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Enrolling by invitation NCT06123611

Pediatric Trauma Centers RE-AIM at Gun Safety

No phase Interventional Firearm Injury Safety Issues

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Adopting Comprehensive Training for FireArm Safety in Trauma centers.
Who it may be relevant to
Registry conditions: Firearm Injury, Safety Issues. Basic parameters: from 11 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

Pediatric Trauma Centers RE-AIM at Gun Safety - Adopting Comprehensive Training for FireArm Safety in Trauma Centers

Overview

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.

Interventions

  • Behavioral Adopting Comprehensive Training for FireArm Safety in Trauma centers
    Firearm access screening, brief firearm safe storage intervention, and referral to community and preventive health resources

Primary outcome measures

  • Implementation of Intervention [Time frame: 3 years]
  • Parent firearm safety attitudes and behaviors [Time frame: 3 years]
Secondary outcome measures (2)
  • Clinician firearm safety knowledge and confidence [Time frame: 3 years]
  • Adolescent patient firearm safety attitudes and behaviors [Time frame: 3 years]

Eligibility criteria

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

Exclusion criteria

\- 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)

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Non-randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Other

Study locations

United States · 1 center
  • Johns Hopkins Medicine — Baltimore

Identifiers

NCT: NCT06123611 · IRB00407213 · CE003620

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗