Pediatric Inpatient Firearm Safety Study

Not Applicable

Completed

Brief Summary: There is currently no available data regarding using the inpatient setting as an opportunity to talk to parents/guardians about firearm safety. The investigators will be doing a pre-/post-intervention study to investigate the effect of an intervention (a 5.5 minute Be SMART video and written materials developed by the organization Everytown for Gun Safety), on parental/legal guardian knowledge, attitudes and practices regarding firearm safety. While the American Academy of Pediatrics recommends the safest home for children is one without guns, the reality is that there are families with guns in the home. This non-political video focuses on ways to keep children safe from firearms.

The investigators will also investigate any additional effect of physician-delivered counseling on parental/guardian knowledge, attitudes and practices regarding gun safety as compared to receiving the information solely via video and written materials.

Participants will be randomized to 1 of 3 groups (intervention, intervention + MD discussion and control group). Outcomes will be assessed immediately post intervention and in a 30-day follow up phone call.

Detailed Description: Eligibility:

All parents/guardians of inpatients admitted to the Children's Hospital at Montefiore.

Exclusion:

Parents/guardians whose children are in acute distress or in the Pediatric Intensive Care Unit.

Outcomes:

The primary outcome is the change in parent/legal guardian's behavior over the past 30 days with respect to how often they asked whether or not there are guns in the home when their child/children goes to play in another's person's home, as indicated by a Likert scale assignment of an ordinal value (1-5, 1= never, 2=rarely, 3=sometimes, 4=most of the time, 5=always).

Secondary outcomes will include:

* Change in the primary outcome (intention to ask noted above) between the intervention groups (Be SMARTalone vs. Be SMART + MD)

* Demographic factors associated with primary outcome

* Description of general knowledge on firearm safety of parents/legal guardians of patients in our community

* Description of attitudes about firearm safety of parents/legal guardians of patients in our community

* Description of general practices regarding firearm safety of parents/legal guardians of patients in our community

* Description of parents attitudes regarding physicians discussing firearm safety with them

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

parents/guardians whose child is hospitalized in the Pediatric Intensive Care Unit
parents/guardians whose child is in acute distress
parents/guardians who have previously been in the study

Arm && Interventions

Group	Intervention	Description
Be SMART + MD review	Be SMART + MD review	Parents/guardians in this study group will watch a 5.5 minute Be SMART video and receive the handouts reviewing the information and will also have an MD review the information (via a checklist to standardize the MD review).
Be SMART alone	Be SMART	Parents/guardians in this study group will watch a 5.5 minute Be SMART video and receive the handouts reviewing the information.

Primary Outcome Measures

Name	Time	Method
Change in Likert Scale of Frequency of Asking About Guns in the Home When Their Child Goes to Another Person's Home, Pre-intervention and 1 Month Post-intervention	Baseline and last 30 days	The primary outcome is within each group the change in how often the parent/guardian asked whether there are guns in the home when the child went to another person's home in the last 30 days Likert Scale 1=never, 2=rarely, 3=sometimes, 4=most of the time, 5=always

Secondary Outcome Measures

Name	Time	Method
Doctors Who Take Care of Kids Should Talk to Parents About Safe Gun Storage at 1 Month Post-intervention	1 month after intervention	Likert Scale Score of degree of agreement with the statement 1=strongly disagree, 2=disagree, 3=not sure, 4=agree, 5=strongly agree