ACTFAST: Urban and Rural Trauma Centers RE-AIM at Firearm Injury Prevention
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 1,776
- 试验地点
- 3
- 主要终点
- Percentage of admitted injured patients receiving elements of the ACTFAST Program
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Electronic Medical Record (EMR) Participants:
- •Inclusion Criteria:
- •trauma patients admitted to adult trauma inpatient services at participating institutions
排除标准
- •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).
- •Staff participants
- •Inclusion Criteria:
- •trauma service physician, physician assistant, nurse practitioner, nurse or social worker at participating pediatric trauma center
- •Exclusion Criteria:
研究组 & 干预措施
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.
干预措施: Adopting Comprehensive Training for FireArm Safety in Trauma Centers (Behavioral)
结局指标
主要结局
Percentage of admitted injured patients receiving elements of the ACTFAST Program
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- Clinician firearm safety knowledge and confidence as assessed by survey(48 weeks)