An Interactive Web Platform to Teach Children Hunting, Shooting and Firearms Safety

Study Overview
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Brief Summary
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Firearms injuries present a major pediatric public health challenge, killing >800 children ages 0-15 annually and leading to lifelong disability among >1000 survivors. About ⅓ of firearms injuries to children under age 15 are due to unintentional causes rather than suicide or homicide. The investigators propose development and evaluation of ShootSafe, an innovative, engaging, and educational website accessible by smartphone, tablet or computer that engages children to learn firearms safety. ShootSafe extends existing programs to achieve 3 primary goals: a) teach children knowledge and skills they need to hunt, shoot, and use firearms safely; b) help children learn and hone critical cognitive skills of impulse control and hypothetical thinking needed to use firearms safely; and c) alter children's perceptions about their own vulnerability and susceptibility to firearms-related injuries, the severity of those injuries, and their perceived norms about peer behavior surrounding firearms use. ShootSafe will accomplish these goals through a combination of interactive games plus podcast videos delivered by peer actors (impactful testimonials about firearms injuries/deaths they experienced) and experts (wisdom & experience from trusted role models). The website will also incorporate brief messaging to parents, who will absorb key lessons and reinforce them with their children. The website will be evaluated through a randomized controlled trial with 162 children ages 10-12, randomly assigning children to engage in the ShootSafe website or an active control website on child nutrition. The investigators will incorporate sub-aims to evaluate changes in children's (a) knowledge, (b) cognitive skills in impulse control and hypothetical thinking, (c) perceptions about firearms safety, and (d) simulated behavior when handling, storing and transporting firearms. All outcome measures will be assessed at baseline, immediately post-intervention, and at a 4-month follow-up assessment to evaluate retention. Training will comprise two 30-minute sessions.

Official Title
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ShootSafe: An Interactive Web Platform to Teach Children Hunting, Shooting and Firearms Safety

Conditions
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Safety Issues, Injuries, Firearm Injury

Intervention / Treatment
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* Behavioral: firearms safety
* Behavioral: nutrition


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: children ages 10-12 years English-speaking child and parent Experience or exposure to firearms in their homes or through engagement in hunting or shooting Exclusion Criteria: disabilities that prohibit participants from valid understanding of or participation in the experimental protocol siblings of enrolled child

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 12 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: firearms safety<br>Children will spend two 45-minute sessions engaged on ShootSafe, an internet-based training program on firearms safety. | Behavioral: firearms safety<br>* interactive and engaging website with videos and educational games to teach children firearms, hunting and shooting safety<br>|
| Active Comparator: nutrition<br>Children will spend two 45-minute sessions engaged on nourishinteractive.com, an internet-based training program on nutrition and exercise. | Behavioral: nutrition<br>* interactive and engaging website with videos and educational games to teach children about nutrition and exercise<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of knowledge items answered correctly | children's knowledge about firearms safety (score on 10-item quiz, with possible range of 0-10 and 10 the best score) | 1 week after intervention completed | 
| Composite of children's perceptions about firearms safety | children's perceptions about firearms safety (composite of z-scores from the following self-report measures created for this study: perceived vulnerability/susceptibility, perceived severity of injury, and perceived peer norms) | 1 week after intervention completed |