ACTFAST: Urban and Rural Trauma Centers RE-AIM at Firearm Injury Prevention
Overview
- Phase
- Not Applicable
- Intervention
- No Intervention: Standard Care
- Conditions
- Firearm Injury
- Sponsor
- Johns Hopkins University
- Enrollment
- 1776
- Locations
- 3
- Primary Endpoint
- Percentage of admitted injured patients receiving elements of the ACTFAST Program
- Status
- Enrolling By Invitation
- Last Updated
- last month
Overview
Brief Summary
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:
- (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;
- (Primary Aim 2) Assess firearm injury prevention knowledge, attitudes, and safe storage practices among trauma patients treated within participating trauma centers.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Electronic Medical Record (EMR) Participants:
- •Inclusion Criteria:
- •trauma patients admitted to adult trauma inpatient services at participating institutions
Exclusion Criteria
- •Patient participants
- •Inclusion Criteria:
- •at least 18 years of age;
- •admitted to a participating trauma service for an injury;
- •fluent in English or Spanish;
- •able to provide informed consent.
- •Exclusion Criteria:
- •prisoner or in police custody;
- •admitted due to suicide attempt
- •any acute conditions that would preclude provision of informed consent or assent (i.e., acute psychosis, altered mental status, cognitive impairment).
Arms & Interventions
No Intervention: Standard Care
All trauma patients will receive standard routine care which may include some screening and counseling on gun safety.
ACTFAST Intervention
During the implementation and maintenance periods, all trauma patients will receive study activities including firearm access screening, counseling on safe storage practices, and referral to safe storage and other community resources as appropriate.
Intervention: Adopting Comprehensive Training for FireArm Safety in Trauma Centers
Outcomes
Primary Outcomes
Percentage of admitted injured patients receiving elements of the ACTFAST Program
Time Frame: Admission, 2 weeks post discharge
Among those eligible, compared to pre-implementation, there will be a difference in patients receiving each element of the ACTFAST program as measured by participant survey responses gathered during the participant's admission and 2-weeks post-discharge from survey data derived from multiple sources developed through the prior work of members of the study team.
Patient firearm safety attitudes and behaviors as assessed by survey
Time Frame: 48 weeks
This outcome will be measured using the patient survey data adapted from prior work by the study team.
Proportion of admitted injured patients receiving each element of the ACTFAST Program
Time Frame: 48 weeks
ACTFAST components will be collected through retrospective data abstraction of each site's electronic medical record to determine if admitted injured patients received the Screening, Brief Intervention and Referral to Treatment (SBIRT) program components during the different phases of the study.
Secondary Outcomes
- Clinician firearm safety knowledge and confidence as assessed by survey(48 weeks)