Rhode Island Hospital, descriptionModule briefSummary: The goal of this interventional study is to evaluate the implementation and effectiveness of a comprehensive a universal firearm injury prevention program, ACTFAST (Adopting Comprehensive Training for FireArm Safety in Trauma centers), in level 1 trauma centers. The main aims of the study are:1. (Primary Aim 1) Increase the adoption, implementation, and maintenance of a universal firearm injury prevention intervention at three participating trauma centers in the mid-Atlantic states;2. (Primary Aim 2) Assess firearm injury prevention knowledge, attitudes, and safe storage practices among trauma patients treated within participating trauma centers., conditionsModule conditions: Firearm Injury, conditions: Safety Issues, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: SEQUENTIAL, interventionModelDescription: The trial uses a unidirectional crossover stepped wedge design with a sequential roll-out of the intervention, ACTFAST, RE-AIM implementation framework, over several discrete time points or "steps." Each of the three trauma centers will be randomly assigned to one step that will determine when they crossover from control to implementation.Data are collected over multiple wedges, each 4-6 months in length. During the first wedge, none of the participating trauma centers will receive ACTFAST. During the second wedge, the first trauma center completes the Adoption and Implementation period. Over the third wedge, the first center shifts to the Maintenance period, the second trauma center enters the Adoption and Implementation period, and the remaining cohort stays in the control condition. This pattern continues until all trauma centers have progressed from control condition through the active implementation period., primaryPurpose: OTHER, maskingInfo masking: NONE, enrollmentInfo count: 1776, type: ESTIMATED, armsInterventionsModule interventions name: Adopting Comprehensive Training for FireArm Safety in Trauma Centers, outcomesModule primaryOutcomes measure: Proportion of admitted injured patients receiving each element of the ACTFAST Program, primaryOutcomes measure: Percentage of admitted injured patients receiving elements of the ACTFAST Program, primaryOutcomes measure: Patient firearm safety attitudes and behaviors as assessed by survey, secondaryOutcomes measure: Clinician firearm safety knowledge and confidence as assessed by survey, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Johns Hopkins Bayview Medical Center, city: Baltimore, state: Maryland, zip: 21224, country: United States, geoPoint lat: 39.29038, lon: -76.61219, locations facility: Johns Hopkins Hospital, city: Baltimore, state: Maryland, zip: 21287, country: United States, geoPoint lat: 39.29038, lon: -76.61219, hasResults: False