Pediatric Trauma Centers RE-AIM at Gun Safety - Adopting Comprehensive Training for FireArm Safety in Trauma Centers
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- Implementation of Intervention
研究概览
简要总结
Universal firearm injury and violence prevention counseling of parents and patients has been recommended by multiple national organizations for over a decade, yet clinicians rarely deliver this counseling. Barriers to its implementation must be addressed in order to effectively deliver firearm related injury prevention efforts. This study will implement a universal firearm injury prevention initiative within a national cohort of three pediatric trauma centers. The investigator's long-term goal is to demonstrate best practices for pediatric trauma center-based firearm injury prevention strategies that promote safe storage practices and reduce firearm related injury and death. This research will test the effectiveness of a comprehensive training strategy for improving the implementation of a universal firearm injury prevention effort, ACTFAST (Adopting Comprehensive Training for FireArm Safety in Trauma centers), to 1) increase the adoption, implementation and sustainability of a universal firearm injury prevention initiative within participating pediatric level 1 trauma centers; 2) increase firearm safety knowledge, attitudes and safe firearm storage practices among parents of pediatric trauma patients and youth patients treated within participating pediatric level 1 trauma centers, and 3) increase trauma center clinicians' firearm safety knowledge and confidence in delivering a firearm safety intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 11 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •For parents/guardians of pediatric trauma patients:
- •Inclusion Criteria:
- •live with an admitted pediatric trauma patient at a participating trauma center
- •be fluent in English or Spanish
排除标准
- •- family members who do not live with the admitted pediatric trauma patient
- •For youth trauma patients:
- •Inclusion Criteria:
- •Must be between the ages of 11-17 years
- •admitted to a participating trauma inpatient service for an injury
- •fluent in English or Spanish
- •able to provide written assent and parent able to provide written consent
- •Exclusion Criteria:
- •Youth who are prisoners or in police custody
- •Youth who are admitted due to suicide attempt
- •Youth with acute conditions that would preclude provision of informed consent (i.e., acute psychosis, altered mental status, cognitive impairment)
研究组 & 干预措施
Standard Care
In the pre-implementation period, 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
Implementation of Intervention
时间窗: 3 years
This outcome will be measured using chart review protocols examining rates of firearm access screening, documentation of firearm safety counseling, documentation of referral to community based resources and connection to medical homes as well as patient hospitalization characteristics including admission diagnosis, injury severity and patient demographic characteristics.
Parent firearm safety attitudes and behaviors
时间窗: 3 years
This outcome will be measured using parent survey and interview adapted from prior work by the study team.
次要结局
- Adolescent patient firearm safety attitudes and behaviors(3 years)
- Clinician firearm safety knowledge and confidence(3 years)