Clinical trial NCT06123611: Pediatric Trauma Centers RE-AIM at Gun Safety
Official title: Pediatric Trauma Centers RE-AIM at Gun Safety - Adopting Comprehensive Training for FireArm Safety in Trauma Centers
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Firearm Injury
Safety Issues
Lead sponsor: Johns Hopkins University
Sponsor class: OTHER
Collaborators: name: Centers for Disease Control and Prevention
name: Children's Hospitals and Clinics of Minnesota
name: University of Utah
name: Rhode Island Hospital
name: Yale University
First posted: 2023-11-09
Enrollment: 1000
Sex: ALL
Minimum age (years): 11
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

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.


Eligibility 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

Exclusion Criteria:

* Youth who are prisoners or in police custody
* Youth who are admitted due to suicide attempt
* Youth with acute conditions that would preclude provision of informed consent (i.e., acute psychosis, altered mental status, cognitive impairment)

Primary outcomes:
measure: Implementation of Intervention
timeFrame: 3 years
measure: Parent firearm safety attitudes and behaviors
timeFrame: 3 years
Secondary outcomes:
measure: Clinician firearm safety knowledge and confidence
timeFrame: 3 years
measure: Adolescent patient firearm safety attitudes and behaviors
timeFrame: 3 years
Other outcomes:
Locations:
city: Baltimore
country: United States
facility: Johns Hopkins Medicine
state: Maryland
Study officials:
affiliation: Johns Hopkins School of Medicine
name: Katherine Hoops, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References: