Adult Trauma Centers RE-AIM at Gun Safety (ACTFAST) Prevention

Not Applicable

• Conditions: Firearm Injury; Safety Issues
• Interventions: Behavioral: Adopting Comprehensive Training for FireArm Safety in Trauma Centers

• Registration Number: NCT06302452
• Lead Sponsor: Johns Hopkins University

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:

1. (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;

2. (Primary Aim 2) Assess firearm injury prevention knowledge, attitudes, and safe storage practices among trauma patients treated within participating trauma centers.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-02-27
• Study First Submitted QC: 2024-03-04
• Study First Posted: 2024-03-08
• Study Start: 2024-10-30
• Status Verified: 2024-11
• Last Update Submitted: 2024-11-08
• Last Update Posted: 2024-11-11
• Primary Completion: 2028-02
• Study Completion: 2028-02

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 1776

Inclusion Criteria

• trauma patients admitted to adult trauma inpatient services at participating institutions

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Exclusion Criteria

• none

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 written 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).

Staff participants

Inclusion Criteria:

• trauma service physician, physician assistant, nurse practitioner, nurse or social worker at participating pediatric trauma center

Exclusion Criteria:

• none

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
ACTFAST Intervention	Adopting Comprehensive Training for FireArm Safety in Trauma Centers	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.

Primary Outcome Measures

Name	Time	Method
Percentage of admitted injured patients receiving elements of the ACTFAST Program	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	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	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 Outcome Measures

Name	Time	Method
Clinician firearm safety knowledge and confidence as assessed by survey	48 weeks	This outcome will be measured using clinician survey data derived from multiple sources developed through the prior work of members of the study team.

Trial Locations

Locations (2)

Johns Hopkins Bayview Medical Center; 🇺🇸 Baltimore, Maryland, United States

Johns Hopkins Hospital; 🇺🇸 Baltimore, Maryland, United States