Pediatric Trauma Centers RE-AIM at Gun Safety

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.

Conditions

• Firearm Injury
• Safety Issues

Interventions

BEHAVIORAL

Adopting Comprehensive Training for FireArm Safety in Trauma centers

Firearm access screening, brief firearm safe storage intervention, and referral to community and preventive health resources

Sponsors & Collaborators

• Centers for Disease Control and Prevention

  collaborator FED

• Children's Hospitals and Clinics of Minnesota

  collaborator OTHER

• University of Utah

  collaborator OTHER

• Rhode Island Hospital

  collaborator OTHER

• Yale University

  collaborator OTHER

• Johns Hopkins University

  lead OTHER

Principal Investigators

• Katherine Hoops, MD, PhD · Johns Hopkins School of Medicine

Study Design

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

11 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-02-25

Primary Completion

2026-09-30

Completion

2027-09-30

Countries

• United States

Study Locations