Safety Education in the Emergency Department: A Pilot Study

Study Overview
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Brief Summary
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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.

Official Title
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Safety Education in the Emergency Department (SEED): A Pilot Study

Conditions
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Firearm Injury

Intervention / Treatment
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* Behavioral: 30-second BeSMART video
* Behavioral: 3-minute BeSMART video


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 30 Days
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Patient > 9 yo, no video<br>Caregivers of patients greater than or equal to 10 years old will not be shown a video in the PED. | |
| Active Comparator: Patient > 9 yo, 3 minute video<br>Caregivers of patients greater than or equal to 10 years old will be shown a 3-minute BeSMART video in the PED. | Behavioral: 3-minute BeSMART video<br>* 3-minute video focused on education about child gun deaths and responsible gun storage<br>|
| Experimental: Any age, 30-second video<br>Caregivers of patients of any age will be shown a 30 second BeSMART video in the PED. | Behavioral: 30-second BeSMART video<br>* 30 second video focused on education about child gun deaths and responsible gun storage<br>|
| Experimental: Any age, 3 minute video<br>Caregivers of patients of any age will be shown a 3-minute BeSMART video in the PED. | Behavioral: 3-minute BeSMART video<br>* 3-minute video focused on education about child gun deaths and responsible gun storage<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability of intervention | Acceptability of the educational videos measured using a survey with question, How useful was the information you received? and Was the information you received confusing?. Responses will be on a ilkert scale with 1 being the lowest and 5 being the highest. | Through study completion, an average of three months | 
| 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. | Through study completion, an average of three months | 
| Safe firearm storage | Self- report at two time points based on the survey questions, Are any of the guns in your home kept unlocked?, and Are the bullets stored separately from the guns?. Both questions have yes/ no answers. | Through study completion, an average of three months | 
| Knowledge about firearm transfer | 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. | Through study completion, an average of three months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Injury prevention, anticipatory guidance, firearm counseling