Adult Trauma Centers RE-AIM at Gun Safety
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 18 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
ACTFAST: Urban and Rural Trauma Centers RE-AIM at Firearm Injury Prevention
Overview
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: 1. (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; 2. (Primary Aim 2) Assess firearm injury prevention knowledge, attitudes, and safe storage practices among trauma patients treated within participating trauma centers.
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
- Proportion of admitted injured patients receiving each element of the ACTFAST Program [Time frame: 48 weeks]
- Percentage of admitted injured patients receiving elements of the ACTFAST Program [Time frame: Admission, 2 weeks post discharge]
- Patient firearm safety attitudes and behaviors as assessed by survey [Time frame: 48 weeks]
Secondary outcome measures (1)
- Clinician firearm safety knowledge and confidence as assessed by survey [Time frame: 48 weeks]
Eligibility criteria
Electronic Medical Record (EMR) Participants:
Inclusion criteria
- trauma patients admitted to adult trauma inpatient services at participating institutions
Exclusion criteria
- none
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
- none
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Non-randomized
- Model
- Sequential
- Masking
- Open label
- Primary purpose
- Other
Study locations
United States · 3 centers
- Johns Hopkins Bayview Medical Center — Baltimore
- Johns Hopkins Hospital — Baltimore
- WellSpan Health — York
Identifiers
NCT: NCT06302452 · IRB00433605 · R01MD019173