Virtual Reality Intervention to Support Clinicians' Firearm Safety Counseling Behaviors

Not Applicable

Active, not recruiting

• Conditions: Virtual Reality; Simulation Based Medical Education; Firearm Injury
• Interventions: Behavioral: Resident Education And Counseling on Household Firearm Safety; Behavioral: Modified American Academy of Pediatrics Safer

• Registration Number: NCT06108141
• Lead Sponsor: Children's Hospital Medical Center, Cincinnati

Brief Summary

The goal of this clinical trial is to assess the efficacy of REACH Firearm Safety in a sample of pediatric residents. The main question it aims to answer are:

Do residents who have completed REACH Firearm Safety have increased documentation in the electronic medical records for screening and counseling for safe firearm storage?

Participants will be asked to engage in a virtual reality curriculum (REACH Firearm Safety). Researchers will compare the REACH Firearm safety group to a group of participants who complete an abbreviated online training.

Detailed Description

The American Academy of Pediatrics urges pediatricians to counsel parents on the dangers of childhood access to firearms and restrict access through safe storage practices. However, evidence suggests that most pediatricians do not provide firearm-related counseling in real-world clinical practice. This is notable as firearm-related injury is now the leading cause of death in children aged 1-19 years in the United States. Virtual reality (VR) is a type of simulation-based medical education that allows users to interact with virtual environments and characters in a seemingly realistic way. Investigators developed Resident Education And Counseling on Household (REACH) Firearm Safety, a VR curriculum to allow pediatricians to practice screening and counseling on firearm safety. The objective of this proposal is to assess the efficacy of REACH Firearm Safety, along with key implementation metrics, to justify and inform scale and distribution of the training approach. To achieve the objective, Investigators will: (1) Conduct a multi-site two-arm randomized controlled pilot study assessing the efficacy of REACH Firearm Safety and (2) Measure acceptability, appropriateness, fidelity, feasibility, and cost of implementation of REACH Firearm Safety. The proposed research is significant and innovative because it is the first rigorous effort to evaluate the efficacy of VR as a training platform to teach communication skills related to firearm safety counseling.

Study Timeline

• Study First Submitted: 2023-10-23
• Study First Submitted QC: 2023-10-27
• Study First Posted: 2023-10-30
• Study Start: 2023-12-19
• Status Verified: 2024-06
• Last Update Submitted: 2024-06-25
• Last Update Posted: 2024-06-27
• Primary Completion: 2024-12-31
• Study Completion: 2024-12-31

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 130

Inclusion Criteria

• Resident with continuity clinic at either Kentucky Clinic South, University of Kentucky (UK) Internal Medicine and Pediatrics group, CCHMC Hopple Street Neighborhood Health Center, or University of Cincinnati (UC) Hoxworth Medicine-Pediatrics Clinic

Exclusion Criteria

• Resident unable to read or speak English
• Resident with continuity clinic outside of inclusion criteria clinics

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Resident Education And Counseling on Household (REACH) Firearm Safety	Resident Education And Counseling on Household Firearm Safety	Resident participants will complete a modified online self-guided American Academy of Pediatrics (AAP) Safer curriculum. Next, residents will complete REACH individually with a trained facilitator.
Modified AAP Safer	Modified American Academy of Pediatrics Safer	Resident participants will complete a modified online self-guided American Academy of Pediatrics (AAP) Safer curriculum.

Primary Outcome Measures

Name	Time	Method
Percent Change From Baseline in the Percentage of Participants with documentation within the medical record of access to firearms.	6 months	Documentation of discussion during clinical encounter of access to firearms.
Percent Change From Baseline in the Percentage of Participants with documentation within the medical record of counseling on firearm injury prevention.	6 months	Documentation of discussion during clinical encounter of firearm injury prevention.

Trial Locations

Locations (1)

Cincinnati Children's Hospital Medical Center; 🇺🇸 Cincinnati, Ohio, United States