Adult Trauma Centers RE-AIM at Gun Safety (ACTFAST)

Johns Hopkins University

Status: Invitation-only

Conditions: Firearm Injury; Safety Issues

Treatments: Behavioral: Adopting Comprehensive Training for FireArm Safety in Trauma Centers

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06302452

IRB00433605

R01MD019173 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

Enrollment: 1,776 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion 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

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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1,776 participants in 2 patient groups

No Intervention: Standard Care

No Intervention group

Description:

All trauma patients will receive standard routine care which may include some screening and counseling on gun safety.

ACTFAST Intervention

Experimental group

Description:

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.

Treatment:

Behavioral: Adopting Comprehensive Training for FireArm Safety in Trauma Centers