Pediatric Trauma Centers RE-AIM at Gun Safety

Официальное название

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

Обзор

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.

Вмешательства

• Поведенческое 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

Первичные конечные точки

• Implementation of Intervention [Срок оценки: 3 years]
• Parent firearm safety attitudes and behaviors [Срок оценки: 3 years]

Вторичные конечные точки (2)

• Clinician firearm safety knowledge and confidence [Срок оценки: 3 years]
• Adolescent patient firearm safety attitudes and behaviors [Срок оценки: 3 years]

Критерии участия

For parents/guardians of pediatric trauma patients:

Критерии включения

• live with an admitted pediatric trauma patient at a participating trauma center
• be fluent in English or Spanish

Критерии исключения

\- family members who do not live with the admitted pediatric trauma patient

For youth trauma patients:

Критерии включения

• 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

Критерии исключения

• 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)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Другое

Центры проведения

США · 1 центр

• Johns Hopkins Medicine — Baltimore

Идентификаторы

NCT: NCT06123611 · IRB00407213 · CE003620

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗